Zhou Jing, Yang Xiaonan, Jin Xiaolei, Jia Zhenhua, Lu Haibin, Qi Zuoliang
Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, P.R. China.
Exp Ther Med. 2018 Feb;15(2):1702-1711. doi: 10.3892/etm.2017.5592. Epub 2017 Dec 5.
Roberts syndrome (RBS; OMIM 268300) is a rare autosomal recessive disease characterized by retardation before and after birth, cranial and maxillofacial deformities, limb anomalies and intellectual disability. Mutations in the establishment of cohesion 1 homologue 2 () gene on chromosome 8p21.1 have been found to be causative for RBS. We describe two patients with RBS with physical deformities and ll. One is an 8-year-old Yemeni male, and the other is his 13-year-old sister. These patients were diagnosed with RBS and underwent surgeries during their first to third years of life. Here, we present the cases for the two patients, focusing specifically on their surgical management and outcomes. Additionally, by reviewing the literature on RBS, we also summarize the proper surgical interventions for this rare disease. This paper describes the long-term follow-up of two patients with severe deformities who benefitted from corrective surgeries. The findings of this study indicate that patients who survive infancy and reach adulthood, even patients who present with severe disease symptoms, can benefit from corrective surgeries and lead better lives.
罗伯茨综合征(RBS;OMIM 268300)是一种罕见的常染色体隐性疾病,其特征为出生前后发育迟缓、颅面和颌面部畸形、肢体异常以及智力残疾。已发现位于8号染色体p21.1上的凝聚蛋白1同源物2()基因突变是RBS的病因。我们描述了两名患有RBS且伴有身体畸形和ll的患者。一名是8岁的也门男性,另一名是他13岁的姐姐。这些患者被诊断为RBS,并在1至3岁时接受了手术。在此,我们介绍这两名患者的病例,特别关注他们的手术治疗及结果。此外,通过回顾关于RBS的文献,我们还总结了针对这种罕见疾病的恰当手术干预措施。本文描述了两名严重畸形患者从矫正手术中获益的长期随访情况。本研究结果表明,存活至婴儿期并成年的患者,即使是表现出严重疾病症状的患者,也能从矫正手术中获益并过上更好的生活。