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Revista mexicana de pediatría
versión impresa ISSN 0035-0052
Resumen
DOMINGUEZ-MORALES, Ever et al. Pfeiffer syndrome type 2. Rev. mex. pediatr. [online]. 2021, vol.88, n.3, pp.112-115. Epub 16-Mayo-2022. ISSN 0035-0052. https://doi.org/10.35366/102192.
Introduction:
Pfeiffer syndrome is an autosomal dominant disorder with an incidence of 1 in 100,000 newborns, which is characterized by craniosynostosis, besides hand and foot malformations.
Clinical case:
26-day-old female, daughter of first pregnancy; 18-year-old mother and 23-year-old father, without consanguinity or inbreeding. It was obtained at term. Physical examination: cloverleaf skull, wide anterior fontanelle, wide forehead, bitemporal narrowing, hypoplastic supraorbital arches, and bilateral ocular proptosis. Upper extremities: broad thumbs, bilateral fifth finger clinodactyly. Lower extremities: broad first toes, bilateral fifth toe clinodactyly. Skull CT scan: fusion of the lambdoid, sagittal, and coronal sutures, ventricular asymmetry, with decreased density of the brain parenchyma, and cerebellar hypoplasia. At 35 days of life the patient died.
Conclusion:
Clinical and prognostic spectrum of patients with Pfeiffer syndrome is wide and depends on the type of mutation in FGFR1 and FGFR2 genes. These patients require multidisciplinary management.
Palabras llave : Pfeiffer syndrome; cloverleaf skull; craniosynostosis; FGFR1 and FGFR2 genes.