Gillem Lanuza F, Vargas Torcal F, Amelín Chauve M C, Gabarra Lamas J
Servicio de Pediatría, Hospital General de Elche, Murcia.
An Esp Pediatr. 1988 Aug;29(2):143-8.
A preterm newborn with complete triploidy and serious hyaline membrane disease is reported. Characteristic pattern of malformations (large, posterior fontanelle, low-set malformed ears, hypertelorism, exophthalmos, micrognathia, syndactylies of the third and fourth digits of all extremities, micropenis and cryptorchism), and abnormal hematologic features (decreased number of red blood cells and increased RBC indices) suggested diagnosis which was confirmed by a 69,XXY karyotype. As factors with possible causal responsibility authors remark first-month abdominal radiation and chronic exposure to industrial toxic during pregnancy in the mother and no specific trend toward chromosome rupture in the father, and second trimester pre-eclampsia. No familial previous cases of chromosome anomalies nor congenital malformations were referred. From the review of 56 published reports they conclude that triploidy syndrome has a characteristic and recognizable array of phenotype abnormalities.
报道了一名患有完全三倍体和严重透明膜病的早产新生儿。畸形特征(大的后囟门、低位畸形耳、眼距过宽、眼球突出、小颌畸形、四肢第三和第四指并指、小阴茎和隐睾)以及异常血液学特征(红细胞数量减少和红细胞指数增加)提示了诊断,69,XXY核型证实了这一诊断。作为可能具有因果关系的因素,作者指出母亲在孕期第一个月接受腹部放疗以及长期接触工业毒物,父亲没有特定的染色体断裂倾向,以及孕中期子痫前期。未提及家族中有染色体异常或先天性畸形的既往病例。通过对56篇已发表报告的回顾,他们得出结论,三倍体综合征具有一系列特征性且可识别的表型异常。