Pierre-Robin Syndrome (Robin Syndrome; Micrognathia-Glossoptosis Syndrome)
General: Etiology unknown; manifestations at birth; pathogenesis based on arrested fetal development; history 838f53i of intrauterine disturbance in early pregnancy (25% of cases); also increased incidence in offspring of mothers age 35 years or older; pathogenesis is thought to be incomplete development of the first brachial arch, which forms the maxilla and mandible.
Ocular: Microphthalmos; proptosis; ptosis; high myopia; glaucoma; cataract (rare); retinal disinsertion; megalocornea; iris atrophy; blue sclera; esotropia; conjunctivitis; distichiasis; vitreoretinal degeneration; retinal detachments.
Clinical: Micrognathia; cleft palate; glossoptosis; cyanosis; facial expression birdlike with flat base of nose and high-arched deformed palate with or without cleft; difficulty breathing.
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Robin P. La Chute de la Base de la Langue Consideree Comme une Nouvelle Cause de Gene dans Respiration Naso-Pharyngienne. Bull Acad Med 1923; 88:377.
Schreiner RL, et al. Stickler syndrome in a pedigree of Pierre Robin syndrome. Am J Dis Child 1973; 126:86-90.
Smith JL, et al. Ocular manifestations of the Pierre Robin syndrome. Arch Ophthalmol 1960; 63:984.
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