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杜波维茨综合征:首例患者的长期随访

Dubowitz syndrome: long-term follow-up of an original patient.

作者信息

Hansen K E, Kirkpatrick S J, Laxova R

机构信息

School of Medicine, University of Wisconsin, Madison, USA.

出版信息

Am J Med Genet. 1995 Jan 16;55(2):161-4. doi: 10.1002/ajmg.1320550205.

DOI:10.1002/ajmg.1320550205
PMID:7536394
Abstract

Dubowitz syndrome is an autosomal recessive disorder of growth retardation, characteristic face, mild mental retardation, and eczema originally described by Dubowitz [1965]. Little information is available on natural history and adulthood in this disorder. We report on a 30-year-old woman who was one of the first patients to be diagnosed with the condition [Grosse et al., 1971, Z Kinderheilkd 110:175-187]. Microcephaly, short stature, leg length discrepancy, hyperextensible joints, spina bifida occulta, and absence of anterior cruciate ligaments were present. Her facial appearance had been modified by several plastic surgery procedures. Eczema resolved with age, with occasional flareups. Asthma, headaches, and seizures were additional medical findings. Speech delays, an unusually soft, high-pitched voice, submucous cleft palate, and velopharyngeal insufficiency were noted in childhood. Mild mental retardation was present. At age 30 years she is living independently in her own apartment and working full-time in a nearby sheltered workshop.

摘要

杜波维茨综合征是一种常染色体隐性疾病,其特征为生长发育迟缓、特殊面容、轻度智力障碍和湿疹,最初由杜波维茨于1965年描述。关于该疾病的自然病史和成年期情况的信息很少。我们报告了一名30岁女性,她是首批被诊断为此病的患者之一[格罗斯等人,1971年,《儿科医学》110:175 - 187]。她存在小头畸形、身材矮小、腿长不等、关节过度伸展、隐性脊柱裂以及前交叉韧带缺失。她的面部外观通过多次整形手术得到了改善。湿疹随年龄增长而缓解,偶尔会复发。哮喘、头痛和癫痫是其他医学发现。童年时期有语言发育迟缓、异常柔和高音调的声音、黏膜下腭裂和腭咽闭合不全。存在轻度智力障碍。30岁时,她独自居住在自己的公寓里,并在附近的庇护工厂全职工作。

相似文献

1
Dubowitz syndrome: long-term follow-up of an original patient.杜波维茨综合征:首例患者的长期随访
Am J Med Genet. 1995 Jan 16;55(2):161-4. doi: 10.1002/ajmg.1320550205.
2
Dubowitz syndrome: review of 141 cases including 36 previously unreported patients.杜波维茨综合征:141例病例回顾,包括36例此前未报告的患者。
Am J Med Genet. 1996 May 3;63(1):277-89. doi: 10.1002/(SICI)1096-8628(19960503)63:1<277::AID-AJMG46>3.0.CO;2-I.
3
The Dubowitz syndrome: a retrospective.杜波维茨综合征:一项回顾性研究。
J Craniofac Genet Dev Biol Suppl. 1985;1:283-6.
4
The Dubowitz syndrome.杜波维茨综合征。
Am J Med Genet. 1978;2(3):275-84. doi: 10.1002/ajmg.1320020308.
5
[Dubowitz syndrome. A diagnosis not to be missed].[杜波维茨综合征。不容错过的诊断]
Arch Fr Pediatr. 1991 Dec;48(10):715-8.
6
[The Dubowitz syndrome].[杜波维茨综合征]
Lijec Vjesn. 1994 May-Jun;116(5-6):135-7.
7
New findings in a patient with Dubowitz syndrome: velopharyngeal insufficiency and hypoparathyroidism.一名杜波维茨综合征患者的新发现:腭咽功能不全和甲状旁腺功能减退。
Am J Med Genet. 1990 Oct;37(2):241-3. doi: 10.1002/ajmg.1320370215.
8
Sudden development of bilateral cataract in a child with Dubowitz syndrome: a case report.一名患有杜波维茨综合征的儿童双侧白内障的突然发病:病例报告
Bull Soc Belge Ophtalmol. 2000(278):23-5.
9
Dubowitz syndrome in a boy without developmental delay: further evidence for phenotypic variability.一名无发育迟缓男孩的杜波维茨综合征:表型变异性的进一步证据。
Am J Med Genet. 1997 Jan 20;68(2):216-8.
10
The Peters'-Plus syndrome: description of 16 patients and review of the literature.彼得斯综合征:16例患者的描述及文献综述。
Clin Dysmorphol. 1993 Oct;2(4):283-300.

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Dubowitz syndrome: a review and implications for cognitive, behavioral, and psychological features.杜波维茨综合征:综述及其对认知、行为和心理特征的影响
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