Simsek S, Taskiran H, Karakaya N, Fistik T, Solak M, Cakmak E A
Faculty of Science and Arts, Pamukkale University, Denizli, Turkey.
Neurobiology (Bp). 1998;6(3):373-80.
This study was intended to elucidate the diagnostic values of dermatoglyphic features on the 45 cerebral palsy (CP) patients (28 boys and 17 girls). There were 50 healthy children in the control group. Dermatoglyphic samples were obtained from the both groups by using the paper and ink method and than analysed. The types of dermal patterns of fingertips, the counts of total ridges, the counts of a-b ridges, the values of atd angles, presence or absence of dermal patterns in the hypothenar, thenar/I, II, III, IV interdigital areas, presence of absence of the palmar flexion lines, were compared between the children with CP and control group. It was found that arch, radial loop, whorl prints have increased and ulnar print has decreased in boys investigated which was significant statistically (p < 0.001). No difference was found between investigation and control groups of girls (p > 0.05). The total ridge counts in boys and girls of the investigation group were found significantly decreasing according to the control group (p < 0.001). There was an important decrease in the counts of a-b ridges of investigation group as compared to controls. It was significant in boys (p < 0.01) but not in girls (p > 0.05). The values of atd angles of the investigation group have increased in the control group (p < 0.001 in girls and p < 0.01 in boys). The dermal prints in the hypothenar, thenar/I, II, III and IV interdigital areas showed important differences in the investigation group when compared with the control group (p < 0.01). No clear distinction occurred between the two groups from the viewpoint of palmar flexion lines (p > 0.05). In conclusion, remarkable differences in comparison to controls were found in the dermatoglyphic features of CP cases. In our opinion, by undertaking more studies on the subject and examining a higher number of cases it will be possible to obtain useful data in CP cases indicative of etiologically.
本研究旨在阐明皮纹特征对45例脑瘫(CP)患者(28名男孩和17名女孩)的诊断价值。对照组有50名健康儿童。采用纸墨法从两组获取皮纹样本并进行分析。比较了CP患儿与对照组之间指尖皮纹类型、总嵴数、a - b嵴数、atd角值、小鱼际、大鱼际/Ⅰ、Ⅱ、Ⅲ、Ⅳ指间区域皮纹的有无以及掌褶纹的有无。结果发现,在所调查的男孩中,弓形纹、桡侧箕形纹、斗形纹增多,尺侧箕形纹减少,差异有统计学意义(p < 0.001)。女孩调查组与对照组之间未发现差异(p > 0.05)。调查组男孩和女孩的总嵴数均显著低于对照组(p < 0.001)。与对照组相比,调查组a - b嵴数明显减少。在男孩中差异有统计学意义(p < 0.01),而在女孩中无统计学意义(p > 0.05)。调查组的atd角值高于对照组(女孩p < 0.001,男孩p < 0.01)。与对照组相比,调查组小鱼际、大鱼际/Ⅰ、Ⅱ、Ⅲ和Ⅳ指间区域的皮纹存在显著差异(p < 0.01)。从掌褶纹角度看,两组之间无明显差异(p > 0.05)。总之,CP病例的皮纹特征与对照组相比存在显著差异。我们认为,通过对该主题进行更多研究并检查更多病例,有可能获得有助于CP病例病因学诊断的有用数据。