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科芬-西里斯综合征:一例极低出生体重且患有严重脊柱后凸侧弯的婴儿病例。

Coffin-Siris syndrome: a case of an extremely low birthweight infant with severe kyphoscoliosis.

作者信息

Suzumura H, Sakurai K, Kano K, Ichimura T

机构信息

First Department of Pediatrics, Dokkyo University School of Medicine, Tochigi, Japan.

出版信息

Acta Paediatr Jpn. 1996 Oct;38(5):537-40. doi: 10.1111/j.1442-200x.1996.tb03541.x.

Abstract

A case of Coffin-Siris syndrome in a male of extremely low birthweight with severe kyphoscoliosis is reported. His birthweight was 965 g, the lowest reported in the world for an infant with this syndrome. Coffin-Siris syndrome is characterized by nail hypoplasia of the fingers and toes, eyebrow hypertrichosis, prominent lips and prenatal or postnatal growth retardation. He was the only case who was mechanically ventilated from birth because of birth asphyxia. He died at 12 days of age because of sepsis, a poor immune system as in other extremely low birthweight infants, and because he easily suffered from upper respiratory infection as a result of Coffin-Siris syndrome. Kyphoscoliosis is suggested as one of the important features in low birthweight cases of Coffin-Siris syndrome in previous reports and in the present case.

摘要

报告了一例极低出生体重男性患科芬-西里斯综合征并伴有严重脊柱后凸侧弯的病例。他的出生体重为965克,是世界上报道的患有该综合征婴儿中体重最低的。科芬-西里斯综合征的特征为手指和脚趾甲发育不全、眉毛多毛、嘴唇突出以及产前或产后生长发育迟缓。他是唯一因出生窒息自出生起就接受机械通气的病例。他在12日龄时因败血症死亡,原因是像其他极低出生体重婴儿一样免疫系统较差,且由于科芬-西里斯综合征导致他易患上呼吸道感染。脊柱后凸侧弯在先前报告及本病例中被认为是科芬-西里斯综合征低出生体重病例的重要特征之一。

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