CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2013; 05(06): 339-344
DOI: 10.4103/1947-489X.210567
Case Report

Seckel's-like syndrome with primordial dwarfism, marked mental retardation, and severe heart malformation

Farida Chentli
Department of Endocrinology and Metabolism, Bab El Oued Hospital, Algiers, Algeria
,
Siham Belahcene
Department of Endocrinology and Metabolism, Bab El Oued Hospital, Algiers, Algeria
,
Said Azzoug
Department of Endocrinology and Metabolism, Bab El Oued Hospital, Algiers, Algeria
› Author Affiliations

Introduction: Seckel's Syndrome, also called “Bird headed” syndrome was first described by Seckel in 1960. The very rare genetic and heterogeneous disorder, inherited in an autosomal recessive manner, is characterized by severe proportionate dwarfism of prenatal onset with mental retardation, dysmorphic facial features like a bird's with microcephaly, large beaked nose, and micrognathia. Our aim was to describe a typical case and give a focused literature review. Case report: A boy aged 7, with a birth weight of 1.9kg, whose parents are first cousins, was referred to our department for severe dwarfism. His mother reported hyperactivity and mental retardation. He weighed 8kg, measured 81cm (-6SD) and his cranial perimeter was 31 cm. He had a bird-like face with receding chin and forehead, large eyes, and prominent nose. In addition to his dysmorphic face, clinical examination showed kyphoscoliosis, flat feet, hypospadias and a systolic heart murmur heard in the pulmonic area of the chest, radiating into the back. There was no sign of right cardiac insufficiency. Echocardiography showed a large atrial-septal defect with enlarged right atrium and ventricle. Routine and haematological analyses were normal. Endocrine assessment was normal even for growth hormone and insulin growth factor (IGF-1). Psychological examination argued for severe mental retardation. Genetic screening was not available because of parents' low socioeconomic status. Conclusion: Consanguinity, intra and post natal severe dwarfism, mental retardation, body malformations with typical bird-headed aspect most likely indicate a diagnosis of Seckel's Syndrome worth being reported for its rarity.



Publication History

Received: 26 February 2013

Accepted: 09 July 2013

Article published online:
07 July 2022

© 2013. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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