Document Detail


Congenital corneal opacification in De Barsy syndrome.
MedLine Citation:
PMID:  11176995     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A newborn male was noted to have bilateral congenital corneal opacification. Findings from examination disclosed a variety of dysmorphic features, including cutis laxa, progeroid aspect, short stature, multiple hyperextensible subluxated joints, muscular hypotonia, and hyperreflexia. Bilateral penetrating keratoplasties were performed; histopathologic examination revealed diffuse epithelial thickening, loss of the Bowman layer, and stromal attenuation with anterior stromal scarring. Special stains showed no deposition of abnormal material in the corneas. Electron microscopy demonstrated absence of Bowman layer differentiation with a paucity of collagen fibers, as well as extensive small elastic fibers in the anterior stroma. The diagnosis of De Barsy syndrome was made, a rare progeroid syndrome associated with characteristic ocular, facial, skeletal, dermatologic, and neurologic abnormalities. De Barsy syndrome should be included in the differential diagnosis of congenital corneal opacification; its distinctive clinical features enable the clinician to easily differentiate it from other causes of congenitally cloudy corneas.
Authors:
A J Aldave; R C Eagle; B W Streeten; J Qi; I M Raber
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of ophthalmology     Volume:  119     ISSN:  0003-9950     ISO Abbreviation:  Arch. Ophthalmol.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-03-08     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7706534     Medline TA:  Arch Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  285-8     Citation Subset:  AIM; IM    
Affiliation:
Cornea Service, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107, USA. Raber101@aol.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple* / diagnosis
Cornea / pathology,  ultrastructure
Corneal Opacity / congenital*,  pathology,  surgery
Cutis Laxa / complications*,  diagnosis
Diagnosis, Differential
Eye Diseases, Hereditary / complications*,  pathology,  surgery
Humans
Infant, Newborn
Keratoplasty, Penetrating
Male
Progeria / complications*,  diagnosis
Syndrome
Grant Support
ID/Acronym/Agency:
EY01602/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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