Habeck J O, Künzel W, Müller D, Tode G, Schmidt J
Zentralbl Gynakol. 1982;104(9):568-75.
Reported in this paper is a case of shortrib-polydactyly syndrome in a stillborn male infant. The case was identified as Type III (Verma-Naumoff) on account of typical skeletal findings, such as very short ribs, micromelia, postaxial hexadactyly of all extremities, and shortened cranial base, with due consideration being also given, in that context, to characteristic radiographic and histological changes, including metaphysial spurs of long cylindrical bones. Malformations were recorded also from kidneys, ureters, small intestine, and pancreas.--Thin downy head-hair, missing eyebrows, precocious dentition, as well as partial hypoplasia and aplasia of nails were interpreted as signs of ectodermal dysplasia.--Shortrib-polydactyly syndrome is based on autosomal recessive inheritance. Early genetic advice should be offered to parents. Systematic prenatal diagnosis is necessary in case of another pregnancy.
本文报道了一例死产男婴的短肋多指综合征病例。由于典型的骨骼表现,该病例被确定为III型(Verma-Naumoff型),如肋骨极短、肢体短小、四肢轴后多指畸形以及颅底缩短,同时还适当考虑了在此背景下的特征性影像学和组织学变化,包括长圆柱形骨的干骺端骨刺。肾脏、输尿管、小肠和胰腺也有畸形记录。——头部毛发稀疏、眉毛缺失、牙齿早萌以及指甲部分发育不全和缺如被解释为外胚层发育不良的体征。——短肋多指综合征基于常染色体隐性遗传。应尽早向父母提供遗传咨询。再次怀孕时进行系统的产前诊断是必要的。