Çocuk Sağlığı ve Hastalıkları, cilt.47, ss.123-127, 2004 (Hakemli Dergi)
Adams-Oliver syndrome is characterized by scalp defects with terminal
transverse limb anomalies. Most reports on this syndrome demonstrate
autosomal dominant pedigrees. Cutis marmorata telangiectasia congenita
accompanies the syndrome in many cases. The condition exhibits a remarkable
degree of variability, presenting as hemorrhagic cranial defects and/or extremity
amputations or as a very mild expression. In the differential diagnosis, aplasia
cutis congenita and terminal transverse extremity defects should also be
investigated. Early embryonic vascular disruption appears to be the underlying
pathogenetic mechanism. In this paper a case with bilateral hand and feet distal
phalangeal and nail hypoplasia with occipital scalp defect is presented. The
propositus was the product of her 27-year-old mother’s first pregnancy. She
was born at the 34th week of gestation. The child weighed 1600 g at birth
and she was noted to have characteristic findings of Adams-Oliver syndrome
with distal phalanx and nail hypoplasia of her hand and feet and with occipital
scalp defect. Since it is a rare case in our literature, the detailed case and
literature data are presented.