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Congenital malformations - Edocr

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220 PART VI GASTROINTESTINAL MALFORMATIONS<br />

TABLE 33-2 Syndromes Associated with Esophageal Atresia and Tracheoesophageal Fistula<br />

Syndrome Other Common Clinical Features Etiology<br />

Apert syndrome Craniosynostosis, agenesis of corpus callosum, Autosomal dominant<br />

midfacial hypoplasia, syndactyly, pulmonary<br />

agenesis, cardiac defects, genitourinary<br />

anomalies<br />

CHARGE association Colobomas, heart defects, atresia of choanae, Unknown<br />

retarded growth and development, genital<br />

anomalies, ear anomalies<br />

Fanconi pancytopenia Short stature, microcephaly, eye anomalies, Autosomal recessive<br />

syndrome<br />

radial ray defects in upper limbs,<br />

pancytopenia, brownish pigmentation of skin<br />

cardiac, GI and CNS anomalies<br />

Feingold syndrome Microcephaly, limb <strong>malformations</strong>, esophageal Autosomal dominant<br />

(Oculo-duodeno- and duodenal atresias, hypoplastic thumbs,<br />

esophageal-digital syndactyly, cardiac and renal <strong>malformations</strong><br />

(ODED) syndrome)<br />

Metaphyseal dysplasia IUGR, short limb, sparse hair, irregular sclerotic Autosomal recessive<br />

(Cartilage-hair<br />

metaphysic on x-rays, immunodeficiency<br />

hypoplasia<br />

syndrome)<br />

Opitz syndrome Hypertelorism, hypospadias, cleft lip with X-linked and<br />

or without cleft palate, micrognathia,<br />

autosomal dominant<br />

cryptorchidism, bifid scrotum, agenesis<br />

of corpus callosum, cardiac defects<br />

Trisomy 18 IUGR, low-set malformed ears, clenched hand, Trisomy<br />

(Edwards syndrome) heart defects, rocker bottom feet, microcephaly,<br />

genital anomalies<br />

Trisomy 21 Hypotonia, brachycephaly, Brushfield spots in iris, Trisomy<br />

(Down syndrome) short metacarpal and phalanges, simian<br />

creases, cardiac defects, loose skin folds,<br />

hyperlaxity of joints, flat facial profile with<br />

upslanting palpebral fissures and inner<br />

epicanthal folds<br />

VACTERL Vertebral, anal, cardiac, tracheal, esophageal, Unknown, more<br />

association renal and limb anomalies, single umbilical frequently reported<br />

artery, spinal dysraphia, genital abnormalities in infants of diabetic<br />

mothers<br />

Velocardiofacial Aortic arch anomalies, cleft palate, micrognathia, Single gene disorder<br />

syndrome ear anomalies, narrow palpebral fissures, 22q11 deletion<br />

thymic hypoplasia, hypoparathyroidism<br />

velopharyngeal insufficiency, diaphragmatic<br />

hernia<br />

Waardenburg Lateral displacement of medial canthi, deafness, Autosomal dominant<br />

syndrome<br />

partial albinism, VSD, neural tube defects,<br />

supernumerary vertebrae and ribs, upper limb<br />

defects<br />

VSD, ventricular septal defect; IUGR; intrauterine growth retardation.

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