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The Costello syndrome

B Say1, M Güçsavaş, H Morgan

  • 1H.A. Chapman Research Institute of Medical Genetics, Tulsa, Oklahoma.

American Journal of Medical Genetics
|August 15, 1993
PubMed
Summary
This summary is machine-generated.

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Costello syndrome is a rare genetic disorder characterized by congenital malformations, developmental delays, and papillomas. This case report details a patient with previously unreported Costello syndrome features, including hydrocephalus and cardiac abnormalities.

Area of Science:

  • Genetics
  • Pediatrics
  • Medical Case Reports

Background:

  • Costello syndrome is a rare genetic disorder characterized by multiple congenital malformations, growth and developmental retardation, and papillomas.
  • First described by Costello in 1971 and 1977, the syndrome has since had additional cases reported, establishing it as a distinct clinical entity.

Observation:

  • This report details a patient with Costello syndrome presenting with previously unreported malformations.
  • The patient exhibited hydrocephalus, seizures, atrial fibrillation, atrial flutter, and a congenital laryngeal web with papillomata.
  • Notably, the patient lacked the typical nasal papillomata but had laryngeal involvement.

Findings:

  • Skin and muscle biopsies were performed to rule out storage diseases and other abnormalities.

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  • Skin biopsy showed no evidence of lipid or mucopolysaccharide storage.
  • Muscle biopsy results were normal upon gross and electron microscopic examination.
  • Implications:

    • This case expands the known spectrum of Costello syndrome manifestations.
    • Highlighting the variability of the syndrome is crucial for accurate diagnosis and management.
    • Further research into the genetic underpinnings and phenotypic variability of Costello syndrome is warranted.