J Korean Radiol Soc.
1981 Jun;17(1):31-45. 10.3348/jkrs.1981.17.1.31.
Radiologic findings of dwarfism
- KMID: 2463417
- DOI: http://doi.org/10.3348/jkrs.1981.17.1.31
Abstract
- The stature of human is very important factor in human-being, especially in childhood. The stature dependes onvarious different conditions, such as familial factor, constitutional factor, chromosomal anomalies, skeletaldisorders, or endocrinopathies. The early diagnosis of dwarfism is very important problem, becauase if appropriatetreatment is delayed, the complication or sequales are more increased. The survey of familial history or patient'shistory, detail chek up of physical examination, radiological evaluation and other laboratory examinations areessentially needed for the accurate diagnosis of dwarfism. Among the patients admitted to Yonsei Universitycollege of Medicine, Severance Hospital since 1963, with chief complaint of short stature or other associateddisease, an analysis of radiological findings were made for the 72 cases of chromosomal anomalies, skeletaldysplasia, and cretinism in which radiologic evaluation was available. The conclusions are as follows; 1. Thecauses of short stature are chromosomal anomalies(48 cases), skeletal dysplasia(14 cases) and cretinism(10 cases). 2. In chromosomal anomalies, 43 cases of mongolism and 5 cases of Turner's sydrome are noted. In mongolism, 18cases among the 30 cases below 1 year old are distributed below the 10 percentile of height. On radiologicfindings, 11 paired ribs (22/43), congenital heart disease(14/43), decreased iliac index (8/12), and associatedanomalies or diseases, such as pneumonia(14 cases), Cl-C2 dislocation (1 case), imperforated anus(1 case), Morgagni's hernia(1 case) and leukemia with sepsis(1 cases). In Turner's syndrome, decreased bone density (5/5),positive metacarpal sign(2/5), positive carpal sign(1/5), change of knee joint (3/5), hypoplasia of C1(1/3), andincreased carrying angle of elbows (1/3) are noted.
