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Case Reports
. 2003 Jul 1;121(4):176-9.
doi: 10.1590/s1516-31802003000400008. Epub 2003 Oct 29.

Pfeiffer Syndrome type 2--case report

Maria Kiyoko Oyamada  1 , Haide Salgado Alonso Ferreira, Marcelo Hoff
Affiliations
Case Reports

Pfeiffer Syndrome type 2--case report

Maria Kiyoko Oyamada et al. Sao Paulo Med J. .

Abstract
in English, Portuguese

Objective: To report on a case of Pfeiffer Syndrome, with a discussion of the diagnostic characteristics and features of disease types and the differential diagnosis.

Description: The authors describe a newborn with cloverleaf skull, extreme bilateral exorbitism and choanal atresia, partial syndactyly of the second and third toes and broad medially-deviated big toes. The case reported was Pfeiffer Syndrome type 2, which usually has a poor prognosis.

Comments: Pfeiffer Syndrome is a clinically variable disorder and consists of an autosomal dominantly-inherited osteochondrodysplasia with craniosynostosis. It has been divided into three types. Type 1 is commonly associated with normal intelligence and generally good outcome. Types 2 and 3 generally have severe neurological compromise, poor prognosis, early death and sporadic occurrence. Potential for prolonged useful survival outcome can be achieved in some cases with early aggressive medical and surgical management according to recent literature.

OBJETIVO:: Apresentar relato de um caso de síndrome de Pfeiffer tipo 2, discutindo as características diagnósticas que o diferenciam dos outros tipos e os diagnósticos diferenciais.

DESCRIÇÃO:: Os autores descrevem recém-nascido com crânio em trevo, grave exorbitismo bilateral, atresia de coanas, sindactilia parcial cutânea de segundos e terceiros artelhos, hálux alargados e medialmente desviados, caracterizando o tipo 2 da síndrome de Pfeiffer. Esta síndrome, de manifestação clínica variável, é subdividida classicamente em três tipos distintos. O tipo 2 apresenta pior prognóstico. Chamam atenção para os recentes relatos de literatura, que reportam casos de melhor evolução, quando de abordagem clínica e cirúrgica mais agressiva.

COMENTÁRIOS:: A síndrome de Pfeiffer faz parte das cranioestenoses, constituindo anomalia bastante rara, com herança autossômica dominante. O tipo 1 corresponde à forma menos grave e os tipos 2 e 3 podem ser de ocorrência esporádica e apresentam anomalias muito graves.

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Conflict of interest statement

Conflict of interest: None

Figures

Figure 1
Figure 1. Pfeiffer syndrome type 2 - physical aspects.
Figure 2
Figure 2. Cloverleaf skull, exorbitism and low-set ears.
Figure 3
Figure 3. Broad big toes and cutaneous syndactyly between the second and third toes.
Figure 4
Figure 4. Computed tomography findings - dilatation of the lateral ventricles, cranial deformities and shallow orbit.
See this image and copyright information in PMC

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