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Premature tracheobronchial, laryngeal and costochondral cartilage calcification in children

M C Haddad1, H S Sharif, M S Jared

  • 1Department of Diagnostic Radiology and Imaging, Riyadh Armed Forces Hospital, Kingdom of Saudi Arabia.

Clinical Radiology
|January 1, 1993
PubMed

Insights

Two children experienced premature calcification of cartilage in their airways and ribs, alongside heart defects. One child presented with features of Keutel syndrome, a rare genetic disorder.

Area of Science:

  • Medical Genetics
  • Pediatric Cardiology
  • Radiology

Background:

  • Premature calcification of cartilage is a rare condition affecting airways and skeletal structures.
  • Congenital cardiovascular anomalies can occur in isolation or as part of genetic syndromes.
  • Keutel syndrome is a rare autosomal recessive disorder characterized by brachydactyly, pulmonary stenosis, and calcification of cartilage.

Observation:

  • This report details two pediatric cases with premature tracheobronchial, laryngeal, and costochondral cartilage calcification.
  • Both patients exhibited associated congenital cardiovascular anomalies.
  • One patient displayed clinical features consistent with Keutel syndrome.

Findings:

  • The described cases highlight a potential association between widespread premature cartilage calcification and congenital heart disease.
  • The presentation in one patient suggests Keutel syndrome may manifest with broader cartilage calcification than previously recognized.
  • Detailed clinical and radiological findings are presented for both children.

Implications:

  • These findings may expand the phenotypic spectrum of Keutel syndrome and related cartilage calcification disorders.
  • Early recognition of these features is crucial for timely diagnosis and management of associated cardiovascular conditions.
  • Further research is warranted to elucidate the genetic and molecular mechanisms underlying these complex presentations.

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