정신지체와 주의력결핍 과잉행동장애를 보이는 Noonan 증후군 1예A Case Report of Noonan Syndrome with Mental Retardation and Attention-Deficit Hyperactivity Disorder
- Other Titles
- A Case Report of Noonan Syndrome with Mental Retardation and Attention-Deficit Hyperactivity Disorder
- Authors
- 김원우; 심세훈
- Issue Date
- 2012
- Publisher
- 대한소아청소년 정신의학회
- Keywords
- Noonan Syndrome; Mental Retardation; Attention-Deficit Hyperactivity Disorder; 누난 증후군; 정신지체; 주의력결핍 과잉행동장애
- Citation
- 소아 청소년 정신의학, v.23, no.1, pp.31 - 35
- Journal Title
- 소아 청소년 정신의학
- Volume
- 23
- Number
- 1
- Start Page
- 31
- End Page
- 35
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15879
- ISSN
- 1225-729X
- Abstract
- Noonan syndrome is characterized by short stature, typical facial dysmorphology, and congenital heart defects. The main facial features of Noonan syndrome are hypertelorism with down-slanting palpebral fissures, ptosis, and low-set posteriorly-rotated ears with a thickened helix. The cardiovascular defects most commonly associated with this condition are pulmonary stenosis and hypertrophic cardiomyopathy. Other associated features are webbed neck, chest deformity, mild intellectual deficit, cryptorchidism, poor feeding in infancy, bleeding tendency, and lymphatic dysplasias. The patient is a 10-year-old boy. He had experienced repeated febrile convulsions. He had typical facial features, a short stature, chest deformity, cryptorchidism, vesicoureteral reflux, and mental retardation. His language and motor development were delayed. When he went to school, it was difficult for him to pay attention, follow directions, and organize tasks. He also displayed behavior such as squirming, leaving his seat in class, and running around inappropriately. Clinical observation is important for the diagnosis, so we report a patient who was diagnosed with Noonan syndrome, mental retardation, and attention-deficit hyperactivity disorder.
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