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Pathological Case of the Month

Pathological Case of the Month A 2.25-KG, symmetric, small for gestational age girl was born after an unremarkable pregnancy. In the delivery room, she required some stimulation, oxygen, and a few breaths of bag and mask ventilation with positive pressure. Her Apgar scores were 7 and 9 at 1 and 5 minutes of life, respectively. A physical examination showed that she has microcephaly, with a head circumference of 30.5 cm (Figure 1). She has up-slanting and narrow palpebral fissures, epicanthal folds, a broad nasal bridge, a small nose with a beaked tip, and malformed external ears (Figure 2). Findings from her cardiovascular examination were normal. She has disproportionately long fingers with fifth clinodactyly. Figure 1. View LargeDownload Figure 2. View LargeDownload Initially, she would not nipple feed. When she did nipple feed, she would intermittently become cyanotic. The gross and histopathological examination of the placenta revealed no abnormalities. The infant's karyotype is shown in Figure 3. Figure 4 shows the long arm of chromosome 10. Figure 3. View LargeDownload Figure 4. View LargeDownload http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1998 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.152.5.507
Publisher site
See Article on Publisher Site

Abstract

A 2.25-KG, symmetric, small for gestational age girl was born after an unremarkable pregnancy. In the delivery room, she required some stimulation, oxygen, and a few breaths of bag and mask ventilation with positive pressure. Her Apgar scores were 7 and 9 at 1 and 5 minutes of life, respectively. A physical examination showed that she has microcephaly, with a head circumference of 30.5 cm (Figure 1). She has up-slanting and narrow palpebral fissures, epicanthal folds, a broad nasal bridge, a small nose with a beaked tip, and malformed external ears (Figure 2). Findings from her cardiovascular examination were normal. She has disproportionately long fingers with fifth clinodactyly. Figure 1. View LargeDownload Figure 2. View LargeDownload Initially, she would not nipple feed. When she did nipple feed, she would intermittently become cyanotic. The gross and histopathological examination of the placenta revealed no abnormalities. The infant's karyotype is shown in Figure 3. Figure 4 shows the long arm of chromosome 10. Figure 3. View LargeDownload Figure 4. View LargeDownload

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: May 1, 1998

Keywords: pregnancy,oxygen,respiration,karyotype determination procedure,physical examination,apgar score,delivery rooms,external ear,eyelid,infant, small for gestational age,masks,microcephaly,nipples,fingers,nose,placenta,environmental air flow,palpebronasal fold,cardiovascular examination and evaluation,head circumference,clinodactyly, congenital,fissure,arm of chromosome

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