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Hemifacial microsomia with pulmonary hypoplasia
Inusha Panigrahi1, Rashmi Ranjan Das, Ram Kumar Marwaha
1PGIMER, Pediatrics, APC, Chandigarh, India. inupan@yahoo.com
BMJ Case Reports
|July 4, 2012
Summary
Hemifacial microsomia (HFM), a common facial anomaly, can rarely occur with pulmonary hypoplasia. This case highlights the importance of investigating associated conditions in HFM patients.
Area of Science:
- Medical Genetics
- Pediatric Medicine
- Developmental Biology
Background:
- Hemifacial microsomia (HFM) is a prevalent congenital facial anomaly, second only to cleft lip and palate.
- HFM typically presents with facial asymmetry, microtia, preauricular tags, and macrostomia, often with associated cardiac defects.
- While often sporadic, HFM can exhibit autosomal dominant or recessive inheritance patterns.
Observation:
- This report details an 11-month-old male infant diagnosed with Hemifacial microsomia.
- Pulmonary hypoplasia was identified during the diagnostic workup for other anomalies in the patient.
- This combination of HFM and pulmonary hypoplasia represents a rare clinical association.
Findings:
- The patient presented with characteristics of Hemifacial microsomia.
- Co-occurring pulmonary hypoplasia was diagnosed during the investigation for associated anomalies.
- The patient is currently undergoing follow-up care in a genetics clinic.
Implications:
- This case underscores the importance of comprehensive evaluation for associated conditions in patients with Hemifacial microsomia.
- Recognizing rare associations like pulmonary hypoplasia is crucial for accurate diagnosis and management.
- Further research may elucidate the genetic or developmental pathways linking HFM and pulmonary hypoplasia.
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