Cantú J M
División de Genética, Universidad de Guadalajara, Jalisco, México.
Gac Med Mex. 1995 Jan-Feb;131(1):23-6; discussion 27.
Clinically, two unrelated patients, an adult male and a female child, coming from non-consanguineous parents, presented dwarfism, peculiar facies, with blepharophimosis, mongoloid slanted eyes, abundant eyebrows and eyelashes, harsh voice and short hands and feet. Radiologically, they presented brachymetacarpalia, brachymetatarsalia, and brachyphalangia of all fingers and toes, shortened and broadened long bones with normal morphology, hypoplastic pelvis and shape anomalies of the vertebral bodies. The clinical and radiological concordance and the differential diagnosis, mainly with acromicric dysplasia, allow the characterization of a distinctive osteochondrodysplasia probably due to an autosomal dominant mutation.
临床上,两名无血缘关系的患者,一名成年男性和一名女童,其父母非近亲结婚,均表现出侏儒症、特殊面容,伴有睑裂狭小、蒙古样斜眼、眉毛和睫毛浓密、声音沙哑以及手脚短小。放射学检查显示,他们所有手指和脚趾均有掌骨短小、跖骨短小和指(趾)骨短小,长骨缩短且变宽但形态正常,骨盆发育不全以及椎体形态异常。临床和放射学表现的一致性以及主要与肢端短骨发育不良的鉴别诊断,有助于明确一种可能由常染色体显性突变引起的独特骨软骨发育不良。