Summary:
Hallermann-Streiff-Francois syndrome of oculomandibulodyscephaly is apparent at birth due to multiple
anomalies with wide phenotypic variability. The familial occurrence was described in siblings as well as in
consecutive generations, but usually occurs sporadically. Sex ratio is normal. The determination is considered in
fresh dominant mutation of postzygotic origin. Intelligence is normal but shortness of stature and facial dysmorphy
may impair psychologic adjustment. The features are brachycephaly with frontal and pariental bossing, bird-like
face due to beaked nose and hypoplastic mandibula, microphthalmia, cataract, delayed ossification and closure of
the fontanells and sutures. Signal sign is hypoplasia of the rami mandibuli and anterior displacement of the
temporomandibular joint. Stature is proporcional small, hypogenitalism in boys and muscle hypotonia with
vertebral anomalies could be features. The patients should be control by ophthalmologist, stomatologist, ortopedist,
during infancy respiratory and feeding problems are uncommon. Here is refered 5-year-old boy with mild
manifestation of Hallermann-Streiff-Francois syndrome and is compared his fenotype with the features in other
5 patients.
Key words:
Hallermann-Streiff-Francois syndrome, oculomandibulodyscephaly, short proportional stature,
normal inteligence, fresh dominant mutation postzygotic
|