A concurrent occurrence of cutis laxa, Dandy-Walker syndrome and immunodeficiency in a girl.
We report on a 17-y-old girl with inherited cutis laxa, immunodeficiency and Dandy-Walker syndrome. Immunodeficiency manifested itself by decreased and fluctuating levels of IgG, IgA and IgM and intermittent leucopenia causing increased susceptibility to respiratory tract infections. Dandy-Walker syndrome (agenesis of the cerebellar vermis with a large posterior fossa cyst communicating with an enlarged 4th ventricle) was shown on a CT scan but with the exception of macrocrania, no typical signs or symptoms were observed at the age of 17. Loose hyperextensible skin with pendulous skinfolds as a manifestation of cutis laxa was observed from birth. Anomalies of the right pulmonary artery, abnormal branching of the left arteria subclavia (arteria lusoria) from the left aortic arch and bicuspidal aortic valve were also present.


CONCLUSIONS
The combination of the rare disorders cutis laxa, Dandy-Walker syndrome and immunodeficiency is reported here for the first time.
Litzman
J
J
Department of Clinical Immunology and Allergology, Masaryk University, St. Anne's University Hospital, Brno, Czech Republic. jiri.litzman@fnusa.cz
Bucková
H
H
Ventruba
J
J
Holcíková
A
A
Mikyska
P
P
Lokaj
J
J
D000293:Adolescent; D000361:Agammaglobulinemia / Q000150:complications* / Q000175:diagnosis / Q000235:genetics; D001921:Brain / Q000002:abnormalities; D041321:Chromosomes, Human, X / Q000235:genetics; D003483:Cutis Laxa / Q000150:complications* / Q000175:diagnosis / Q000235:genetics; D003616:Dandy-Walker Syndrome / Q000150:complications* / Q000175:diagnosis / Q000235:genetics; D005260:Female; D006801:Humans; D007970:Leukopenia / Q000150:complications* / Q000175:diagnosis / Q000235:genetics; D008279:Magnetic Resonance Imaging; D017354:Point Mutation / Q000235:genetics; D013348:Subclavian Artery / Q000002:abnormalities