杏林大学呼吸器内科 『あんずの呼吸 part2』

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Non-syndromic brachydactyly, known as Shamoji-yubi or Mamushi-yubi in Japan

2013年10月01日 | 医局のソファー
BMJ Case Reports 2013; doi:10.1136/bcr-2013-201242
Non-syndromic brachydactyly, known as Shamoji-yubi or Mamushi-yubi in Japan

Takeshi Saraya1, Masae Ariga2, Aika Kato2, Hajime Goto1
1Department of Respiratory Medicine, Kyorin University, Mitaka, Japan
2Department of General Medicine, Jiundo Naika Hospital, Nerima, Tokyo, Japan

Correspondence to
Dr Takeshi Saraya

Description
A 67-year-old previously healthy woman was referred following an annual physical check-up. Physical examination was normal except for a short distal phalanx (SDP) of the right thumb with a broad tip (figure 1A). Furthermore, on the lateral view (figure 1B), the pulp of the right thumb was larger than that of the left, and had the appearance of a viper. Interestingly, her family pedigree showed that the inheritance pattern was a single autosomal dominant gene with incomplete penetrance (figure 2), and individuals had brachydactyly

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