Description

Perlman syndrome is an overgrowth syndrome first described in 1973. It overlaps with Beckwith-Wiedemann Syndrome (BWS) and Simpson-Golabi-Behmel Syndrome (SGBS).


 

Inheritance: autosomal recessive or sporadic

 

Clinical features:

(1) neonatal macrosomia (gigantism)

(2) polyhydramnios and fetal ascites but without hydrops

(3) renal anomalies: nephromegaly, dysplasia with polycystic kidneys, bilateral hamartomas, nephroblastomatosis

(4) abdominal muscular hypoplasia and muscular hypotonia

(5) other visceromegaly

(6) distinctive facial appearance: macrocephaly

(7) cryptorchidism in males

(8) severe neurodevelopmental deficits with generalized cerebral atrophy

(9) variable other anomalies: cardiac defects, congenital diaphragmatic hernia, thymus hyperplasia

 

Complications:

(1) Wilm’s tumor

(2) respiratory failure

(3) death soon after birth or infancy

 


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