Craniofacial, limb, and abdominal anomalies in a distinct syndrome: Relation to the spectrum of Pfeiffer syndrome type 3

Authors

  • Dr. Constance M. Barone,

    Corresponding author
    1. University of Missouri Hospital and Clinics, Division of Plastic Surgery, Columbia, Missouri
    • University of Missouri Hospital and Clinics, Division of Plastic Surgery, One Hospital Drive, Columbia, MO 65212
    Search for more papers by this author
  • Robert Marion,

    1. The Center for Congenital Disorders and Department of Pediatrics, Montefiore Medical Center, Bronx, New York
    Search for more papers by this author
  • Alan Shanske,

    1. Center for Craniofacial Disorders, Schneider Children's Hospital, New Hyde Park, New York
    Search for more papers by this author
  • Ravelo V. Argamaso,

    1. The Center for Craniofacial Disorders and Department of Plastic Surgery, Albert Einstein College of Medicine and Montefiore Medical Center
    Search for more papers by this author
  • Robert J. Shprintzen

    1. The Center for Craniofacial Disorders and Department of Plastic Surgery, Albert Einstein College of Medicine and Montefiore Medical Center
    Search for more papers by this author

Abstract

Presented are 2 patients with abnormal craniofacial region, limbs, and abdomen, features that may be consistent with Pfeiffer syndrome, type 3. Both patients had bicoronal and bisphenoidal synostosis, extreme exophthalmic midface hypoplasia, and hydrocephalus. The limbs had a fixed flexion deformity of the elbows with broad thumbs which were radiopalmarly deviated; the toes were broad with a varus deformity and syndactyly of toes 2–5. Both patients developed bowel obstruction secondary to midgut malrotation, and one of the patients had prune belly syndrome. Review of the literature disclosed an additional patient who, in retrospect, had Pfeiffer syndrome type 3 and midgut malrotation. These patients suggest that intestinal malrotation with or without prune belly syndrome may be a common component of this entity. © 1993 Wiley-Liss, Inc.

Ancillary