Dumić M, Cvitković M, Letinić D, Filipović-Grcić B, Kordić R
Klinika za pedijatriju Medicinskog fakulteta Sveucilista u Zagrebu.
Lijec Vjesn. 1994 May-Jun;116(5-6):135-7.
A 27-month-old girl with Dubowitz syndrome, a rare autosomal recessive disorder, is presented. The diagnosis was established by a series of symptoms typical for this syndrome: intrauterine and postnatal growth retardation, microcephaly, recurrent diarrhea and respiratory infections, characteristic craniofacial anomalies such as epicanthus, nasal dysplasia with broad nasal bridge in line with forehead, thin hair, micrognathia, large mouth, dysplastic ears, brachyclinodactyly, pectus excavatum and pilonidal sinus. Hyperactivity in behaviour was obvious, and she had a very high pitched voice. Sacral cleft and wide opened frontal fontanelle found in our patient could be new signs, not yet seen in this syndrome. Necessity of regular follow-up of these patients is stressed due to the rather high incidence of malignant diseases and diseases of the hematopoetic system, respectively.
本文报告了一名患有杜波维茨综合征(一种罕见的常染色体隐性疾病)的27个月大女孩。该诊断基于该综合征的一系列典型症状得以确立:宫内和出生后生长发育迟缓、小头畸形、反复腹泻和呼吸道感染、特征性颅面异常,如内眦赘皮、鼻发育异常伴与额头平齐的宽鼻梁、头发稀疏、小颌畸形、大嘴、耳部发育异常、短指畸形、漏斗胸和藏毛窦。行为多动明显,且声音高亢。我们的患者中发现的骶裂和前囟门大开可能是新的体征,在该综合征中尚未见报道。鉴于恶性疾病和造血系统疾病的发病率较高,强调了对这些患者进行定期随访的必要性。