Nozaki Takafumi, Ihara Kenji, Makimura Mika, Kinjo Tadamune, Hara Toshiro
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
J Pediatr Endocrinol Metab. 2012;25(1-2):171-3. doi: 10.1515/jpem-2011-0443.
Hajdu-Cheney syndrome is an autosomal dominant disorder characterized by acroosteolysis of the distal phalanges associated with digit abnormalities, distinctive craniofacial changes, dental anomalies, and a proportionate short stature. The pubertal development of children with Hajdu-Cheney syndrome is usually normal in the literature, although we here first describe a girl who was found to have Hajdu-Cheney syndrome accompanied with premature ovarian failure. She showed a follicle-stimulating hormone-dominant response on luteinizing hormone-releasing hormone test and did not show any sex differentiation abnormality or adrenal steroid hormone deficiency. On the basis of the findings in our patient, premature ovarian failure may be a complication of Hajdu-Cheney syndrome and thus an early endocrinological evaluation of patients is important.
哈伊杜-切尼综合征是一种常染色体显性疾病,其特征为远端指骨骨质溶解,并伴有手指异常、独特的颅面改变、牙齿异常和身材比例矮小。在文献中,哈伊杜-切尼综合征患儿的青春期发育通常正常,不过我们在此首次描述了一名被发现患有哈伊杜-切尼综合征并伴有卵巢早衰的女孩。她在促黄体生成素释放激素试验中表现出以促卵泡生成素为主的反应,且未出现任何性分化异常或肾上腺类固醇激素缺乏的情况。基于我们患者的这些发现,卵巢早衰可能是哈伊杜-切尼综合征的一种并发症,因此对患者进行早期内分泌评估很重要。