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非综合征性短肢畸形:一例提示产前筛查的罕见病例报告

Non-syndromic phocomelia: A rare case report signifying prenatal screening.

作者信息

Abu Isneina Shadi, Karaki Mayar, Salah Rand, Rasheed Bayan, Atrash Manar

机构信息

Department of Pediatric Orthopaedics, Princess Alia Governmental Hospital, Hebron, Palestine.

Orthopaedics Department, Faculty of Medicine, Polytechnic University, Hebron, Palestine.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241271868. doi: 10.1177/2050313X241271868. eCollection 2024.

Abstract

Phocomelia is a rare congenital condition characterized by severe limb malformation, where the limbs are either partly or completely underdeveloped. Phocomelia can occur as a syndrome or as a limb-specific abnormality. The frequency of phocomelia ranges from 0.6 to 4.2 per 100,000 live births; hence, there are not many reports of this deformity. Genetic inheritance and the use of thalidomide are the two main etiological factors of phocomelia. Several symptoms and visceral abnormalities are associated with this condition. Ultrasonography is crucial for the early detection of phocomelia during the intrauterine stage. Presented here is a case of phocomelia in a 6-year-old boy who was diagnosed after birth, with no maternal history of thalidomide usage or family history of the same condition. This case is unique in that it involves a child born with phocomelia but no additional congenital defects observed in related syndromes. Because of that, we suggest this case may be isolated.

摘要

短肢畸形是一种罕见的先天性疾病,其特征为严重的肢体畸形,肢体部分或完全发育不全。短肢畸形可作为一种综合征出现,也可作为一种特定肢体的异常情况出现。短肢畸形的发病率为每10万活产儿中有0.6至4.2例;因此,关于这种畸形的报道并不多。遗传因素和沙利度胺的使用是短肢畸形的两个主要病因。这种疾病伴有多种症状和内脏异常。超声检查对于在子宫内阶段早期发现短肢畸形至关重要。本文介绍了一名6岁男孩的短肢畸形病例,该男孩出生后被诊断为此病,其母亲无沙利度胺使用史,家族中也无同样病症的病史。该病例的独特之处在于,患儿出生时患有短肢畸形,但相关综合征中未观察到其他先天性缺陷。因此,我们认为该病例可能是孤立性的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d2/11329891/228f4b76fea2/10.1177_2050313X241271868-fig1.jpg

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