Rosenthal-Kloepfer Syndrome

At a glance

A rare syndrome where affected patients are tall with large extremities corneal leukoma, and skin modifications.

Synonym

Acromegaloid Changes, Cutis Verticis Gyrata, Corneal Leukoma Syndrome.

Incidence

Very rare. Originally described in four generations of a Louisiana black family.

Genetic inheritance

Autosomal dominant.

Clinical aspects

Features involve eyes (corneal leukoma usually presents in first decade, progressing to total blindness), skin (excessive skin undulation on face, typically in coronal direction [cutis verticis gyrata]; skin on the hand is usually soft with abnormal dermal “split ridges” palm), and skeleton (acromegaloid changes with progressive enlargement, hand, feet, and chin, large and unusually tall). No evidence of pituitary dysfunction. Affected individuals have normal daily function and expectancy. Skull radiograph shows enlarged jaw, normal sella turcica.

Anesthetic considerations

No reports; however, vascular access could be difficult because of skin changes.

References