title: A female infant with Silver Russell Syndrome, mesocardia and enlargement of the clitoris.
abstract: Silver Russell Syndrome (SRS) is a rare condition (1/3000 - 1/100,000 newborns). We present a female infant with SRS, cardiac malposition and asymmetric enlargement of the clitoris. She is the first child of Greek nonconsanguinous parents, born at 38 weeks gestation, following in vitro fertilisation (IVF). The patient had intrauterine growth retardation, body asymmetry, enlarged clitoris, hemihypertrophy of external genitalia and features characteristic of SRS. Electrocardiography and chest X-rays revealed a median position of the heart. The infant fulfilled the criteria proposed by Price et al for SRS. Genetic analysis did not reveal mUPD of chromosome 7. This is the first report of a patient with SRS presenting ìmesocardiaî and asymmetric enlargement of the clitoris. Our case constitutes another paradigm of SRS following IVF, which possibly supports the hypothesis that IVF may be associated with higher prevalence of SRS than natural fertilisation.
authors: 4th Department of Pediatrics, Medical School, Aristotle University of Thessaloniki, Greece. galtsin@otenet.gr
authors: Assimina
authors: A
authors: Galli-Tsinopoulou
authors: Eleftheria
authors: E
authors: Emmanouilidou
authors: Paraskevi
authors: P
authors: Karagianni
authors: Maria
authors: M
authors: Grigoriadou
authors: John
authors: J
authors: Kirkos
authors: George S
authors: GS
authors: Varlamis
mesh_terms: D000015:Abnormalities, Multiple / Q000473:pathology*; D002987:Clitoris / Q000002:abnormalities* / Q000473:pathology; D004562:Electrocardiography; D005260:Female; D005307:Fertilization in Vitro; D005317:Fetal Growth Retardation / Q000473:pathology; D005836:Genitalia, Female / Q000002:abnormalities; D006128:Growth / Q000502:physiology; D006330:Heart Defects, Congenital / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D013577:Syndrome