Document Detail


Coincidence of Poland's syndrome with Turner's syndrome.
MedLine Citation:
PMID:  21507317     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: Poland's syndrome (PS) is an inborn defect consisting in unilateral underdevelopment of the pectoralis major muscle, homolateral anomalies of upper extremity, as well as mammary gland aplasia. PS occurrence frequency is determined as 1:7000 to 1:100 000. Turner's syndrome (TS) results from lack of one sex chromosome or its incorrect structure and occurs with a frequency of 1:2000 of female sex newborns. Coincidence of both syndromes may hypothetically occur in 1:14 000 000 of females. Case report: A 5-year-old girl was diagnosed with a rare coincidence of PS and TS. It is the second description of PS and TS coincidence case in the literature. Low body mass, lymphatic edemas of the feet and developmental defect of the right hand in form of defective palm development and syndactyly were found after birth. At the age of 3, after digit separation procedure, she was referred to an endocrinologist because of short stature (83 cm, -3.35 SDS). Right pectoral muscle and right hand hypoplasia were found during physical examination as well as the presence of dysmorphic characteristics. The result of cytogenetic examination confirmed TS diagnosis. She began treatment with growth hormone at the age of 4.5 years. Conclusions: Appearance of PS in female patients with TS may dub diagnostic vigilance and delay TS diagnosis. Growth deficit in girls with PS constitutes the indication for karyotype testing.
Authors:
Beata Wikiera; Elżbieta Wójcik; Andrzej Szuba; Anna Noczyńska
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Pediatric endocrinology, diabetes, and metabolism     Volume:  17     ISSN:  2081-237X     ISO Abbreviation:  -     Publication Date:  2011  
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518750     Medline TA:  Pediatr Endocrinol Diabetes Metab     Country:  -    
Other Details:
Languages:  ENG     Pagination:  48-51     Citation Subset:  -    
Vernacular Title:
Koincydencja zespołu Polanda z zespołem Turnera.
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