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Acromegaloid Facial Appearance Syndrome - A New Case in India

  • Rai, Arpita (Department of Oral Medicine and Radiology, Faculty of Dentistry) ;
  • Sattur, Atul P. (Department of Oral Medicine and Radiology, S.D.M. College of Dental Sciences & Hospital) ;
  • Naikmasur, Venkatesh G. (Department of Oral Medicine and Radiology, S.D.M. College of Dental Sciences & Hospital)
  • Received : 2013.05.18
  • Accepted : 2013.06.12
  • Published : 2013.06.30

Abstract

Acromegaloid Facial Appearance syndrome is a very rare syndrome combining acromegaloid-like facial appearance, thickened lips and oral mucosa and acral enlargement. Progressive facial dysmorphism is characterized by a coarse facies, a long bulbous nose, high-arched eyebrows, and thickening of the lips, oral mucosa leading to exaggerated rugae and frenula, furrowed tongue and narrow palpebral fissures. We report a case of acromegaloid facial appearance syndrome in a 19-year-old male patient who presented with all the characteristic features of the syndrome along with previously unreported anomalies like dystrophic nails, postaxial polydactyly and incisal notching of teeth.

Keywords

References

  1. Hughes HE, McAlpine PJ, Cox DW, Philipps S. An autosomal dominant syndrome with 'acromegaloid' features and thickened oral mucosa. J Med Genet 1985;22:119-25. https://doi.org/10.1136/jmg.22.2.119
  2. Harbison JB, Nice CM Jr. Familial pachydermoperiostosis presenting as an acromegaly-like syndrome. Am J Roentgenol Radium Ther Nucl Med 1971;112:532-6. https://doi.org/10.2214/ajr.112.3.532
  3. Irvine AD, Dolan OM, Hadden DR, Stewart FJ, Bingham EA, Nevin NC. An autosomal dominant syndrome of acromegaloid facial appearance and generalized hypertrichosis terminalis. J Med Genet 1996;33:972-4. https://doi.org/10.1136/jmg.33.11.972
  4. Zen PR, Schwartz IV, Paskulin GA. Acromegaloid facial appearance and hypertrichosis: a case suggesting autosomal recessive inheritance. Clin Dysmorphol 2004;13:49-50. https://doi.org/10.1097/00019605-200401000-00015
  5. Kozlova SI, Altshuler BA, Kravchenko VL. Self-limited autosomal recessive syndrome of skin ulceration, arthroosteolysis with pseudoacromegaly, keratitis, and oligodontia in a Kirghizian family. Am J Med Genet 1983;15:205-10. https://doi.org/10.1002/ajmg.1320150204
  6. Rosenthal JW, Kloepfer HW. An acromegaloid, cutis verticis gyrata, corneal leukoma syndrome. A new medical entity. Arch Ophthalmol 1962;68:722-6. https://doi.org/10.1001/archopht.1962.00960030726004
  7. Dallapiccola B, Zelante L, Accadia L, Mingarelli R. Acromegaloid facial appearance (AFA) syndrome: report of a second family. J Med Genet 1992;29:419-22. https://doi.org/10.1136/jmg.29.6.419
  8. da-Silva EO, Duarte AR, Andrade EJ, Furtado GJ. A new case of the acromegaloid facial appearance syndrome? Clin Dysmorphol 1998;7: 75-6.
  9. Kini U, Clayton-Smith J. Acromegaloid facial appearance syndrome: a further case report. Clin Dysmorphol 2004;13:251-3. https://doi.org/10.1097/00019605-200410000-00010
  10. Stratakis CA, Turner ML, Lafferty A, Toro JR, Hill S, Meck JM, et al. A syndrome of overgrowth and acromegaloidism with normal growth hormone secretion is associated with chromosome 11 pericentric inversion. J Med Genet 2001;38:338-43. https://doi.org/10.1136/jmg.38.5.338
  11. Zelante L, Gasparini P, Savoia A, Lomuto M, Pellicano R. A new case of acromegaloid facial appearance (AFA) syndrome with an expanded phenotype. Clin Dysmorphol 2000;9:221-2. https://doi.org/10.1097/00019605-200009030-00013
  12. Ghazi A, Khosla S, Becker K. Acromegaloid Facial Appearance: case report and literature review. Case Rep Endocrinol 2013;2013:970396.