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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제60권 제5호
발행연도
2019.1
수록면
484 - 486 (3page)

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Infantile cortical hyperostosis, or Caffey’s disease, usually presents with typical radiological features of soft tissue swelling andcortical thickening of the underlying bone. The disease can be fatal when it presents antenatally, especially before a gestationalage of 35 weeks. This fatal, premature form of the disease is known to occur in various ethnic groups around the globe, and approximately30 cases have been reported in English literature. This paper is unique in that it is the first paper to report a lethalform of prenatal-type infantile cortical hyperostosis diagnosed in South Korea. Born at gestational age of 27 weeks and 4 days, thepatient had typical features of polyhydramnios, anasarca, hyperostosis of multiple bones, micrognathia, pulmonary hypoplasia,and hepatomegaly. The patient was hypotonic, and due to pulmonary hypoplasia and persistent pulmonary hypertension, had tobe supported with high frequency ventilation throughout the entire hospital course. Due to the disease entity itself, as well as prolongedparenteral nutrition, liver failure progressed, and the patient expired on day 38 when uncontrolled septic shock was superimposed. The chromosome karyotype of the patient was normal, 46, XX, and COL1A1 gene mutation was not detected.

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