Lethality in Desbuquois dysplasia: three new cases
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Published on: August 20, 2019
1Department of Pediatrics, University of Kentucky College of Medicine, Lexington 40536-0284, USA. bdh@pop.uky.edu
Insights
Desbuquois syndrome, a severe skeletal dysplasia, has a high infant lethality rate of 33%. Affected infants often succumb to respiratory issues between birth and seven months of age.
Area of Science:
- Genetics
- Pediatrics
- Medical Genetics
Background:
- Desbuquois syndrome is a rare, severe skeletal dysplasia characterized by significant prenatal and postnatal growth retardation.
- The syndrome exhibits considerable variability in clinical presentation, making diagnosis and prognosis challenging.
Observation:
- This study presents three new cases of Desbuquois syndrome in two brothers and a sporadic male infant, all of whom died in early infancy.
- A review of the literature identified an additional 10 fatal cases among 36 reported instances of the syndrome.
Findings:
- The combined data reveal a high lethality rate of 33% for Desbuquois syndrome.
- The majority of deaths occurred between birth and seven months of age, primarily due to respiratory complications.
Implications:
- The findings underscore the critical and often fatal nature of Desbuquois syndrome, particularly in early infancy.
- Close monitoring of neonatal and infant survivors is crucial, with a specific focus on respiratory status and pulmonary function.
Abstract:
Three new cases of Desbuquois syndrome in two brothers and a sporadic male, all of whom died in early infancy, are presented to emphasize the high rate (33 %) of lethality in this variable, but serious skeletal dysplasia. Including the three presented patients and 10 of the 36 cases in the literature who died, most did so between birth and 7 months and from respiratory-related problems. Neonatal and infancy survivors should be monitored closely, particularly relative to their pulmonary status.
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