Khaldi F, Serbegi M, Mokadem H, Lazzem B, Bennaceur B
Service de Pédiatrie Générale, Hôpital d'Enfants de Tunis, Tunisie.
Ann Pediatr (Paris). 1990 Jan;37(1):55-8.
We report a familial case of Waardenburg syndrome. A four and a half year old boy had displacement of the canthi, a white forelock, perceptive deafness, and a congenital heart defect. The mother and younger brother had the same syndrome. Usually, cases of Waardenburg syndrome are divided into types I and II according to whether lateral displacement of the inner canthi is present or absent. Uni or bilateral perceptive deafness is found in 13 to 28% of type I cases and 53% of type II cases. The white forelock is a feature in 30% of cases and should suggest the diagnosis. Several other abnormalities have been reported in this syndrome. Inheritance of Waardenburg syndrome is autosomal dominant with variable penetrance. We discuss the possibility that one or both of the children we report were homozygous for a dominant gene.
我们报告一例Waardenburg综合征的家族病例。一名四岁半的男孩有内眦移位、白色额发、感音神经性耳聋和先天性心脏缺陷。母亲和弟弟患有相同的综合征。通常,Waardenburg综合征病例根据内眦是否有外侧移位分为I型和II型。I型病例中有13%至28%以及II型病例中有53%会出现单侧或双侧感音神经性耳聋。白色额发在30%的病例中出现,应提示诊断。该综合征还报告有其他几种异常情况。Waardenburg综合征的遗传方式为常染色体显性遗传,外显率可变。我们讨论了我们报告的这两个孩子中一个或两个可能是显性基因纯合子的可能性。