Tri-amelia and phocomelia with multiple malformations resembling Roberts syndrome in a fetus: is it a variant or a new syndrome?

Clin Genet. 1996 Dec;50(6):502-4. doi: 10.1111/j.1399-0004.1996.tb02722.x.

Abstract

Roberts-SC phocomelia syndrome is a rare autosomal recessive disorder characterized by morphological anomalies such as limb defects and midfacial clefting, and by premature centromeric division in chromosomal study. Although it has been regarded as a single genetic entity and includes various morphologic defects, babies are being reported nowadays with severe facial defects, tetra-amelia, and pulmonary abnormality, yet with normal chromosomal findings. We have added a case resembling Roberts syndrome with various congenital anomalies. A gestation with a fetus was terminated at 24 weeks of gestational age because of multiple fetal anomalies. Postmortem examination revealed a severe mid-facial cleft, tri-amelia and phocomelia, multiple encephaloceles, protruding and hypoteloric eyes, low-set ears, atrial septal defect of ostium secundum type, patent ductus arteriosus, bilateral two-lobed lungs with incomplete lobation, multiple visceral anomalies, a penis without scrotum, abnormal dermoglyphics, and absence of nipples.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / classification*
  • Abnormalities, Multiple / embryology
  • Abortion, Induced
  • Ectromelia / embryology
  • Ectromelia / genetics*
  • Fatal Outcome
  • Female
  • Gestational Age
  • Head / abnormalities*
  • Heart Defects, Congenital / embryology
  • Heart Defects, Congenital / genetics*
  • Humans
  • Male
  • Pregnancy
  • Syndrome