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Hughes A, Cooper S. Kyphomelic dysplasia, Pierre Robin Sequence and pregnant. Int J Obstet Anesth 2019; 39:134-136. [PMID: 30879933 DOI: 10.1016/j.ijoa.2019.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 01/27/2019] [Accepted: 02/17/2019] [Indexed: 10/27/2022]
Abstract
We present the anaesthetic management of a parturient with kyphomelic dysplasia and Pierre Robin Sequence who underwent elective caesarean delivery. Potential anaesthetic issues and management strategies are discussed.
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Affiliation(s)
- A Hughes
- Bradford Royal Infirmary, Bradford, West Yorkshire, UK.
| | - S Cooper
- Bradford Royal Infirmary, Bradford, West Yorkshire, UK
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2
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Silvas E, Rypens F, Jovanovic M, Delezoide AL, Patey N. Prenatal diagnosis of femoral-facial syndrome: Report of two cases. ACTA ACUST UNITED AC 2013; 97:770-3. [DOI: 10.1002/bdra.23201] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Revised: 09/23/2013] [Accepted: 10/01/2013] [Indexed: 11/09/2022]
Affiliation(s)
- Emil Silvas
- Department of Pathology; Sainte-Justine Hospital; Montréal Canada
| | - Françoise Rypens
- Department of Radiology; Sainte-Justine Hospital; Montréal Canada
| | - Mubina Jovanovic
- Department of Pathology; Sainte-Justine Hospital; Montréal Canada
| | | | - Natalie Patey
- Department of Pathology; Sainte-Justine Hospital; Montréal Canada
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3
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Abstract
Stüve-Wiedemann syndrome (SWS) is a severe congenital skeletal dysplasia associated with life threatening dysautonomic manifestations. Newborns affected with this condition exhibit distinctive shortening and bowing of the long bones with reduced bone volume. The majority of affected newborns die early due to neuromuscular complications namely hyperthermia, apnea, and swallowing difficulties. In this review, we provide an overall picture on the clinical, including long-term management, molecular and cellular aspects of SWS and discuss briefly other related bent bone dysplasias.
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Affiliation(s)
- N A Akawi
- Department of Pathology Department of Paediatrics, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
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4
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Abstract
The aim of this study is to review the clinical, radiological and molecular findings of the bent bone dysplasia group including Stüve-Wiedemann syndrome due to LIFR mutations, Compomelic dysplasia due to SOX9 mutations and Kyphomelic dysplasia with no known molecular bases.
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Affiliation(s)
- V Cormier-Daire
- Department of Medical Genetics, Hôpital Necker, Paris, France.
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5
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Le Merrer M, Cormier Daire V, Maroteaux P. Re-evaluation of kyphomelic dysplasia. Am J Med Genet A 2003; 120A:289-91. [PMID: 12833417 DOI: 10.1002/ajmg.a.20035] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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6
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Pryde PG, Zelop C, Pauli RM. Prenatal diagnosis of isolated femoral bent bone skeletal dysplasia: problems in differential diagnosis and genetic counseling. Am J Med Genet A 2003; 117A:203-6. [PMID: 12599182 DOI: 10.1002/ajmg.a.10038] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Severe localized and symmetric bowing of the femora, in the absence of other significant skeletal or nonskeletal abnormalities, is a rare prenatal ultrasound finding. A 38-year-old woman was referred at 19 weeks gestation and ultrasound of the fetus showed severe shortening, and marked symmetric bowing of the femora. A provisional diagnosis of kyphomelic dysplasia (KD) was made. The patient elected termination of pregnancy and post mortem assessments were most consistent with kyphomelic dysplasia. KD is bent-bone skeletal dysplasia that, in contrast to campomelic dysplasia, involves principally the femora with relative sparing of the remainder of the skeleton. KD can be difficult to distinguish, particularly from symmetric cases of femoral hypoplasia unusual facies syndrome (FH-UFS), and few prenatal diagnoses have been reported. Because KD is thought to an be autosomal recessive disorder, the possibility that definitive diagnosis may not be possible prenatally, and even by postmortem assessment in cases choosing to abort, is an important counseling consideration.
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Affiliation(s)
- Peter G Pryde
- Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Wisconsin, Meriter Hospital, 202 S. Park Street, Madison, WI 53715, USA.
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7
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Prasad C, Cramer BC, Pushpanathan C, Crowley MC, Ives EJ. Kyphomelic dysplasia: a rare form of semilethal skeletal dysplasia. Clin Genet 2000; 58:390-5. [PMID: 11140840 DOI: 10.1034/j.1399-0004.2000.580510.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Kyphomelic dysplasia is a rare form of generalized skeletal dysplasia with about 15 cases described so far in the literature. We present the clinical, radiological, and pathological findings of an antenatally detected female fetus affected with this disorder. The differential diagnoses of prenatal and perinatal semilethal skeletal dysplasias and salient features of documented cases of kyphomelic dysplasia are presented.
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Affiliation(s)
- C Prasad
- Department of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Canada.
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8
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Spranger J, Hall BD, Häne B, Srivastava A, Stevenson RE. Spectrum of Schwartz-Jampel syndrome includes micromelic chondrodysplasia, kyphomelic dysplasia, and Burton disease. AMERICAN JOURNAL OF MEDICAL GENETICS 2000; 94:287-95. [PMID: 11038441 DOI: 10.1002/1096-8628(20001002)94:4<287::aid-ajmg5>3.0.co;2-g] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Follow-up and re-evaluation of four patients originally described as examples of severe infantile "micromelic chondrodysplasia" resembling Kniest disease, "kyphomelic dysplasia," and "Burton skeletal dysplasia" revealed the diagnosis of Schwartz-Jampel syndrome (SJS, myotonic chondrodysplasia) in all of them. SJS may be suspected in neonates with Kniest-like chondrodysplasia, congenital bowing of shortened femora and tibiae, and facial manifestations consisting of a small mouth, micrognathia, and possibly pursed lips. The disorder must be differentiated from the Stüve-Wiedemann syndrome, a genetically distinct myotonic chondrodysplasia with similar clinical but different skeletal changes and an unfavorable early prognosis. The demise of "kyphomelic dysplasia" as a nosological entity reemphasizes the symptomatic nature of congenital bowing of the long bones.
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Affiliation(s)
- J Spranger
- Greenwood Genetic Center, Greenwood, South Carolina 29646, USA
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9
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Pallotta R, Ehresmann T, Roggini M, Fusilli P. Kyphomelic dysplasia: clinical and radiologic long-term follow-up of one case and review of the literature. Radiology 1999; 212:847-52. [PMID: 10478256 DOI: 10.1148/radiology.212.3.r99au04847] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The authors describe the 17-year follow-up of the (to their knowledge) only adult and only female patient affected with kyphomelic dysplasia so far described in the literature, with assessment of the phenotypic, orthopedic, and radiologic progression of this syndrome.
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Affiliation(s)
- R Pallotta
- Department of Medicine and Aging Sciences, G. D'Annunzio University School of Medicine, Chieti, Italy.
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10
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Abstract
We present the in utero appearances and postmortem radiographic findings of two sib fetuses, a male and a female, with features suggestive of kyphomelic dysplasia. The fetuses had severe bowing of the long bones, short, flared ribs, platyspondyly, metaphyseal flaring, skin dimpling, with normal external genitalia and karyotypes and a normal pregnancy. They were born to a mother with features of brachydactyly type E. Prenatal ultrasonography of each case showed a normal amount of amniotic fluid, a normal brain, a normal biparietal diameter, symmetrical bowing and shortening of the long bones, and a narrow thorax. Our cases provide support for a familial mode of inheritance for both sexes in kyphomelic dysplasia. Prenatal ultrasound examination can be offered in subsequent pregnancies.
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Affiliation(s)
- C P Chen
- Department of Obstetrics and Gynaecology, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China
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11
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Abstract
Stüve-Wiedemann osteochondrodysplasia is a rare disorder with distinct clinical and diagnostic radiographic findings. The condition is classified as a bent-bone dysplasia with early, lethal outcome. We report on a boy with Stüve-Wiedemann syndrome who is well and alive at the age of 3 1/2 years.
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Affiliation(s)
- K Kozlowski
- Department of Radiology, Royal Alexandra Hospital for Children, Sydney, Australia
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12
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Abstract
A lethal form of kyphomelic dysplasia with severe bowing of the long bones of the lower extremities is reported.
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Affiliation(s)
- F Cisarik
- Department of Genetics, NsP Zilina, Slovakia, Czech Republic
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13
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Corder WT, Hummel M, Miller C, Wilson NW. Association of kyphomelic dysplasia with severe combined immunodeficiency. AMERICAN JOURNAL OF MEDICAL GENETICS 1995; 57:626-9. [PMID: 7573142 DOI: 10.1002/ajmg.1320570422] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Kyphomelic dysplasia is a distinct, rare, skeletal dysplasia with short angulated femora, bowing of long bones, short ribs, narrow thorax, and metaphyseal abnormalities. While immune deficiency occurs in other short stature/short-limb skeletal dysplasias and cartilage-hair hypoplasia, it has not been described with kyphomelic dysplasia. We report on an infant with this disorder who had profound humoral and cellular immunologic abnormalities consistent with severe combined immune deficiency (SCID). The infant died at age 2 months of overwhelming cytomegalovirus pneumonia. Kyphomelic dysplasia, as with other short stature/short-limb skeletal dysplasias, can be associated with immune deficiency and immune function should be investigated when this disorder is identified.
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Affiliation(s)
- W T Corder
- Sections of Pediatric Allergy and Immunology, West Virginia University, Morgantown 26505, USA
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15
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Affiliation(s)
- N Maffulli
- Hospital for Sick Children, Department of Orthopaedics, London, England
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16
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Lipson AH, Kozlowski K, Barylak A, Marsden W. Fuhrmann syndrome of right-angle bowed femora, absence of fibulae and digital anomalies: two further cases. AMERICAN JOURNAL OF MEDICAL GENETICS 1991; 41:176-9. [PMID: 1785629 DOI: 10.1002/ajmg.1320410208] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We describe 2 patients with bilateral right-angle bowing of femora, absence of fibulae, and reduced, flattened and nail-less toes and symmetrical fingernail deficiency in a consanguineous family of ethnic South Vietnamese Baptists and a non-consanguineous Polish family. These cases are similar to those reported by Fuhrmann et al. (in "Skeletal Dysplasias," New York: Alan R. Liss, Inc., pp 519-524), indicating possible autosomal recessive inheritance of this rare non-lethal limb malformation syndrome.
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Affiliation(s)
- A H Lipson
- Genetics and Dysmorphology Unit, Children's Hospital, Camperdown, Sydney, New South Wales, Australia
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