[Cartilage-hair hypoplasia. A case report]

Rev Alerg Mex. 2019 Jul-Sep;66(3):379-383. doi: 10.29262/ram.v66i3.561.
[Article in Spanish]

Abstract

Background: Cartilage-hair hypoplasia is a rare autosomal recessive disease, which is characterized by metaphyseal chondrodysplasia and thin hair. It can be accompanied by immunological disorders in varying degrees.

Clinical case: The case of a 35-month-old girl is described. Since her birth, with growth restriction, she has developed pneumonia eleven times, malabsorption syndrome and aganglionic megacolon, which is why she was diagnosed with cartilage-hair hypoplasia, with expression of non-severe combined immunodeficiency. The decision was to proceed with hematopoietic stem cell transplantation. At the time of this report, the patient was free from infectious processes.

Conclusion: Cartilage-hair hypoplasia is a condition with diverse clinical features and different degrees of immunodeficiency. As part of the treatment, it is possible to perform haematopoietic stem cell transplantation.

Antecedentes: La hipoplasia cartílago-cabello es una enfermedad autosómica recesiva poco frecuente, caracterizada por condrodisplasia metafisaria y cabello fino. Puede estar acompañada de alteraciones inmunológicas en distintos grados. Caso clínico: Niña de 35 meses de edad, quien desde su nacimiento mostró restricción del crecimiento; desarrolló 11 cuadros de neumonía, síndrome de malabsorción y megacolon agangliónico, por lo que se diagnosticó hipoplasia cartílago-cabello, con expresión de inmunodeficiencia combinada no severa. Se decidió trasplante de células madre hematopoyéticas. Al momento de este informe, la paciente estaba libre de procesos infecciosos. Conclusión: La hipoplasia cartílago-cabello es un padecimiento con rasgos clínicos y distintos grados de inmunodeficiencia. Como parte del tratamiento es posible realizar trasplante de células madre hematopoyéticas.

Keywords: Cartilage-hair hipoplasia; Hematopoietic stem cell transplantation; Non-severe combined immunodeficiency.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Female
  • Hair / abnormalities*
  • Hirschsprung Disease / diagnosis*
  • Humans
  • Osteochondrodysplasias / congenital*
  • Osteochondrodysplasias / diagnosis
  • Phenotype
  • Primary Immunodeficiency Diseases / diagnosis*

Supplementary concepts

  • Cartilage-hair hypoplasia