Clinical analysis of four patients with Schwartz-Jampel syndrome / 中华儿科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the clinical manifestation, diagnosis and treatment of Schwartz-Jampel syndrome (SJS).</p><p><b>METHOD</b>The clinical data, including demographic, laboratory tests (creatase, creatine kinase, etc.) and electromyography of 4 children with SJS were analyzed.</p><p><b>RESULT</b>All the 4 patients were male. The age of onset was from 0.5 to 1.25 years (average 0.83 years). The onset of 4 patients was insidious, the age to see doctor was from 2.17 to 10 years (average 5.92 years), body height was less than the third percentile rank in the children of same age and gender, they presented with facial expression stiffness, microstomia, difficult in opening mouth, blepharophimosis, limbs stiffness and, so formed a characteristic phenotype. Investigations showed the creatase in serum increased, creatine kinase (CK) 229 - 1039 U/L (normal value < 200 U/L), Creatine Kinase MB (CK-MB) 30 - 45 U/L (normal value < 25 U/L), lactate dehydrogenase (LDH) 455 - 716 U/L (normal value < 240 U/L). General myotonia potential was found in electromyography, osteoarticular deformities in medical imaging, and muscle biopsy in 2 patients showed type I muscle fibers differed in size and were disproportionate. All the patients took oral vitamin B, and received rehabilitation training, 1 patient took carbamazepine for 1 month, blepharophimosis and limbs stiffness was improved.</p><p><b>CONCLUSION</b>SJS is a rare autosomal recessive inherited disease. Clinical manifestations of SJS are characteristic facies, skeletal abnormalities, generous myotonia and short stature. Carbamazepine is effective for treatment.</p>