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Perinatología y Reproducción Humana

ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología
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2009, Number 3

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Perinatol Reprod Hum 2009; 23 (3)

Jeune Syndrome. Report of two cases in siblings and literature review

Jonguitud-Aguilar A, Cano-Muñiz A, Peña-Villalba M
Full text How to cite this article

Language: Spanish
References: 9
Page: 156-159
PDF size: 117.85 Kb.


Key words:

Asphyxiating thoracic dysplasia, narrow thorax, polydactyly, Jeune syndrome.

ABSTRACT

Introduction: The study of patients with short ribs, narrow thorax and musculoskeletal disorders is a challenge for the treating physician. We present 2 cases of Jeune syndrome in siblings diagnosed in our hospital. We describe their clinical and imaging features. Clinical picture: The two patients share the following characteristics: a narrow chest, almost suffocating; polydactyly; short limbs with rizomelia; postaxial polydactyly in 4 limbs; small hands and feet; and separated nipples. Radiologically they had short ribs, elevated clavicles, and disorders of epiphyses, pelvis and acetabulum. The first patient died after 8 days of life, the second had a less severe picture and he was admitted still with dyspnea but stable. Conclusions: The Jeune syndrome is a rare entity affecting the life and function of the patient in varying degrees; it has a recessive autosomal heritage pattern; and it requires genetic counseling of parents and a multidisciplinary team for its approach and handling.


REFERENCES

  1. Elcioglu NH, Hall CM. Diagnostic dilemmas in the short rib-polydactyly syndrome group. Am J Med Genet 2002; 111: 392-400.

  2. Ho NC, Francomano CA, van AM. Jeune asphyxiating thoracic dystrophy and short-rib polydactyly type III (Verma-Naumoff) are variants of the same disorder. Am J Med Genet 2000; 90: 310-14.

  3. Kajantie E, Andersson S, Kaitila I. Familial asphyxiating thoracic dysplasia: clinical variability and impact of improved neonatal intensive care. J Pediatr 2001; 139: 130-3.

  4. Díaz ZS. Displasia torácica asfixiante o síndrome de Jeune. Rev Chil Obstet Ginecol 2003; 68: 322-6.

  5. Do Ngoc TC, Barois A, Estournet MB, Bataille J, Ioos C. [Jeune’disease (asphyxiating thoracic dystrophy) and respiratory failure: importance of early respiratory management with periodic hyperinsufflation]. Bull Acad Natl Med 2007; 191: 1411-29.

  6. Casteels I, Demandt E, Legius E. Visual loss as the presenting sign of Jeune syndrome. Eur J Paediatr Neurol 2000; 4: 243-7.

  7. Jankauskiene A, Bernatoniene J. Clinical quiz. Jeune syndrome. Pediatr Nephrol 2000; 14: 1054-6.

  8. Majewski E, Ozturk B, Gillessen-Kaesbach G. Jeune syndrome with tongue lobulation and preaxial polydactyly, and Jeune syndrome with situs inversus and asplenia: compound heterozygosity Jeune-Mohr and Jeune-Ivemark? Am J Med Genet 1996; 63: 74-9.

  9. Habeck JO, Kunzel W, Muller D, Tode G, Schmidt J. [Type III short-rib-polydactyly syndrome (Verma-Naumoff) in concomitance with ectodermal dysplasia (author’s transl)]. Zentralbl Gynakol 1982; 104: 568-75.




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C?MO CITAR (Vancouver)

Perinatol Reprod Hum. 2009;23