Journal List > J Korean Surg Soc > v.80(3) > 1011260

Lee, Byun, and Hong: Goltz Syndrome Associated with Omphalocele

Abstract

Goltz syndrome is a rare congenital disorder characterized by ectodermal and mesodermal dysplasia with multisystem defects. It was first reported in 1962 by Goltz as a focal dermal hypoplasia. More than 200 cases of Goltz syndrome were reported in the world literature, and 5 cases have been reported in Korea since 1994. There were few descriptions in the literature regarding surgical experience in Goltz syndrome. We report a female neonate born with omphalocele associated with Goltz syndrome that included typical cutaneous manifestations and a lobster-claw defect of the left foot. Omphalocele was successfully closed by staged reduction without any wound problems.

Figures and Tables

Fig. 1
Omphalocele and multiple macular erythematous skin lesions in anterior and lateral aspect of trunk, both upper and lower extremities.
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Fig. 2
Abnormal shaped left ear.
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Fig. 3
Lobster-claw shaped anomaly of left foot.
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Fig. 4
Light microscopy of affected skin. The epidermis is normal. The dermis is replaced by adipose tissue. A thin layer of collagen is seen beneath the basal membrane. H&E stain, ×100.
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References

1. Goltz RW, Peterson WC, Gorlin RJ, Ravits HG. Focal dermal hypoplasia. Arch Dermatol. 1962. 86:708–717.
2. Goltz RW. Focal dermal hypoplasia syndrome: an update. Arch Dermatol. 1992. 128:1108–1111.
3. Nuchtern JG, Baxter R, Hatch EI Jr. Nonoperative initial management versus silon chimney for treatment of giant omphalocele. J Pediatr Surg. 1995. 30:771–776.
4. Barre V, Drouin-Garraud V, Marret S, Young P, Bachy B, Lechevallier J, et al. Focal dermal hypoplasia: description of three cases. Arch Pediatr. 1998. 5:513–516.
5. Pujol RM, Casanova JM, Pérez M, Matias-Guiu X, Planagumà M, de Moragas JM. Focal dermal hypoplasia (Goltz syndrome): report of two cases with minor cutaneous and extracutaneous manifestations. Pediatr Dermatol. 1992. 9:112–116.
6. Paller AS. Wnt signaling in focal dermal hypoplasia. Nat Genet. 2007. 39:820–821.
7. Temple IK, MacDowall P, Baraitser M, Atherton DJ. Focal dermal hypoplasia (Goltz syndrome). J Med Genet. 1990. 27:180–187.
8. Büchner SA, Itin P. Focal dermal hypoplasia syndrome in a male patient. Report of a case and histologic and immunohistochemical studies. Arch Dermatol. 1992. 128:1078–1082.
9. Ascherman JA, Knowles SL, Troutman KC. Extensive facial clefting in a patient with Goltz syndrome: multidisciplinary treatment of a previously unreported association. Cleft Palate Craniofac J. 2002. 39:469–473.
10. Kunze J, Heyne K, Wiedemann HR. Diaphragmatic hernia in a female newborn with focal dermal hypoplasia and marked asymmetric malformations (Goltz-Gorlin syndrome). Eur J Pediatr. 1979. 131:213–218.
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