Case Report: Cornelia de Lange Syndrome (CDLS)
Resumo
The Cornélia of Lange´s syndrome is a genetic anomaly, described and published by Cornelia Catharina of Lange in 1933, however, their aspects were described previously by Winfried Robert Clemens Brechmann in 1916, that’s why it is also known as Brachmann of Lange’s syndrome. The most frequent clinical characteristics include typical face dismorfia, variable degree of mental delay, anomalies of the hands and feet, multiple malformations, retardation of the pre and postnatal physical development and microcephaly variable intellectual compromising. Some facial characteristics are peculiar and they are mixed with the inherited lines of their own family, the united brows, the long lashes, the small nose, the round face, the fine lips and lightly inverted. As oral manifestations they present micrognathia, dental crowding, periodontal disease, delayed dental eruption, enamel hypoplasia, erosion of the enamel and dentine caused by stomach acids of the gastroesophageal reflux and atresia of the dental arches. The purpose of this paper is to present a clinical report of a boy bearer of this syndrome assisted at CAOE - FOA - UNESP, emphasizing the importance of multiprofessional team for the diagnosis and treatment of this syndrome.Palavras chave: De Lange Syndrome; Oral Manifestations; Disabled Persons.
Downloads
Referências
Braddock SR, Lachman RS, Stoppenhagen CC, Carey JC, Ireland M, Moeschler JB, et al. Radiological features in Brachmann-de Lange syndrome. Am J Med Genet 1993 15;47(7):1006-13.
Jackson L, Kline AD, Barr MA, Koch S. de Lange syndrome: a clinical review of 310 individuals. Am J Med Genet 1993 15; 47(7):940-6.
Huang WH, Porto M. Abnormal first-trimester fetal nuchal translucency and Cornelia De Lange syndrome. Obstet Gynecol 2002; 99(5 Pt 2):956-8.
Sakai Y, Watanabe T, Kaga K. Auditory brainstem responses and usefulness of hearing aids in hearing impaired children with Cornelia de Lange syndrome. Int J Pediatr Otorhinolaryngol 2002 21; 66(1):63-9.
Toker AS, Ay S, Yeler H, Sezgin I. Dental findings in Cornelia de Lange syndrome. Yonsei Med J 2009 30; 50(2):289-92.
Krantz ID, McCallum J, DeScipio C, Kaur M, Gillis LA, Yaeger D, et al. Cornelia de Lange syndrome is caused by mutations in NIPBL, the human homolog of Drosophila melanogaster Nipped-B. Nat Genet 2004;36(6):631-5. Epub 2004 May 16.
Tonkin ET, Wang TJ, Lisgo S, Bamshad MJ, Strachan T. NIPBL, encoding a homolog of fungal Scc2-type sister chromatid cohesion proteins and fly Nipped-B, is mutated in Cornelia de Lange syndrome. Nat Genet 2004; 36(6):636-41. Epub 2004 May 16.
Schiffer C, Schiesser M, Lehr J, Tariverdian G, Glaeser D, Gabriel H, Mikuz G,Sergi C. Unique occurrence of Brachmann-de Lange syndrome in a fetus whose mother presented with a diffuse large B-cell lymphoma. Pathol Oncol Res 2007; 13(3):255-9. Epub 2007 Oct 7.
Van Allen MI, Filippi G, Siegel-Bartelt J, Yong SL, McGillivray B, Zuker RM, Smith CR, Magee JF, Ritchie S, Toi A, et al. Clinical variability within Brachmann-de Lange syndrome: a proposed classification system. Am J Med Genet 1993; 47(7):947-58.
Ireland M, Donnai D, Burn J. Brachmann-de Lange syndrome. Delineation of the clinical phenotype. Am J Med Genet 1993 15; 47(7):959-64.
Nowaczyk MJ, Mohide P. Brachmann-de Lange Syndrome. McMaster University Prenatal Diagnosis Rounds. Front Fet Heath 2001; 3 (www.sickkids.on.ca)
Nakamura A.M, Síndrome de Cornélia de Lange. Rev AONP. 2001; 7.
Dossier: doenças raras em Portugal . Rev e-ciência , 2005; 44:22-5.
Zankl A, Rampa A, Schinzel A. Brachmann-de Lange syndrome (BDLS) withasymmetry and skin pigmentary anomalies: a result of mosaicism for a putative bdls gene mutation? Am J Med Genet A. 2003; 118A(4):358-61.
Barrett AW, Griffiths MJ, Scully C. The de Lange syndrome in association with a bleeding tendency: oral surgical implications. Int J Oral Maxillofac Surg 1993; 22(3):171-2.
Yamamoto K, Horiuchi K, Uemura K, Shohara E, Okada Y, Sugimura M, et al. Cornelia de Lange syndrome with cleft palate. Int J Oral Maxillofac Surg 1987; 16(4):484-91.