2016, Number 3
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Revista Habanera de Ciencias Médicas 2016; 15 (3)
Treacher Collins syndrome in a cuban family. Case presentation
Solís AL, Agramonte CI
Language: Spanish
References: 28
Page: 408-417
PDF size: 255.09 Kb.
ABSTRACT
Introduction: Treacher Collins syndrome is a genetic disorder of craniofacial
development, characterized by a bilateral symmetrical otomandibular dysplasia
associated with various abnormalities of the head and neck, with no extremities
affection. Its clinical expression is very variable, with a range of occurrence between 1
in 25,000 and 1 in 70,000 live births. Only were found two cases after a review of
national published literature, one in 1962 and the other one in 2007; no report of
incidence on Cuban families was found.
Objective: To present a case study of a Cuban family with Treacher Collins
syndrome.
Case presentation: Male patient 22 year old with father and sister afflicted with
Treacher Collins syndrome, arriving to a consulting room seeking for an aesthetic
treatment. After physical examination was confirm a typical facial dimorphism
consisting of: downward slant palpebral fissures, microphthalmia, orbital edge
depression, hypoplasia and ears low implantation, micrognathia, facial soft tissue
hypoplasia and absence of eyelashes in the inferior lids external third. Patient
extremities, weight and mouth opening showed no abnormalities. These
malformations were confirmed by means of a computerized tomography, also was
detected an intrasellar arachnoidocele, and lack of pneumatization of mastoid and
sphenoid sinus cells. Abdominal ultrasound, echocardiogram, chest and anteroposterior
spine radiography were normal.
Conclusions: Although the Treacher Collins syndrome is a rare congenital disease, it
is important to know it in order to make a correct and early diagnosis, bringing to the
patient an opportune and multidisciplinary treatment.
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