Meinecke P, Engelbrecht R
Abteilung für Medizinische Genetik am Altonaer Kinderkrankenhaus, Hamburg.
Monatsschr Kinderheilkd. 1988 Apr;136(4):206-9.
We report on a four year old boy with multiple congenital anomalies and mental retardation due to incomplete triploidy (diploid triploid mixoploidy). Initially, we had thought of the Silver-Russell syndrome. The main characteristics in the patient are short stature, body asymmetry, hypogenitalism, and considerable mental retardation. In addition, there are several minor anomalies of the hands and feet. The diagnosis was verified by microscopic detection of a triploid cell line in cultivated skin fibroblasts and by supplementary studies using flow cytometry. The characteristics of this recognizable multiple congenital anomalies/mental retardation syndrome are discussed with reference to the pertinent literature. As differential diagnosis, in particular the Silver-Russell syndrome has to be taken into account.
我们报告了一名4岁男孩,因不完全三倍体(二倍体 - 三倍体混合倍体)患有多种先天性异常和智力发育迟缓。起初,我们曾考虑过Silver-Russell综合征。该患者的主要特征为身材矮小、身体不对称、生殖器发育不全以及明显的智力发育迟缓。此外,手足还有一些轻微异常。通过对培养的皮肤成纤维细胞中三倍体细胞系的显微镜检测以及使用流式细胞术的补充研究,确诊了该疾病。结合相关文献讨论了这种可识别的多种先天性异常/智力发育迟缓综合征的特征。作为鉴别诊断,尤其必须考虑Silver-Russell综合征。