The Keutel syndrome (MIM 245150) is a rare autosomal recessive disorder, with only 13 patients reported thus far [reviewed by Teebi et al., 1998]. The recent identification of mutations in the calciumbinding matrix Gla protein in individuals with the Keutel syndrome has shed new light on the pathoge
Zimmermann-Laband syndrome in an adult. Long-term follow-up of a patient with vascular and cardiac complications
β Scribed by Robertson, Stephen P.; Lipp, Harry; Bankier, Agnes
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 37 KB
- Volume
- 78
- Category
- Article
- ISSN
- 0148-7299
- DOI
- 10.1002/(sici)1096-8628(19980630)78:2<160::aid-ajmg12>3.0.co;2-l
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β¦ Synopsis
Zimmermann-Laband syndrome (ZLS) is characterised by findings of coarse facial appearance, hepatosplenomegaly, and hirsutism often first observed in infancy, followed by the evolution during childhood of gingival fibromatosis, small joint hyperextensibility, and hypoplasia of the finger-and toenails. Intellectual deficit is variable. Some of these findings are suggestive of a storage disorder, but no biochemical defect has been identified. We report on a four decade follow-up of a male with ZLS who developed a cardiomyopathy and dilatation of the aortic root and arch, anomalies hitherto undescribed in this syndrome. Am.
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Fig. 1. The patient at 8 years of age showing typical facial features of Kabuki make-up syndrome (A); a brain MRI study revealed cerebellar and brainstem atrophy (B-D).
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