Leusink J P, Tolboom J J, Weemaes C M, Koopman R J
Afd. Kindergeneeskunde, Academisch Ziekenhuis Nijmegen.
Tijdschr Kindergeneeskd. 1991 Dec;59(6):219-23.
An infant with short stature and progressive skin lesions of cheeks and dorsum of the hands is described. Further problems such as recurrent diarrhoea and respiratory infections suggested zinc-deficiency, malabsorption-syndrome, Bloom syndrome and early Lupus Erythematosus respectively. Finally Rothmund-Thomson syndrome was diagnosed. This rare genetic disorder is characterized by variable expression of typical cutaneous changes, cataracts, skeletal anomalies, short stature, abnormal hair growth and defective nails and teeth, mental retardation, hypogonadism and a typical facial appearance.
本文描述了一名身材矮小且脸颊和手背出现进行性皮肤病变的婴儿。进一步出现的问题,如反复腹泻和呼吸道感染,分别提示锌缺乏、吸收不良综合征、布卢姆综合征和早期红斑狼疮。最终诊断为罗思蒙德 - 汤姆森综合征。这种罕见的遗传性疾病的特征是典型皮肤改变、白内障、骨骼异常、身材矮小、毛发异常生长、指甲和牙齿缺陷、智力发育迟缓、性腺功能减退以及典型面容的表现各异。