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我々は典型的なCockayne症候群3例と典型的とはいえない1例を経験し,全身所見および眼科的所見を報告するとともに,本邦の報告例を主として集めたなかから,典型的なCockayne症候群の眼科的所見の特長について考察した。
また全身所見では,日光過敏症を重視する必要を述べ,できれば皮膚のfibroblast cultureによる紫外線に対する感受性を検討することが,今後この疾患の本態の解明に役立つと共に,鑑別診断の根拠となる可能性があることを強調した。
We observed 3 typical cases and one atypical case of Cockayne's syndrome. The typical cases were an 8-year-old boy, a 9-year-old girl and a 4-year-old boy. The latter two cases were siblings. The atypical case was a 19-year-old girl. We tried to formulate the opthalmological features of typical Cockayne's syndrome based on our 3 typical cases, 7 cases reported in Japan and 2 cases each de-scribed by Cokaync and Neil.
The typical opthalmological features seem to be fundus changes simulating salt-and-pepper without pigment clumps, optic atrophy, diminished tear secretion, resistance to mydriatics and alternat-ing exotropia.
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