RESUMEN
We report on an adult male with normal intelligence who exhibited an unusual combination of microcephaly, dysostoses of limbs, vertebrae, patellae, and pubic bone, camptodactyly of all fingers, and syndactyly of toes, absent nails on thumbs and some fingers, bilateral cataract, cryptorchidism, polythelia, and nipple-like skin pigmentations of shoulders and upper back. We have been unable to find a description of a similar combination of manifestations in literature. The cause of the anomalies remains unknown.
Asunto(s)
Catarata/diagnóstico , Disostosis/diagnóstico , Microcefalia/diagnóstico , Anomalías Múltiples , Adulto , Huesos/diagnóstico por imagen , Huesos/patología , Bandeo Cromosómico , Variaciones en el Número de Copia de ADN , Genómica , Humanos , Imagenología Tridimensional , Masculino , Fenotipo , Polimorfismo de Nucleótido Simple , Síndrome , Tomografía Computarizada por Rayos XRESUMEN
We describe an adolescent Peruvian male with marked, aggressive ingrowth of conjunctiva (pterygium-like) over the cornea associated with keloid formation on his distal limbs. He has in addition camptodactyly of all fingers and to some extent of his toes, and unusual skin pigmentations. He resembles an earlier described family from Norway in which a mother and two children showed a similar combination of signs. We present the follow-up of the Norwegian family. The entity resembles the Penttinen syndrome but can be differentiated due to the early aging in the latter, which is lacking in the presently reported entity. We suggest naming this entity ocular pterygium-digital keloid dysplasia. The condition follows likely an autosomal dominant pattern of inheritance.
Asunto(s)
Dedos/patología , Queloide/patología , Pterigion/patología , Dedos del Pie/patología , Niño , Preescolar , Facies , Humanos , Queloide/diagnóstico , Masculino , Fenotipo , Pterigion/diagnóstico , Pterigion/cirugía , Pigmentación de la PielRESUMEN
Tel Hashomer camptodactyly syndrome (THCS) is a rare autosomal recessive camptodactyly with muscular involvement. The manifestations of THCS other than camptodactyly are clubbed feet, thenar and hypothenar hypoplasia, abnormal palmar creases and dermatoglyphic ridges, spina bifida and mitral valve prolapse. The syndrome was first described by Goodman et al in 1972 and thereafter two further cases with similar phenotype were seen. Herein, we present another case report and review of the literature of other syndromes associated with camptodactyly and mitral valve prolapse. Further cases with this syndrome need to be reported for mapping of the candidate loci. This will help in planning management and genetic counselling.
El síndrome de camptodactilia de Tel Hashomer (SCTH) es una camptodactilia autosómica recesiva rara con compromiso muscular. Las manifestaciones de SCTH, aparte de la camptodactilia, son: pies equinovaros (zambos), hipoplasia tenar e hipotecar, pliegues palmares anormales, y dermatoglifos, espina bífida, y prolapso de la válvula mitral. El síndrome fue descrito por primera vez por Goodman et al en 1972, tras lo cual se vieron otros dos casos con fenotipos similares. Aquí presentamos otro reporte de caso, y revisamos la literatura de otros síndromes asociados con camptodactilia y el prolapso de la válvula mitral. Se necesitan reportes de otros casos con este síndrome para hacer el mapa de los locus candidatos. Esto ayudará a planear el tratamiento y a decidir el asesoramiento genético.