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Progressive subglottic stenosis in a child with Pallister‐Killian syndrome
Authors:Tadashi Shiohama  Katsunori Fujii  Kenji Shimizu  Hirofumi Ohashi  Tomozumi Takatani  Nobuhiko Okamoto  Gen Nishimura  Mitsuhiro Kato  Naoki Shimojo
Affiliation:1. Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan;2. Divsion of Medical Genetics, Saitama Children's Medical Center, Saitama, Japan;3. Department of Medical Genetics, Osaka Women's and Children's Hospital, Osaka, Japan;4. Department of Pediatric Imaging, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan;5. Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan
Abstract:
Pallister‐Killian syndrome (PKS) is rare genetic disorder caused by tetrasomy 12p mosaicism with supernumerary isochromosome 12p that manifests with intellectual disability, craniofacial dysmorphism, and epilepsy. Although PKS presents as a multisystem morphological defect, respiratory system involvement is rare, except for diaphragmatic hernia. We are the first to report a case of PKS with progressive subglottic stenosis. Subglottic stenosis is a potentially lethal condition due to severe respiratory obstruction and difficult intubation; therefore, further accumulation of cases is required to assess the causal link between PKS and subglottic stenosis.
Keywords:buccal mucosal FISH  Pallister‐Killian syndrome  polymicrogyria  subglottic stenosis  tetrasomy 12p
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