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[Poland's syndrome. Case report].
Alejandro Téllez-Olvera1, Jorge Romero-Alvarez, Miguel Angel Salgado-Molina
1Servicio de Radiodiagnóstico, Hospital Regional de Zona 72, Tlalnepantla de Baz, Estado de México, Mexico.
Revista Medica Del Instituto Mexicano Del Seguro Social
|August 11, 2010
Summary
This case report details Poland syndrome in a 67-year-old woman, highlighting typical and atypical malformations. The findings contribute to understanding Poland syndrome classification and presentation.
Area of Science:
- Medical Case Reports
- Clinical Genetics
- Human Anatomy
Background:
- Poland syndrome is a rare congenital condition characterized by chest wall and upper limb malformations.
- It typically involves underdevelopment or absence of the pectoral muscles and associated limb abnormalities.
Observation:
- A 67-year-old woman presented with features consistent with Poland syndrome during a routine medical visit.
- Clinical examination revealed right-sided chest wall anomalies including hypoplastic pectoral muscles, mammary hypoplasia, and axillary alopecia.
- Upper limb examination showed forearm shortening and digital anomalies, including phalangeal hypoplasia and absence.
Findings:
- The patient exhibited four of the five typical characteristics of Poland syndrome.
- Hand anomalies were classified as Type 1 according to Gausewitz and Type 2 according to Al-Qaifan.
- Imaging studies included X-rays, mammography, ultrasound, and CT scans to assess the extent of malformations.
Implications:
- This case expands the understanding of Poland syndrome's phenotypic variability in adult women.
- Accurate classification of hand anomalies is crucial for potential future management strategies.
- The case underscores the importance of recognizing Poland syndrome even in later life.
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