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脊椎肋骨发育不全:一种罕见且显著的综合征。

Spondylocostal dysostosis: A rare and remarkable syndrome.

作者信息

Dghoughi Basma, Beqqali Basma, Andour Hajar, Allali Nazik, Chat Latifa, El Haddad Siham

机构信息

Mother and Child Radiology Department, University Mohamed V Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Mar 15;20(6):2772-2776. doi: 10.1016/j.radcr.2025.02.062. eCollection 2025 Jun.

DOI:10.1016/j.radcr.2025.02.062
PMID:40165844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11957570/
Abstract

Spondylocostal dysostosis (SCD) is a rare autosomal recessive congenital disorder, characterized by a spectrum of clinical and radiographic abnormalities affecting the spine and chest. The key features of the syndrome include short stature, spinal abnormalities with vertebral malformations. These skeletal malformations result in a reduced thoracic cavity, leading to respiratory complications, often accompanied by frequent chest infections. Diagnosis is primarily made in newborn phase, based on characteristic physical appearance, symptoms of thoracic insufficiency, family history, skeletal surveys, and, when available, genetic testing for specific mutations. While the syndrome's severity varies, milder forms are compatible with life, while more severe cases present significant challenges in respiratory management. We report the case of a 9-year-old girl diagnosed with SCD based on clinical-radiological findings.

摘要

脊椎肋骨发育不良(SCD)是一种罕见的常染色体隐性先天性疾病,其特征是一系列影响脊柱和胸部的临床及影像学异常。该综合征的关键特征包括身材矮小、伴有椎体畸形的脊柱异常。这些骨骼畸形导致胸腔变小,引发呼吸并发症,常伴有频繁的胸部感染。诊断主要在新生儿期进行,依据特征性外貌、胸廓发育不全症状、家族史、骨骼检查,以及在可行时进行特定突变的基因检测。虽然该综合征的严重程度各不相同,但较轻的形式可正常生活,而更严重的病例在呼吸管理方面面临重大挑战。我们报告一例基于临床放射学检查结果诊断为SCD的9岁女孩病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/20a16110776b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/0d554027224e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/7c762c737588/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/10a28c629281/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/20a16110776b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/0d554027224e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/7c762c737588/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/10a28c629281/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4db/11957570/20a16110776b/gr4.jpg

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本文引用的文献

1
Clinical genetics of spondylocostal dysostosis: A mini review.脊椎肋骨发育不良的临床遗传学:一篇小型综述。
Front Genet. 2022 Nov 25;13:996364. doi: 10.3389/fgene.2022.996364. eCollection 2022.
2
Spondylocostal Dysostosis: A Literature Review and Case Report with Long-Term Follow-Up of a Conservatively Managed Patient.脊椎肋骨发育不良:文献综述及1例保守治疗患者的长期随访病例报告
Case Rep Orthop. 2018 Mar 22;2018:1795083. doi: 10.1155/2018/1795083. eCollection 2018.
3
Clinical and radiological distinction between spondylothoracic dysostosis (Lavy-Moseley syndrome) and spondylocostal dysostosis (Jarcho-Levin syndrome).
胸腰椎发育不良(拉维-莫斯利综合征)与脊柱肋发育不良(雅可布-莱文综合征)的临床和影像学鉴别。
Pediatr Radiol. 2011 Mar;41(3):384-8. doi: 10.1007/s00247-010-1928-8. Epub 2010 Dec 22.
4
Spine and rib abnormalities and stature in spondylocostal dysostosis.脊椎肋骨发育不良中的脊柱和肋骨异常与身材
Spine (Phila Pa 1976). 2006 Apr 1;31(7):E192-7. doi: 10.1097/01.brs.0000208166.61618.8f.
5
Spondylocostal dysostosis: thirteen new cases treated by conservative and surgical means.脊椎肋骨发育不良:13例采用保守和手术方法治疗的新病例。
Spine (Phila Pa 1976). 2004 Jul 1;29(13):1447-51. doi: 10.1097/01.brs.0000128761.72844.ab.
6
Phenotype characterization and natural history of spondylothoracic dysplasia syndrome: a series of 27 new cases.脊椎胸廓发育不良综合征的表型特征及自然病史:27例新病例系列研究
Am J Med Genet A. 2004 Jul 15;128A(2):120-6. doi: 10.1002/ajmg.a.30011.