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Tight Skin and Dysmorphic Features in a Newborn
Timothy Garth Abrahamson, MD;
Mary Seabury Stone, MD
University of Iowa Hospitals and Clinics, Iowa City
Arch Dermatol. 2002;138:831-836.
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REPORT OF A CASE
A female infant who was small for her gestational age (weight, 1118
g) was born at 32 weeks' gestation to a 27-year-old, gravida 4, para 2-3 woman.
Her parents were not blood relatives. Intrauterine growth retardation and
spontaneous rupture of the membranes with preterm labor had complicated the
pregnancy. Dysmorphic features, tight skin, poor respiration, and a low heart
rate were reported at delivery. Two male siblings were alive and well. No
family history of genetic abnormalities was reported, except for a second
cousin with Down syndrome. Chromosomal studies of a bone marrow aspirate demonstrated
a normal 46 XX karyotype.
Physical examination revealed an intubated, ill-appearing infant (Figure 1 and Figure 2) whose skin had a glistening, tight appearance. She had
a round face, no eyelashes, low-set ears, prominent anterior and posterior
fontanelles, microstoma, and micrognathia, with an "O"-shaped mouth. . . . [Full Text of this Article]
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