Skip to main content
Log in

A variant or a “new” postaxial acrofacial dysostosis syndrome

  • Original Paper
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

In this paper, we report a boy with remarkable phenotype and noteworthy radiographic abnormalities. He presented with distinctive facies, mesomelic shortening and asymmetry of the extremities, symmetrical ulnar and fibular ray absence in the hands and feet, with unique hypoplastic/dysplastic radiographic abnormalities. His mental development was normal. We believe that he represents a previously unreported form of the postaxial acrofacial dysostosis syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Al-Awadi SA, Teebi AS, Farag I, Naguib KM, el-Khalifa MY (1985) Profound limb deficiency, thoracic dystrophy, unusual facies, and normal intelligence: a new syndrome. J Med Genet 22:36–38

    PubMed  CAS  Google Scholar 

  2. Arens R, Reichman B, Katznelson MB, Goodman RM (1991) New form of postaxial acrofacial dysostosis? Am J Med Genet 41:438–443

    Article  PubMed  CAS  Google Scholar 

  3. Barbuti D, Orazi C, Reale A, Paradisi C (1989) Postaxial acrofacial dysostosis or Miller syndrome. A case report. Eur J Pediat 148:445–446

    Article  CAS  Google Scholar 

  4. Chrzanowska K, Fryns JP (1993) Miller postaxial acrofacial dysostosis syndrome. Follow-up data of a family and confirmation of autosomal recessive inheritance. Clinical Genet 43:270

    Article  PubMed  CAS  Google Scholar 

  5. Chrzanowska KH, Fryns JP, Krajewska-Walasek M, Wisniewski L, Van den Berghe H (1989) Phenotype variability in the Miller acrofacial dysostosis syndrome. Report of two further patients. Clin Genet 35:157–160

    Article  PubMed  CAS  Google Scholar 

  6. Donnai D, Hughes HE, Winter RM (1987) Postaxial acrofacial dysostosis (Miller) syndrome. J Med Genet 24:422–425

    Article  PubMed  CAS  Google Scholar 

  7. Fineman RM (1981) Recurrence of the postaxial acrofacial dysostosis syndrome in a sibship: implications for genetic counseling. J Pediat 98:87–88

    Article  PubMed  CAS  Google Scholar 

  8. Fryns JP, Van den Berghe H (1988) Acrofacial dysostosis with postaxial limb deficiency. Am J Med Genet 29:205–208

    Article  PubMed  CAS  Google Scholar 

  9. Genée E (1969) Une forme extensive de dysostose mandibulo-faciale. J Genet Hum 17:45–52

    PubMed  Google Scholar 

  10. Giannotti A, Digilio MC, Virgili Q, Obregon MG, Guadagni AM, Ventura T, Dallapiccola B (1992) Familial postaxial acrofacial dysostosis syndrome. J Med Genet 29:752

    PubMed  CAS  Google Scholar 

  11. Hauss-Albert H, Passarge E (1988) Postaxial acrofacial dysostosis syndrome with microcephaly, seizures and profound mental retardation. Am J Med Genet 31:701–703

    Article  PubMed  CAS  Google Scholar 

  12. Henssge J, Engelke B (1970) Die fibulo-ulnare Hypoplasie mit kugelformigen Knochelgelenk, Strahlendefecten und Synostosen. Z Orthop Grenzgeb 107:502–516

    CAS  Google Scholar 

  13. Le Merrer M, Cikuli M, Ribier J, Briard ML (1989) Acrofacial dysostoses. Am J Med Genet 33:318–322

    Article  PubMed  Google Scholar 

  14. Miller M, Fineman R, Smith DW (1979) Postaxial acrofacial dysostosis syndrome. J Pediatr 95:970–975

    Article  PubMed  CAS  Google Scholar 

  15. Ogilvy-Stuart AL, Parsons AC (1991) Miller syndrome (postaxial acrofacial dysostosis): further evidence for autosomal recessive inheritance and expansion of the phenotype. J Med Genet 28:695–700

    PubMed  CAS  Google Scholar 

  16. Opitz JM, Sticker GB (1987) The Genée-Wiedemann syndrome, an acrofacial dysostosis—further observation. Am J Med Genet 27:971–975

    Article  PubMed  CAS  Google Scholar 

  17. Pereira SCS, Rocha CM, Guion-Almeida ML, Richieri-Costa A (1992) Postaxial acrofacial dysostosis: report on two patients. Am J Med Genet 44:247–279

    Article  Google Scholar 

  18. Reynolds JF, Webb MJ, Opitz JM (1986) A new autosomal dominant acrofacial dysostosis syndrome. Am J Med Genet Suppl 2:143–150

    Article  PubMed  CAS  Google Scholar 

  19. Robinow M, Chen H (1990) Genée-Wiedemann syndrome in a family. Am J Med Genet 37:293

    Article  PubMed  CAS  Google Scholar 

  20. Rodríguez JI, Palacios J (1990) Severe postaxial acrofacial dysostosis: an anatomic and angiographic study. Am J Med Genet 35:490–492

    Article  PubMed  Google Scholar 

  21. Rodríguez JI, Palacios J, Urioste M (1990) New acrofacial dysostosis syndrome in 3 sibs. Am J Med Genet 35:484–489

    Article  PubMed  Google Scholar 

  22. Wiedemann HR (1973) Missbildungs-Retardierungs-Syndrome mit Fehlen des Strahls an Handen und Fussen, Gaumenspalte, dysplastischen Ohren und Augenliedern und radioulnarer Synostose. Klin Pediatr 185:181–186

    CAS  Google Scholar 

Download references

Acknowledgements

We are grateful and we offer thanks to our friend and colleague Prof. P. Beighton of Cape Town for his review and valuable comments on the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kazimierz Kozlowski.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sułko, J., Kotulski, D. & Kozlowski, K. A variant or a “new” postaxial acrofacial dysostosis syndrome. Eur J Pediatr 167, 1385–1388 (2008). https://doi.org/10.1007/s00431-008-0678-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-008-0678-1

Keywords

Navigation