2019, Number 3
Apert syndrome. Case report
Language: Spanish
References: 9
Page: 122-131
PDF size: 138.81 Kb.
ABSTRACT
Background: Apert syndrome consists of a genetic disease with craniofacial anomaly called acrocephalosyndactyly; it produces malformations in the skull such as craniosynostoses, in addition to alterations in the face, hands and feet, it can be inherited, secondary to sporadic mutations of the FGFR2 gene and some other genes. Due to genetic screening programs, the prenatal diagnosis of this syndrome enables genetic counseling and multidisciplinary medical assistance.Objective: To illustrate the importance of prenatal diagnosis of Apert syndrome as an essential element for the postnatal multidisciplinary care of the future child.
Case report: A male neonate, born at 39 weeks of gestation by eutocic delivery, with signs of craniosynostoses and syndactyly on the hands and feet, so he was made the postnatal diagnosis of Apert syndrome.
Conclusions: Patients with Apert syndrome should be diagnosed appropriately in time during prenatal screening, considering all their signs and alterations and not as isolated abnormalities, as may occur if the diagnosis is made in the postnatal period. If the prenatal diagnosis was made, the treatment would be achieved in a multidisciplinary way and a better quality of life could be guaranteed to the patient.
REFERENCES
Saeteros Cordero X, Serrano Serrano A, Peñafiel Ortíz B, Ochoa E, Silva Vásquez M, Salinas Pozo MV, et al. Sindrome de apert, reporte de caso clínico. Rev fac cienc med (Cuenca) [Internet]. 2017 [citado 10 Jun 2019];35(1): 90-4. Disponible en: http://publicaciones.ucuenca.edu.ec/ojs/index.php/medicina/article/view/1244/1082
Agochukwu NB, Solomon BD, Muenke M, Agochukwu NB, Solomon BD, Muenke M. Impact of genetics on the diagnosis and clinical management of syndromic craniosynostoses. Childs Nerv Syst [Internet]. 2012 [cited 2019 Jun 10];28(9):1447-63. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4101189/pdf/nihms-611166.pdf
Müller-Hagedorn S, Wiechers C, Arand J, Buchenau W, Bacher M, Krimmel M, et al. Less invasive treatment of sleep-disordered breathing in children with syndromic craniosynostosis. Orphanet J Rare Dis [Internet]. 2018 [cited 2019 Jun 10];13(1):63. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914055/pdf/13023_2018_Article_808.pdf
Martínez-Frías ML, Bermejo E, Cuevas L. Análisis clínico-epidemiológico de los recién nacidos con defectos congénitos registrados en el ECEMC: Distribución por etiología y por grupos étnicos. Bol ECEMC Rev Dismor Epidemiol [Internet]. 2011 [citado 2019 Jun 10];VI:33-64. Disponible en: http://revista.isciii.es/index.php/ecemc/article/viewFile/722/777