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Discondrosteose de Léri-Weill
ORPHA:240CID-10 · Q77.8CID-11 · LD24.AOMIM 127300DOENÇA RARA

A discondrosteose de Leri-Weill (LWD) é uma displasia esquelética marcada por baixa estatura desproporcional e a deformidade característica do punho de Madelung.

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Introdução

O que você precisa saber de cara

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A discondrosteose de Leri-Weill (LWD) é uma displasia esquelética marcada por baixa estatura desproporcional e a deformidade característica do punho de Madelung.

Publicações científicas
180 artigos
Último publicado: 2026 Mar 2

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adolescent
+ antenatal, childhood, infancy, neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q77.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
14 sintomas
😀
Face
3 sintomas
🫁
Pulmão
1 sintomas
💪
Músculos
1 sintomas

+ 32 sintomas em outras categorias

Características mais comuns

90%prev.
Hipoplasia do rádio
Muito frequente (99-80%)
90%prev.
Genu varum
Muito frequente (99-80%)
90%prev.
Baixa estatura desproporcional de membros curtos
Muito frequente (99-80%)
90%prev.
Epífise em forma de cone
Muito frequente (99-80%)
90%prev.
Morfologia anormal do úmero
Muito frequente (99-80%)
90%prev.
Ponte nasal ampla
Muito frequente (99-80%)
51sintomas
Muito frequente (34)
Frequente (3)
Sem dados (14)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 51 características clínicas mais associadas, ordenadas por frequência.

Hipoplasia do rádioHypoplasia of the radius
Muito frequente (99-80%)90%
Genu varum
Muito frequente (99-80%)90%
Baixa estatura desproporcional de membros curtosDisproportionate short-limb short stature
Muito frequente (99-80%)90%
Epífise em forma de coneCone-shaped epiphysis
Muito frequente (99-80%)90%
Morfologia anormal do úmeroAbnormal humerus morphology
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico180PubMed
Últimos 10 anos62publicações
Pico201610 papers
Linha do tempo
2026Hoje · 2026📈 2016Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant.

SHOXShort stature homeobox proteinDisease-causing germline mutation(s) (loss of function) inModerado
FUNÇÃO

Transcription factor that controls fundamental aspects of growth. Directly activates NPPB transcription in osteogenic cells (PubMed:11751690, PubMed:17881654). Preferentially binds DNA elements with the sequence 5'-TAATNNNATTA-3', possibly as a homodimer (PubMed:11751690)

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Leri-Weill dyschondrosteosis

Dominantly inherited skeletal dysplasia characterized by moderate short stature predominantly because of short mesomelic limb segments. It is often associated with the Madelung deformity of the wrist, comprising bowing of the radius and dorsal dislocation of the distal ulna.

EXPRESSÃO TECIDUAL(Baixa expressão)
Tecido adiposo
1.4 TPM
Skin Sun Exposed Lower leg
0.4 TPM
Artéria tibial
0.3 TPM
Mama
0.2 TPM
Músculo esquelético
0.2 TPM
OUTRAS DOENÇAS (3)
SHOX-related short statureLeri-Weill dyschondrosteosisLanger mesomelic dysplasia
HGNC:10853UniProt:O15266

Variantes genéticas (ClinVar)

220 variantes patogênicas registradas no ClinVar.

🧬 SHOX: GRCh38/hg38 Xp22.33(chrX:251888-1134481)x1 ()
🧬 SHOX: GRCh38/hg38 Xp22.33-11.4(chrX:251888-42476276)x2 ()
🧬 SHOX: NM_000451.4(SHOX):c.425C>G (p.Pro142Arg) ()
🧬 SHOX: NM_000451.4(SHOX):c.278-3C>G ()
🧬 SHOX: NC_000023.10:g.(595562_601555)_(612320_?)del ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 48 variantes classificadas pelo ClinVar.

34
14
Patogênica (70.8%)
VUS (29.2%)
VARIANTES MAIS SIGNIFICATIVAS
NC_000023.11:g.(790906_867686)del [Pathogenic]
LOC107652445: NM_000451.4(SHOX):c.425C>G (p.Pro142Arg) [Likely pathogenic]
LOC107652445: NM_000451.4(SHOX):c.379G>T (p.Glu127Ter) [Likely pathogenic]
SHOX: NM_000451.4(SHOX):c.675_676insA (p.Pro226fs) [Likely pathogenic]
LOC107652445: NM_000451.4(SHOX):c.419del (p.His140fs) [Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

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Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

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Publicações mais relevantes

🥇Melhor nível de evidência: Ensaio randomizado
Timeline de publicações
63 papers (10 anos)
#1

Phenotype Variations in a Family with Various Rearrangements in the Locus of the SHOX Gene.

International journal of molecular sciences2026 Feb 05

The SHOX gene is located on both sex chromosomes, X and Y, within the pseudoautosomal region 1 (PAR1). Gross deletions at the SHOX locus lead to protein insufficiency and are manifested by growth disorders such as Leri-Weill dyschondrosteosis (LWD), Langer mesomelic dysplasia (LMD), and idiopathic short stature (ISS). In cases of the SHOX gene duplication, the phenotype may range from tall to short stature and LWD. This study describes a family with various SHOX locus alterations and diverse phenotypic manifestations. The proband inherited both deletion and duplication in the SHOX locus from her parents and shows typical features of LWD. The proband's father carries SHOX gene deletion and displays Madelung's deformity but normal height. The proband's mother has SHOX gene duplication without any abnormalities in phenotype. One of the proband's sons inherited deletion, while the other inherited duplication of the gene. Some family members also have the c.845_851dup variant in the CYP26C1 gene, previously described as a modifier of the SHOX gene. It is difficult to assess its effect. At present, it is not possible to predict the future phenotype of the proband's children due to the high phenotypic variability associated with SHOX locus alterations.

#2

Madelung Deformity: A Current Concepts Review.

The Journal of hand surgery2026 Feb 13

Madelung deformity is a rare congenital wrist deformity characterized by growth disturbance of the volar-ulnar aspect of the distal radial physis, leading to progressive wrist deformity, pain, and stiffness. Madelung deformity is frequently associated with genetic conditions such as Leri-Weill dyschondrosteosis and Turner syndrome, and more recently, mutations in the GNAS gene have been implicated. Diagnosis is based on clinical findings and radiographic criteria, with plain radiographs demonstrating characteristic volar-ulnar radial curvature, positive ulnar variance, and carpal subluxation. Advanced imaging modalities enhance the characterization of complex deformities and aid in surgical planning. In skeletally immature patients, radial physiolysis with Vickers ligament release can prevent deformity progression. For skeletally mature patients with pain and functional limitations, corrective osteotomies of the distal radius, often combined with ulnar procedures, are the mainstay of treatment. Advances in three-dimensional surgical planning and custom cutting guides have improved the precision and reproducibility of complex reconstructions. Long-term outcome data remain limited and heterogeneous because of variability in patient presentation and surgical techniques, although many studies report improvements in pain, function, and radiographic alignment. Continued emphasis on standardized outcome reporting and collaborative research will improve evidence-based care and patient counseling for this complex deformity.

#3

New Insights Into Changes in the DNA Methylation Pattern of the SHOX Gene in Patients With Léri-Weill Dyschondrosteosis.

American journal of medical genetics. Part A2026 Mar

SHOX gene haploinsufficiency is associated with Léri-Weill dyschondrosteosis (LWD) or idiopathic short stature (ISS) and could be caused by the structural and point mutations in the coding region and by the deletions in SHOX gene regulatory sequences. The role of the duplications in regulatory sequences is ambivalent. The unanswered question is what the role of changes in SHOX gene methylation is and if they could arise as a result of SHOX area duplication. Material consisted of DNA samples from 20 LWD patients with duplication involving SHOX regulatory elements, 30 patients with LWD/ISS phenotype without any known causal mutation in the SHOX region, and 23 healthy individuals as controls. We investigated the DNA methylation status of two CpG islands in the upstream region of the SHOX using bisulfite sequencing. Our results indicate that both CpG islands in the SHOX area show a lower level of methylation in LWD patients carrying duplications than in healthy individuals, but only one island showed a statistically significant difference. The results of methylation profiling of CpG islands in patients without any known causal mutation indicate that the methylation levels of the majority of patients differed in both CpG islands from the average of the group of healthy individuals by at least ±2 SD. However, the biological effect of these differences will probably be clinically insignificant due to the generally very low level of methylation.

#4

Novel SHOX Variant in Léri-Weill Dyschondrosteosis with Madelung Deformity.

Balkan medical journal2026 Mar 02
#5

Mild phenotypes in patients with different deletions in the 3' enhancer region of SHOX.

European journal of human genetics : EJHG2025 Dec

Haploinsufficiency of the short stature homeobox-containing (SHOX) gene leads to a phenotypic spectrum ranging from Leri-Weill dyschondrosteosis (LWD) to SHOX-deficient short stature. SHOX nullizygosity leads to Langer mesomelic dysplasia. Pathogenic variants can include whole or partial gene deletions or duplications, point mutations within the coding sequence, and deletions of upstream and downstream regulatory elements. Here we report two families: a non-consanguineous family with a deletion downstream of SHOX, in which the homozygous proband presented with isolated Madelung deformity, without LWD or short stature, as well as a 9-year-old girl with Madelung deformities, mesomelia, a dominant family history of Madelung deformity and a heterozygous deletion of the CNE9 region in the 3' downstream region of SHOX. These case reports provide additional information on the effects of 3' downstream deletions of SHOX, by demonstrating the limited phenotype associated with the recurrent 47.5 kb deletion in a homozygous state and the CNE9 deletion in a heterozygous state.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC66 artigos no totalmostrando 61

2026

Novel SHOX Variant in Léri-Weill Dyschondrosteosis with Madelung Deformity.

Balkan medical journal
2026

Madelung Deformity: A Current Concepts Review.

The Journal of hand surgery
2026

Phenotype Variations in a Family with Various Rearrangements in the Locus of the SHOX Gene.

International journal of molecular sciences
2026

New Insights Into Changes in the DNA Methylation Pattern of the SHOX Gene in Patients With Léri-Weill Dyschondrosteosis.

American journal of medical genetics. Part A
2025

Duplication in the SHOX Gene as a Rare Genetic Cause of Short Stature and/or Skeletal Abnormalities: A Clinical Report and Review of the Literature.

Journal of clinical research in pediatric endocrinology
2024

Identification of a novel mutation of the SHOX gene in a patient with Leri-Weill dyschondrosteosis accompanied by growth hormone deficiency.

Annals of pediatric endocrinology &amp; metabolism
2025

Mild phenotypes in patients with different deletions in the 3' enhancer region of SHOX.

European journal of human genetics : EJHG
2024

Effect of clinical whole exome sequencing in aetiological investigation and reproductive risk prediction for a couple with monogenic inherited diseases.

Frontiers in genetics
2024

Combined achondroplasia and short stature homeobox-containing (SHOX) gene deletion in a Danish infant.

European journal of medical genetics
2024

SHOX Variations in Idiopathic Short Stature in North India and a Review of Cases from Asian Countries.

Journal of clinical research in pediatric endocrinology
2023

RARE DOSAGE ABNORMALITIES - COPY NUMBER VARIATIONS FLANKING THE SHOX GENE.

Acta endocrinologica (Bucharest, Romania : 2005)
2023

Advances in diagnosis and treatment of Madelung's deformity.

American journal of translational research
2023

Leri-Weill Dyschondrosteosis Caused by a Leaky Homozygous SHOX Splice-Site Variant.

Genes
2022

SHOX Whole Gene Duplications Are Overrepresented in SHOX Haploinsufficiency Phenotype Cohorts.

Cytogenetic and genome research
2023

Genetic Analysis and Sonography Characteristics in Fetus with SHOX Haploinsufficiency.

Genes
2022

Clinical impact of variants in non-coding regions of SHOX - Current knowledge.

Gene
2022

Copy number variations residing outside the SHOX enhancer region are involved in Short Stature and Léri-Weill dyschondrosteosis.

Molecular genetics &amp; genomic medicine
2021

Exudative Retinal Telangiectasia Associated With Leri-Weill Dyschondrosteosis.

JAMA ophthalmology
2021

Identification and Tissue-Specific Characterization of Novel SHOX-Regulated Genes in Zebrafish Highlights SOX Family Members Among Other Genes.

Frontiers in genetics
2021

Thundering hoofbeats and dazzling zebras: A model integrating current rare disease perspectives in paleopathology.

International journal of paleopathology
2021

Coexistence of dyschondrosteosis associated to SHOX deficiency, pseudohypoparathyroidism 1B, and chronic autoimmune thyroiditis: a case report.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2020

Short stature and SHOX (Short stature homeobox) variants-efficacy of screening using various strategies.

PeerJ
2021

Clinical and Genetic Characteristics of 23 Korean Patients with Haploinsufficiency of the Short-stature Homeobox-containing Gene.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2020

Impact of parental origin of X-chromosome on clinical and biochemical profile in Turner syndrome.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2021

Variants in the 5'UTR reduce SHOX expression and contribute to SHOX haploinsufficiency.

European journal of human genetics : EJHG
2021

Metabolic syndrome coexists with adult Léri-Weill dyschondrosteosis: A case report.

Journal of diabetes investigation
2020

Detection of SHOX Gene Variations in Patients with Skeletal Abnormalities with or without Short Stature.

Journal of clinical research in pediatric endocrinology
2019

Heterozygous Deletion of the SHOX Gene Enhancer in two Females With Clinical Heterogeneity Associating With Skewed XCI and Escaping XCI.

Frontiers in genetics
2021

Pubertal boy presenting with mild disproportionate short stature.

Archives of disease in childhood. Education and practice edition
2019

SHOX Deficiency in Argentinean Cohort: Long-Term Auxological Follow-Up and a Family's New Mutation.

Journal of pediatric genetics
2019

Two cases of skeletal dysplasia from New Kingdom (c. 1400-1050 BCE) Tombos, Sudan.

International journal of paleopathology
2019

SHOX far-downstream copy-number variations involving cis-regulatory nucleotide variants in two sisters with Leri-Weill dyschondrosteosis.

American journal of medical genetics. Part A
2019

DNA Methylation Status of SHOX-Flanking CpG Islands in Healthy Individuals and Short Stature Patients with Pseudoautosomal Copy Number Variations.

Cytogenetic and genome research
2019

Leri-Weill Dyschondrosteosis Syndrome: Analysis via 3DCT Scan.

Medicines (Basel, Switzerland)
2019

Co-occurrence of genomic imbalances on Xp22.1 in the SHOX region and 15q25.2 in a girl with short stature, precocious puberty, urogenital malformations and bone anomalies.

BMC medical genomics
2019

Dental and Maxillofacial Signs in Leri-Weill Dyschondrosteosis.

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
2018

SHOX gene deletion screening by FISH in children with short stature and Madelung deformity and their characteristics.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2018

Identification of a limb enhancer that is removed by pathogenic deletions downstream of the SHOX gene.

Scientific reports
2018

Report of a Novel SHOX Missense Variant in a Boy With Short Stature and His Mother With Leri-Weill Dyschondrosteosis.

Frontiers in endocrinology
2017

Overlapping genetic pathways in the skeletal dysplasias of a middle woodland individual: A case study.

International journal of paleopathology
2017

[The prevalence of SHOX gene deletion in children with idiopathic short stature. A multicentric study].

Orvosi hetilap
2017

Comparison of SHOX and associated elements duplications distribution between patients (Lėri-Weill dyschondrosteosis/idiopathic short stature) and population sample.

Gene
2017

Knee X-Ray in Short Stature: Helpful Indicator to Diagnose SHOX Deficiency.

Journal of clinical and diagnostic research : JCDR
2016

Identification of a novel 15.5 kb SHOX deletion associated with marked intrafamilial phenotypic variability and analysis of its molecular origin.

Journal of genetics
2017

Detection of SHOX gene aberrations in routine diagnostic practice and evaluation of phenotype scoring form effectiveness.

Journal of human genetics
2016

Genotype-Phenotype Relationship in Patients and Relatives with SHOX Region Anomalies in the French Population.

Hormone research in paediatrics
2017

Identification of 15 novel partial SHOX deletions and 13 partial duplications, and a review of the literature reveals intron 3 to be a hotspot region.

Journal of human genetics
2016

Rare congenital chromosomal aberration dic(X;Y)(p22.33;p11.32) in a patient with primary myelofibrosis.

Molecular cytogenetics
2016

Can Multiple Hereditary Exostoses Overlap With Mesomelic Dysplasia?

Journal of clinical medicine research
2016

A Track Record on SHOX: From Basic Research to Complex Models and Therapy.

Endocrine reviews
2016

Short Stature in Isodicentric Y Chromosome and Three Copies of the SHOX Gene: Clinical Report and Review of Literature.

Molecular syndromology
2016

SHOX Haploinsufficiency as a Cause of Syndromic and Nonsyndromic Short Stature.

Molecular syndromology
2016

Systematic molecular analyses of SHOX in Japanese patients with idiopathic short stature and Leri-Weill dyschondrosteosis.

Journal of human genetics
2016

A Case of Syndromic X-linked Ichthyosis with Léri-Weill Dyschondrosteosis.

Acta dermato-venereologica
2016

Duplications upstream and downstream of SHOX identified as novel causes of Leri-Weill dyschondrosteosis or idiopathic short stature.

American journal of medical genetics. Part A
2015

A Leri-Weill dyschondrosteosis patient confirmed by mutation analysis of SHOX gene.

Annals of pediatric endocrinology &amp; metabolism
2015

Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics.

Pediatric radiology
2015

Heterozygous NPR2 Mutations Cause Disproportionate Short Stature, Similar to Léri-Weill Dyschondrosteosis.

The Journal of clinical endocrinology and metabolism
2015

Rare pseudoautosomal copy-number variations involving SHOX and/or its flanking regions in individuals with and without short stature.

Journal of human genetics
2015

Madelung's deformity and possible Léri-Weill dyschondrosteosis: Two cases from a Late Intermediate period tomb, Ancash, Peru.

International journal of paleopathology
2015

Cytogenetic and Molecular Genetic Characterization of Children with Short Stature.

Zdravstveno varstvo
Ver todos os 66 no EuropePMC

Associações

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Comunidades

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Phenotype Variations in a Family with Various Rearrangements in the Locus of the SHOX Gene.
    International journal of molecular sciences· 2026· PMID 41683999mais citado
  2. Madelung Deformity: A Current Concepts Review.
    The Journal of hand surgery· 2026· PMID 41686103mais citado
  3. New Insights Into Changes in the DNA Methylation Pattern of the SHOX Gene in Patients With L&#xe9;ri-Weill Dyschondrosteosis.
    American journal of medical genetics. Part A· 2026· PMID 41078317mais citado
  4. Novel SHOX Variant in L&#xe9;ri-Weill Dyschondrosteosis with Madelung Deformity.
    Balkan medical journal· 2026· PMID 41697792mais citado
  5. Mild phenotypes in patients with different deletions in the 3' enhancer region of SHOX.
    European journal of human genetics : EJHG· 2025· PMID 38914686mais citado
  6. Duplication in the SHOX Gene as a Rare Genetic Cause of Short Stature and/or Skeletal Abnormalities: A Clinical Report and Review of the Literature.
    J Clin Res Pediatr Endocrinol· 2025· PMID 40632462recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:240(Orphanet)
  2. OMIM OMIM:127300(OMIM)
  3. MONDO:0007481(MONDO)
  4. GARD:3224(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q3368713(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Discondrosteose de Léri-Weill
Compêndio · Raras BR

Discondrosteose de Léri-Weill

ORPHA:240 · MONDO:0007481
Prevalência
Unknown
Herança
Autosomal dominant
CID-10
Q77.8 · Outras osteocondrodisplasias com anomalias do crescimento dos ossos longos e da coluna vertebral
CID-11
Início
Adolescent, Antenatal, Childhood, Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0265309
EuropePMC
Wikidata
Papers 10a
Evidência
🥇 Ensaio rand.
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