내사시를 동반한 태아알코올증후군 1예

Abstract

Purpose: Here, we report a case of an infant with fetal alcohol syndrome with esotropia who was born to a mother who consumed a large quantity of alcohol during her pregnancy. Methods: A 1-year-old female infant visited our hospital for the main symptom of the esodeviation of the eye. The medical history of the mother and the delivery history were reviewed, and a physical examination and ophthalmic examination of the infant were performed. Results: At the first examination, the patient was 15 months old, her mass was 5,600 grams, her height was 70 cm, her head circumference was 39.5 cm, and her chest circumference was 41 cm; all the measurements were below the 3rd percentile. From the gestation age of 24 weeks, the mother consumed 1-2 bottles of sojoo every day, and the infant patient was delivered at the gestation age of 42 weeks by Cesarean section. The infant’s birth weight was 1,510 grams. Upon physical examination, her philtrum was found to be shallow, and microcephaly was detected. Upon ophthalmic examination, a refractive error +1.25 Dsph. was detected. With regard to the horizontal length of the palpebral fissure, the right and the left were 1.7 cm and 1.6 cm, respectively, which is considered short; telecanthus and esotropia were also present. Conclusions: To the best of our knowledge, this is the first reported case of fetal alcohol syndrome with accompanying esotropia.

목적 : 임신 기간중 다량의 알코올을 섭취했던 산모에게서 태어난 여아에서 내사시를 동반한 태아알코올증후군을 경험하였기에 1예를 보고하고자 한다. 대상과 방법 : 안구의 내측편위를 주소로 내원한 1세 여아와 산모의 병력청취, 출생력, 이학적 검사, 안검사를 시행하였다. 결과 : 초진시 환아는 생후 15개월로 신체 계측치는 체중 5600 g, 신장 70 cm, 두위 39.5 cm, 흉위 41 cm로 모두 3백분위수 미만이었다. 산모는 재태기간 24주부터 거의 매일 소주 1∼2병을 마셨으며 환아는 재태기간 42주에 제왕절개로 분만되었고 출생체중은 1510 g이었다. 이학적 검사상 인중은 얕고 소두증을 보였다. 안검사상 +1.25Dsph.의 굴절이상이 있었고 안검열의 수평길이는 우측, 좌측이 각각 1.7 cm, 1.6 cm으로 짧았고 두눈먼거리증과 내사시가 동반되어 있었다. 결론 : 저자들은 국내에서 아직까지 보고된 바 없는 내사시를 동반한 태아알코올증후군 1예를 경험하였기에 보고하는 바이다.