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Published on: September 1, 2015
Hajdu-Cheney syndrome associated with serpentine fibulae and polycystic kidney disease
1Department of Radiology, Texas Scottish Rite Hospital, 2222 Welborn St., Dallas, TX 75219, USA. guidonellie@mac.com
Insights
Serpentine fibula polycystic kidney syndrome (SFPKS), characterized by craniofacial and kidney anomalies, is linked to Hajdu-Cheney syndrome (HCS). This report details a new SFPKS case and reviews clinical features of both conditions.
Area of Science:
- Genetics and rare diseases
- Skeletal dysplasias
- Nephrology
Background:
- Hajdu-Cheney syndrome (HCS) is a rare genetic disorder with diverse clinical manifestations.
- Serpentine fibula polycystic kidney syndrome (SFPKS) describes a specific association of anomalies including craniofacial, musculoskeletal, and renal abnormalities.
- Previous interpretations suggest SFPKS may be a variant or manifestation of HCS.
Observation:
- Six patients with craniofacial anomalies, elongated and bowed (serpentine) fibulae, and polycystic kidneys were identified.
- A new case exhibiting this distinct constellation of symptoms was documented.
- Clinical and radiographic data from these patients were collected for analysis.
Findings:
- The reported cases support the classification of SFPKS as a manifestation of Hajdu-Cheney syndrome (HCS).
- Detailed clinical and radiographic features of HCS were reviewed in the context of SFPKS.
- The study consolidates understanding of the phenotypic spectrum of HCS.
Implications:
- This research aids in the diagnosis and management of patients with SFPKS and HCS.
- It highlights the importance of recognizing specific anomaly clusters for accurate genetic diagnosis.
- Further research into the molecular basis of HCS and its variants is warranted.
Abstract:
Six patients who presented with craniofacial anomalies, musculoskeletal anomalies including elongated and bowed (serpentine) fibulae, and polycystic kidneys are reported. This association of anomalies is referred to as serpentine fibula polycystic kidney syndrome (SFPKS) and is currently interpreted as a manifestation of Hajdu-Cheney syndrome (HCS). We report a new instance of this association of anomalies and review the clinical and radiographic features of HCS and of the reported cases of SFPKS.
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