Bejaoui M, Kamoun A, Baraket M, Bourguiba H, Lakhoua R
Service de Pédiatrie, Hôpital Charles-Nicolle, Tunis, Tunisie.
Arch Fr Pediatr. 1991 Mar;48(3):211-4.
Three new cases of a syndrome including osteopetrosis, tubular acidosis, mental retardation and cerebral calcifications are reported in the same sibship. This rare syndrome has an autosomal recessive inheritance and is due to carbonic anhydrase II deficiency. Fractures and mild sensorial manifestations were noticed in 2 cases. Mental deficiency and otitis were present in the 3 cases. Blood count and phosphocalcic metabolites were normal. A proximal tubular acidosis was present in each case. The radiological features were specific: cerebral calcifications were present in all cases since the age of 2 1/2 years; osteocondensation and bone modeling were predominant in long bones metaphyses. Alcalinization improved the height growth.
报告了同一同胞家族中3例患有包括骨硬化、肾小管酸中毒、智力发育迟缓及脑钙化在内综合征的新病例。这种罕见综合征为常染色体隐性遗传,病因是碳酸酐酶II缺乏。2例患者出现骨折及轻度感觉异常表现。3例患者均有智力缺陷及中耳炎。血细胞计数及钙磷代谢产物正常。每例患者均存在近端肾小管酸中毒。放射学特征具有特异性:所有病例自2.5岁起均出现脑钙化;长骨干骺端以骨质硬化及骨塑形为主。碱化治疗改善了身高增长。