Heljić Suada, Catibusić Feriha, Dozić Melika, Mackić Mirela
Pedijatrijska klinika KCU Sarajevo.
Med Arh. 2004;58(5):318-20.
Wolf-Hirschhorn syndrome (WHS) is a rare developmental disorder associated with hemizygous deletion of short arm of chromosome 4. Main phenotype characteristics of WHS are: intrauterine growth retardation, mental retardation, typical facial dysmorphism ("Greek warrior helmet"), microcephaly and midline fusion defects (cleft lip or palate, cardiac septal defects). Other abnormalities, like agenesis of corpus callosum, dysplastic kidneys, coloboma iris, skeletal abnormalities have been described occasionally. We described female newborn baby with 4p deletion, who had most of the phenotype characteristics of Wolf-Hirschhorn syndrome: intrauterine growth retardation, microcephaly, facial dysmorphism, congenital hypotonia and seizures in neonatal period. Other abnormalities included: hypoplastic cervical vertebra C4-C5, renal cyst and partial agenesis of corpus callosum. Patient had not cardiac septal defect. Due to a broad spectrum of possible morphologic abnormalities followed by mental retardation, prenatal diagnosis is very important. Postnatal recognition of the syndrome requires genetic counseling of parents and supportive multidisciplinary treatment.
沃尔夫-赫希霍恩综合征(WHS)是一种罕见的发育障碍,与4号染色体短臂的半合子缺失有关。WHS的主要表型特征为:宫内生长迟缓、智力发育迟缓、典型的面部畸形(“希腊战士头盔”样)、小头畸形和中线融合缺陷(唇腭裂、心脏间隔缺损)。其他异常情况,如胼胝体发育不全、肾发育异常、虹膜缺损、骨骼异常等也偶有报道。我们描述了一名患有4p缺失的女新生儿,她具有沃尔夫-赫希霍恩综合征的大多数表型特征:宫内生长迟缓、小头畸形、面部畸形、先天性肌张力减退以及新生儿期癫痫发作。其他异常包括:颈椎C4-C5发育不全、肾囊肿和胼胝体部分发育不全。该患者没有心脏间隔缺损。由于可能出现广泛的形态学异常并伴有智力发育迟缓,产前诊断非常重要。产后对该综合征的识别需要对父母进行遗传咨询并给予支持性的多学科治疗。