Silver-Russell syndrome (SRS) is a rare genetic disorder with non-specific manifestations and severity, so that the clinical diagnosis of SRS remains difficult. We reported a 23-year-old female patient with SRS characterized with short body stature, asymmetry, obesity, fifth finger clinodactyly and dislocation of hip. The patient had a past history of lengthening operation on the right lower limb at the age of 10. Chromosome analysis revealed (46, XX). The patient was admitted due to severe asymmetry in low extremities caused by right-side obesity. After successful orthopedic surgery in the right hips and thighs the symptoms of patient were relieved.
Silver-Russell综合征是罕见遗传性疾病, 临床表现异质性大, 故诊断困难。1例成人女性Silver-Russell综合征患者, 以身材矮小、肢体不对称伴右侧肥胖、第五手指弯斜和髋关节脱位为主要临床表现, 染色体检测提示(46, XX)。患者10岁时曾行右下肢延长手术。入院时肢体不对称伴右侧肥胖影响肢体功能, 入院后行右侧臀部和大腿整形术, 术后运动功能好转。