Koutouby A, Habibullah J, Moinuddin F A
Department of Pediatrics, Al Wasl Maternity and Pediatric Hospital, Dubai, United Arab Emirates.
Am J Med Genet. 2000 Jan 31;90(3):199-202. doi: 10.1002/(sici)1096-8628(20000131)90:3<199::aid-ajmg4>3.0.co;2-i.
We report a case of spondylometaphyseal dysplasia in an infant who was born to nonconsanguineous Yemeni parents. Radiological findings were consistent with lethal metaphyseal chondrodysplasia (Sedaghatian type). Although all previously reported cases died within 4 days of life, our patient survived 161 days. This reported case was thoroughly investigated for serum calcium, magnesium, zinc, ammonia, phosphate level, alkaline phosphatase, parathormone level, liver and renal function test, TORCH, metabolic screening, skeletal survey, chromosomal studies, muscle enzymes, EEG, computed tomography scan, and magnetic resonance imaging (brain). Genomic DNA analysis of patient and parents were sent to the Faculty de Medicine Xavier Bichat, France, but yet abnormal gene could not be detected.
我们报告了一例脊椎干骺端发育不良的病例,患儿父母为非近亲结婚的也门夫妇。影像学检查结果与致死性干骺端软骨发育不良(塞达加蒂安型)相符。尽管此前报道的所有病例均在出生后4天内死亡,但我们的患者存活了161天。对该病例进行了全面检查,包括血清钙、镁、锌、氨、磷酸盐水平、碱性磷酸酶、甲状旁腺激素水平、肝肾功能检查、TORCH检查、代谢筛查、骨骼检查、染色体研究、肌肉酶、脑电图、计算机断层扫描和磁共振成像(脑部)。患者及其父母的基因组DNA分析样本已送往法国巴黎比夏特医学院,但尚未检测到异常基因。