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1 Docent in Pediatric Cardiology, University of Helsinki, and Cardiologist, University Children's Hospital
2 Associate Professor in Pediatrics, University of Helsinki
3 Docent in Pathology, University of Helsinki, and Chief of Pathology Section, University Children's Hospital
We report 24 cases of a new, probably autosomal recessive syndrome, mulibrey nanism. All patients had severe growth retardation and characteristic changes in tissues of mesodermal origin. Cardiovascular symptoms suggestive of pericardial constriction were prognostically most important. Two patients died with signs of cardiac failure. In both, postmortem examination showed a thickened and adherent pericardium as well as pathologic changes in the myocardium. The condition of four severely affected patients improved after pericardiectomy. The clinical and hemodynamic findings suggested similar affection of the pericardium in the other cases.
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N Karlberg, H Jalanko, J Perheentupa, and M Lipsanen-Nyman Mulibrey nanism: clinical features and diagnostic criteria J. Med. Genet., February 1, 2004; 41(2): 92 - 98. [Abstract] [Full Text] [PDF] |
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