Bumin Nuri DÜNDAR, Ayça Esra AKKAYA, Nihal Olgaç DÜNDAR

Lujan-Fryns sendromlu bir olgu sunumu

Lujan-Fryns sendromu (marfanoid habitus sendromlu X-geçişli zeka geriliği) özellikle erkek cinsiyeti etkileyen sendromlu zeka geriliğinin X-geçişli formudur. Sıklığı bilinmemektedir. Hafif-orta zeka geriliği, belirgin yüz dismorfizmi, marfanoid görünüm, uzun silindir şekilli ekstremiteler ve davranış sorunları sendromun özellikleridir. Tanı klinik bulgularla konur. Burada polikliniğimize uzun boy yakınması ile başvuran (boy SSS: 3,45) ve fizik muayenesinde; geri zekalı görünüm, göz teması zayıflığı, uzun yüz, küçük çene, molar hipoplazi, yüksek ve dar damak yapısı, hipernazal konuşma, pektus karinatum, pes planus, uzun ekstremiteler ve parmaklar gibi bulguların saptanması ile Lujan-Fryns sendromu tanısı konan 14 yaş 2 aylık erkek hasta sunulmuştur.

A case of Lujan-Fryns syndromes

The Lujan-Fryns syndrome (X-linked mental retardation with marfanoid habitus syndrome) is an X-linked form of syndromal mental retardation affecting predominantly males. The prevalence is not known. The syndrome is associated with mild to moderate mental retardation, distinct facial dysmorphism, marfanoid stature, long slender extremities, and behavioural problems. The diagnosis is based on the presence of the clinical manifestations. Here, we presented a 14 years and 2 months boy old boy who applied our outpatient clinic with the complaint of high stature (height SDS:3.45) and diagnosed as Lujan-Fryns syndrome with the detection of physical findings such as mental retarded appearence, poor eye contact, long face, small chin, molar hypoplasia, high and narrow palate, hypernasal speech, pectus carinatum, pes planus and long extremities and fingers.

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