Liver fibrocystic disease and polydactyly: Proposal of a new syndrome

✍ Scribed by Esmer, Carmen ;Alvarez-Mendoza, Antonio ;Lieberman, Esther ;Del Castillo, Victoria ;Ridaura-Sanz, Cecilia

• Publisher: John Wiley and Sons
• Year: 2001
• Tongue: English
• Weight: 220 KB
• Volume: 101
• Category: Article
• ISSN: 0148-7299
• DOI: 10.1002/ajmg.1314

✦ Synopsis

Liver ®brocystic disease (LFCD), characterized by dilatation of the intrahepatic bile ducts and variable degree of ®brosis, can be present alone or as part of many syndromes, such as Bardet-Biedl syndrome (BBS), Meckel syndrome, Jeune asphyxiating thoracic dysplasia, and Fraser-Jequier-Chen syndrome. We report two cases of LFCD and polydactyly with features similar, but not diagnostic of, BBS. Patient 1 was an 18month-old boy with mental retardation, polydactyly, chronic renal failure, convergent strabismus, and hepatic ®brosis. Patient 2 was a male neonate with LFCD and polydactyly. Their manifestations could not be diagnosed as any of the previous mentioned entities. Dif®culties in the early diagnosis of BBS have been previously reported and this could explain the clinical variability and heterogeneity of manifestations at the time of diagnosis. On the other hand, the existence of liver abnormalities in association with BBS has been previously described, but is rare. Our patients' malformations might represent a new entity where autosomal recessive inheritance is probable, but other patterns cannot be ruled out.