
Bartsocas-Papas Syndrome: A Lethal Multiple Pterygium Syndrome
Correspondence Address :Dr. Sumita Mehta,
Specialist, Department of Obstetrics and Gynaecology, Babu Jagjivanram Memorial
Hospital, Delhi, India.
E-mail: sumitadr@gmail.com
Bartsocas-Papas Syndrome (BPS) is a very rare autosomal recessive syndrome characterised by marked craniofacial deformities, multiple pterygia of various joints, limb and genital abnormalities. It is mostly associated with mutation in the gene encoding Receptor Interacting Serine/Threonine Kinase 4 (RIPK4) required for keratinocyte differentiation. The syndrome is generally lethal and majority of babies die in-utero or in the early neonatal period. This is a report about a neonate born with characteristic clinical features of BPS including severe craniofacial and ophthalmic abnormalities, limb deformities and multiple pterygia at popliteal, axillary and inguinal region. The baby had respiratory distress at birth and was managed conservatively on Continuous Positive Airway Pressure (CPAP)/Oxygen hood and injectable antibiotics for two weeks and then referred for further work-up to a tertiary hospital. The parents took the baby home against the advice of the treating doctors and she subsequently died after 10 days. BPS is associated with high mortality and so all efforts should be directed towards diagnosing it early antenatally when termination of pregnancy is a viable option. This is possible by having a high index of suspicion in couples with consanguineous marriages or with a positive family history.
Craniofacial abnormalities, Genitals, Joints, Limb, Mutation, Popliteal pterygium syndrome
10.7860/JCDR/2021/45819.14401
Date of Submission: Jul 11, 2020
Date of Peer Review: Jul 28, 2020
Date of Acceptance: Nov 24, 2020
Date of Publishing: Jan 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jul 13, 2020
• Manual Googling: Nov 24, 2020
• iThenticate Software: Dec 19, 2020 (11%)
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