Charge Association

Figure 3.6. The same infant with Caffey's syndrome. Note that the left arm is normal but the right forearm is swollen and tender.

Caffey Syndrom

Figure 3.7. A radiograph showing die cortical hyperostosis of the jaw in an infant at the age of 4/2 months.

Figure 3.8. Lower extremity radiograph of die same infant at the age of 1 month. Note the early cortical hyperostosis of the femur and tibia.

Infant Lower Extremity

Figure 3.9. Follow-up radiograph of the lower extremity in the same infant at the age of 4/2 months shows the marked cortical hyperostosis of the left tibia. Periosteal thickening of the long bones with translucent bands at the distal epiphyseal ends is diagnostic. Later, the bones expand and the cortex is thinned. The enlarged medullary cavity has little trabeculation and the soft tissue is swollen. The condition is self-limiting.

Charge Coloboma

Figure 3.10. Infant with the CHARGE association. Occurrence is non-random and is characterized by coloboma, heart disease, atresia of the choanae, retarded postnatal growth and development, genitourinary anomalies, and ear anomalies and deafness. Most infants have some degree of mental deficiency. The coloboma commonly involves the retina but may range in severity from an isolated coloboma of the iris to anophthalmos.

Figure 3.10. Infant with the CHARGE association. Occurrence is non-random and is characterized by coloboma, heart disease, atresia of the choanae, retarded postnatal growth and development, genitourinary anomalies, and ear anomalies and deafness. Most infants have some degree of mental deficiency. The coloboma commonly involves the retina but may range in severity from an isolated coloboma of the iris to anophthalmos.

Figure 3.12. Cornelia de Lange's syndrome (Brachmann-de Lange syndrome: typus degenerativus amstelodamensis). One hundred percent of these infants have shortness of stature of prenatal onset, mental retardation and sluggish physical activity, hypoplastic nipples, initial hypertonicity and a low-pitched, weak, growling cry in infancy. Most of the infants have early feeding difficulties and early growth failure. In diis infant note the bushy eyebrows and micromelia.

Figure 3.12. Cornelia de Lange's syndrome (Brachmann-de Lange syndrome: typus degenerativus amstelodamensis). One hundred percent of these infants have shortness of stature of prenatal onset, mental retardation and sluggish physical activity, hypoplastic nipples, initial hypertonicity and a low-pitched, weak, growling cry in infancy. Most of the infants have early feeding difficulties and early growth failure. In diis infant note the bushy eyebrows and micromelia.

Syndrome Charge
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