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Case Reports
. 1999 Jan 29;82(3):242-8.

Lethal Neonatal Hutchinson-Gilford Progeria Syndrome

Affiliations
  • PMID: 10215548
Case Reports

Lethal Neonatal Hutchinson-Gilford Progeria Syndrome

J I Rodríguez et al. Am J Med Genet. .

Abstract

We report on a 35-week gestation female fetus with Hutchinson-Gilford progeria (HGP). This patient, who is the first reported with neonatal HGP in the English literature but is the fourth, counting three previous French cases, supports the existence of a more severe prenatal form of progeria. She died 7 hours after birth and presented with intrauterine growth retardation, premature aging, absence of subcutaneous fat, brachydactyly, absent nipples, hypoplastic external genitalia, and abnormal ear lobes. The child's combination of clinical and skeletal manifestations differentiates this form of HGP from other progeroid syndromes with neonatal presentation. We also report previously undescribed autopsy findings including premature loss of hair follicles, premature regression of the renal nephrogenic layer, and premature closure of the growth plates in the distal phalanges that may be related to the aging processes in this condition. We could not find any histological data to support acro-osteolysis, which is the radiographic sign of brachydactyly. The terminal phalanges in HGP seem to be underdeveloped rather than osteolytic.

Comment in

  • Can Hutchinson-Gilford progeria syndrome be a neonatal condition?
    Faivre L, Khau Van Kien P, Madinier-Chappat N, Nivelon-Chevallier A, Beer F, LeMerrer M. Faivre L, et al. Am J Med Genet. 1999 Dec 22;87(5):450-2; author reply 453-4. doi: 10.1002/(sici)1096-8628(19991222)87:5<450::aid-ajmg16>3.0.co;2-t. Am J Med Genet. 1999. PMID: 10594888 No abstract available.

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