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CDPX2

Macroscopical synopsis

- systemic anomalies

  • failure to thrive (early infancy)
  • mild-to-moderate growth deficiency
  • polyhydramnios
  • hydrops

- craniofacial anomalies

  • flat facies
  • hypoplasia of malar eminences
  • frontal bossing
  • dysplastic ears
  • hearing loss
  • short neck

- ocular anomalies

  • down-slanting palpebral fissures
  • cataract
  • nystagmus
  • microphthalmia
  • glaucoma

- visceral anomalies

  • tracheal calcifications
  • tracheal stenosis
  • hydronephrosis

- trunk anomalies

  • punctate calcific stippling sternum, ribs, coracoid process, and glenoid fossae of scapula
  • scoliosis
  • hemivertebrae
  • vertebral calcifications
  • calcific deposits of ischium and pubis

- limb anomalies

  • asymmetric limb shortening
  • epiphyseal stippling
  • dislocation of patella
  • punctate calcifications of carpals
  • bilateral club feet
  • punctate calcifications of tarsals

- cutaneous anomalies

  • congenital ichthyosiform erythroderma
  • follicular atrophoderma
  • ’orange peel’ skin (large pores)
  • ichthyosis
  • coarse, sparse hair
  • patchy areas of alopecia
  • sparse eyebrows
  • sparse eyelashes

- cerebrospinal anomalies

  • Dandy-Walker malformation
  • ventriculomegaly

Biochemical anomalies

- elevated 8(9)-cholestenol
- elevated 8-dehydrocholesterol

Etiology

- mutation in the gene encoding delta(8)-delta(7) sterol isomerase emopamil-binding protein (EBP) (MIM.300205)