Campomelic dysplasia: A long surviving patient with sex reversal
Campomelic Displazi cücelik, pretibial bölgede gamzeler, femur ve tibiada bükülmeleri de içeren bir grup kıkırdak ve kemik anomalisi ve eşlik eden iskelet sistemi dışı bulgularla karakterize nadir görülen bir bozukluktur. Bildirilen az sayıda vaka dışındaki hastalar genellikle solunum yetmezliğine bağlı olarak ilk on ayda hayatlarım yitirmektedirler. Bizim vakamız bildiğimiz kadarıyla Türkiye'den bildirilen ilk XY kdryotipli dişi campomelik displazi vakası olup bu vakanın bulgularıyla birlikte literatür bilgisi de gözden geçirilmiştir. Ayraca vakanın 4 yaşına kadar yaşamış olması da diğer bir özelliğidir..
Kampomelik displazi: Uzun ömürlü XY karyotipli dişi bir olgu
Campomelic dysplasia is a rare disorder, characterised by rhizomelic dwarfism, and numerous cartilage and osseous anomalies including bowed femora and tibiae with dimples on the pretibial regions, and associated extraskeletal findings. Except for a small number of cases, patients are lost within the first ten months, mainly due to respiratory distress. Here we present the first campomelic dysplasia case with sex reversal reported from Turkey, together with a review of the literature. The relatively long survival up to the age of 4 is another distinctive property of the case.
___
- 1. Bound JP, Finlay HVL, Rose FC. Congenital anterior angulation of the tibia. Arch of Dis in Child. 1951; 27: 179-184.
- 2. Maroteaux P, Spranger J, Opitz JM, Kucera J, Lowry RB, Schimke RN, Kagan SM. Le syndrome campomelique. Presse Med 1971; 25: 1157-1162.
- 3. Bianchine JW, Risenberg HM, Kanderian SS, Harrison HE. Camptomelic Dwarfism. Lancet 1971; 1: 1017-1018.
- 4. Öztürk MA, Genç E, Öztürk M, Elmas B, Doğan Ş. Camptomelic Dysplasia: A case with bifid scrotum and hypospadias. Erciyes Tıp Dergisi 1996; 18: 201-204.
- 5. Aslan Y, Erduran H, Mocan H, Soylu H, Gedik Y. Campomelic dysplasia associated with mandibular clefting. Genet Couns 1996; 7: 17-20.
- 6. Özkılıç A, Seven M, Yüksel A. A case of acampomelic campomelic dysplasia. Genet Couns 2002; 13: 23-28.
- 7. Normann EK, Pedersen JC, Stiris G, van der Hagen CB. Campomelic dysplasia - an underdiagnosed condition? Eur J Pediatr 1993; 152: 331-333.
- 8. Lynch SA, Gaunt ML, Minford AMB. Campomelic dysplasia: evidence of autosomal dominant inheritance. J Med Genet 1993; 30: 683-686
- 9. Wagner T, Wirth J, Meyer J, Zabel B, Held M, Zimmer J, Pasantes J, Bricarelli FD, Keutel J, Hustert E, Wolf U, Tommerup N, Shempp W, Scherer G. Autosomal sex- reversal and campomelic dysplasia are caused by mutations in and around the SRY-related gene SOX 9. Cell 1994; 79: 1111-1120.
- 10. Cameron FJ, Hageman RM, Cooke-Yarborough C, Kwok C, Goodwin LL, Sillence DO, Sinclair AH. A novel germ line mutation in SOX 9 causes campomelic dysplasia and sex-reversal. Hum. Mol Genet 1996; 5: 1625-1630.
- 11. Beluffi G, Fraccaro M. Genetical and clinical aspects of campomelic dysplasia. In. Alan R. Liss (ed): Skeletal Dysplasias. New York 1982: 53-65.
- 12. Wong WS, Filly RA. Polyhydramnios associated with fetal limb abnormalities. AJR 1983; 140: 1001-1003.
- 13. Glass RBJ, Rosenbaum KN. Acampomelic campomelic dysplasia: Further radiologic variations. Am J of Med Genet 1997; 69: 29-32.
- 14. Noyal P, Vermeulin G, Hibon D, Meek JM. Campomelic dysplasia: A case of survival for more than 4 years. Arch Fr Pediatr 1982; 39: 621-624.
- 15. Lindgren F, Ringertz H. Campomelic syndrome without campomelia. Ann Radiol. 1980; 23: 168.
- 16. Macpherson RI, Skinner SA, Donnenfeld AE. Acampomelic campomelic dysplasia. Pediatr Radiol 1989; 20: 90-93.