A case series of CHARGE syndrome: identification of key features for a neonatal diagnosis

Abstract Background An early diagnosis of CHARGE syndrome is challenging, especially for the primary care physicians who often take care of neonates with multiple congenital anomalies. Here we report eight cases of CHARGE syndrome whose diagnosis was made early in life with the intent to identify th...

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Main Authors: Maria Francesca Bedeschi (Author), Beatrice Letizia Crippa (Author), Lorenzo Colombo (Author), Martina Buscemi (Author), Cesare Rossi (Author), Roberta Villa (Author), Silvana Gangi (Author), Odoardo Picciolini (Author), Claudia Cinnante (Author), Viola Giulia Carlina Fergnani (Author), Paola Francesca Ajmone (Author), Elisa Scola (Author), Fabio Triulzi (Author), Fabio Mosca (Author)
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Published: BMC, 2020-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Maria Francesca Bedeschi  |e author 
700 1 0 |a Beatrice Letizia Crippa  |e author 
700 1 0 |a Lorenzo Colombo  |e author 
700 1 0 |a Martina Buscemi  |e author 
700 1 0 |a Cesare Rossi  |e author 
700 1 0 |a Roberta Villa  |e author 
700 1 0 |a Silvana Gangi  |e author 
700 1 0 |a Odoardo Picciolini  |e author 
700 1 0 |a Claudia Cinnante  |e author 
700 1 0 |a Viola Giulia Carlina Fergnani  |e author 
700 1 0 |a Paola Francesca Ajmone  |e author 
700 1 0 |a Elisa Scola  |e author 
700 1 0 |a Fabio Triulzi  |e author 
700 1 0 |a Fabio Mosca  |e author 
245 0 0 |a A case series of CHARGE syndrome: identification of key features for a neonatal diagnosis 
260 |b BMC,   |c 2020-04-01T00:00:00Z. 
500 |a 10.1186/s13052-020-0806-8 
500 |a 1824-7288 
520 |a Abstract Background An early diagnosis of CHARGE syndrome is challenging, especially for the primary care physicians who often take care of neonates with multiple congenital anomalies. Here we report eight cases of CHARGE syndrome whose diagnosis was made early in life with the intent to identify the most helpful features allowing a prompt clinical diagnosis. Methods Medical records of patients with CHARGE syndrome whose diagnosis was made at the Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico in Milan, Italy were retrospectively reviewed. Results Taken together, these patients reflect the considerable phenotypic variability of the syndrome; in one patient, the diagnosis was made immediately after birth because all the major criteria were met. In six patients, presenting with relatively nonspecific defects, a temporal bone computerized tomography scan was essential to achieve the correct diagnosis. In one patient, the diagnosis was made later than the others were. A careful examination revealed the presence of outer, middle, and inner ear anomalies: these elements, in the absence of any additional major criteria, represented for us an important diagnostic clue. Conclusions This article suggests that an accurate evaluation of the ear should be made every time CHARGE syndrome is considered as a likely diagnosis even when the standard criteria are not fulfilled. 
546 |a EN 
690 |a CHARGE syndrome 
690 |a Early diagnosis 
690 |a Ear malformations 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Italian Journal of Pediatrics, Vol 46, Iss 1, Pp 1-7 (2020) 
787 0 |n http://link.springer.com/article/10.1186/s13052-020-0806-8 
787 0 |n https://doaj.org/toc/1824-7288 
856 4 1 |u https://doaj.org/article/57d29e43f5e14d71bcd0eb181bdebc71  |z Connect to this object online.