Presentation
Although the clinical presentations of individuals with typical-sized deletions varied, several features were present in multiple individuals, including mental retardation and microcephaly. [ncbi.nlm.nih.gov]
They presented with congenital cardiac defects including patent ductus arteriosus. In addition, the patient had subvalvular aortic stenosis and his father had pulmonic stenosis. [jhu.pure.elsevier.com]
Unusual Clinical Presentation of the 3q29 Microdeletion Syndrome: Autism and Psychotic Symptoms. F. Quintero-Rivera 1, J. A. [ashg.org]
Entire Body System
- Falling
[…] of nervousness, tenseness, or panic, often in reaction to interpersonal stresses; worry about the negative effects of past unpleasant experiences and future negative possibilities; feeling fearful, apprehensive, or threatened by uncertainty; fears of falling [rarediseases.oscar.ncsu.edu]
A similar situation occurs in rare rearrangements of 17p11.2 associated with Smith-Magenis syndrome, in which the breakpoints do not fall within the paired segmental duplications that flank most deletions of this region or appear to be mediated by known [doi.org]
- Recurrent Otitis Media
otitis media Consultation with a clinical geneticist and/or genetic counselor Treatment of Manifestations The following measures are appropriate: Early speech and language therapy to address speech delays Physical therapy as necessary to address fine [ncbi.nlm.nih.gov]
Respiratoric
- Nasal Voice
voice 1 1 2/15 Six lumbar vertebrae 0 1 1/15 Cerebral sigmoid venous thrombosis 0 1 1/15 We also identified 19 individuals with microduplications of 3q29 (Fig. 1C ). [doi.org]
Gastrointestinal
- Failure to Thrive
Failure to thrive Weight faltering, Postnatal failure to thrive, Undergrowth, Poor weight gain [more] Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm. [rarediseases.oscar.ncsu.edu]
Infants with 3q29 microdeletion syndrome often have feeding difficulties and do not grow and gain weight at the expected rate (which is described as failure to thrive). [encyclopedia.pub]
Other common findings are failure to thrive and feeding problems in infancy that persist into childhood, heart defects (especially patent ductus arteriosus), gastrointestinal disorders (including gastroesophageal reflux disease), and dental abnormalities [ncbi.nlm.nih.gov]
- Chronic Diarrhea
Recurrent ear infections (32%) Gastrointestinal Feeding problems in childhood (42%) sometimes necessitating feeding by gastrostomy tube Gastroesophageal reflux disease (39%) Chronic constipation (22%) Dysphagia (12%) Hiatal hernia (5%) Chronic diarrhea [ncbi.nlm.nih.gov]
Jaw & Teeth
- Widely Spaced Teeth
High-arched palate, widely spaced teeth, clumsy gait, head banging, macrocephaly, patent ductus arteriosus, chest cavity deformity, and hypospadias were identified in one or two individuals (Table 1 ). [doi.org]
Twenty-four percent (n = 10) report crowded teeth, 24% (n = 10) report a high number of cavities, 19% (n = 8) report weak or soft tooth enamel, and 17% (n = 7) report widely spaced teeth (Table SIX). [onlinelibrary.wiley.com]
crowded teeth (24%); widely spaced teeth (17%), large gap between central incisors (12%) Abnormal tooth size: large (10%), small (7%) Missing teeth (5%) Penetrance Penetrance for the 3q29 recurrent deletion is not known. [ncbi.nlm.nih.gov]
Cardiovascular
- Thrombosis
[…] spaced teeth 2 0 2/15 Recurrent middle ear infections 1 1 2/15 Ligamentous laxity 0 1 1/15 Abnormal skin pigmentation 0 1 1/15 Horseshoe kidney 0 1 1/15 Hypospadias 1 1 2/15 Nasal voice 1 1 2/15 Six lumbar vertebrae 0 1 1/15 Cerebral sigmoid venous thrombosis [doi.org]
Eyes
- Almond-Shaped Eyes
eyes, mandibular hypoplasia, and tapered fingers. [ashg.org]
Ears
- Low-Set Posteriorly Rotated Ears
The clinical features common to three or more individuals in our cohort include microcephaly or small head, large low-set and posteriorly rotated ears, wide nasal bridge, and language delay. [doi.org]
Psychiatrical
- Head Banging
High-arched palate, widely spaced teeth, clumsy gait, head banging, macrocephaly, patent ductus arteriosus, chest cavity deformity, and hypospadias were identified in one or two individuals (Table 1 ). [doi.org]
- Suicidal Ideation
The propositi are a 10-year-old female and a 15-year-old male, who have in common intellectual disabilities, a history of autism and psychiatric symptoms ranging from bipolar disorder presenting with increasing suicidal ideation to aggressive behavior [ncbi.nlm.nih.gov]
The proband is a 10 year-old female with a history of autism and schizophrenia versus bipolar disorder presenting with increasing suicidal ideation, and dysmorphic features including: epicanthal folds, a broad nasal bridge with a prominent metopic suture [ashg.org]
Face, Head & Neck
- Long Narrow Face
There may also be a subtle pattern of characteristic facial features, including a long, narrow face; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. 2. [encyclopedia.pub]
There may also be a subtle pattern of characteristic facial features, including a long, narrow face; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. [medlineplus.gov]
There may also be a subtle pattern of characteristic facial features, including a long, narrow face ; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. 3q29 microdeletion syndrome appears to be [ghr.nlm.nih.gov]
However, most individuals exhibit mildly dysmorphic features, including a long, narrow face, short philtrum, high nasal bridge, and large ears. [doi.org]
- Broad Nasal Bridge
The proband is a 10 year-old female with a history of autism and schizophrenia versus bipolar disorder presenting with increasing suicidal ideation, and dysmorphic features including: epicanthal folds, a broad nasal bridge with a prominent metopic suture [ashg.org]
The phenotype was later expanded to include brachycephaly, midfacial hypoplasia, broad nasal bridge, highly arched palate, mandibular prognathism, malformed ears, short hands, mental retardation, and other less constant abnormalities. [icd10data.com]
nasal bridge, and cleft lip and palate), the spine (13 thoracic vertebrae and scoliosis or kyphosis), the heart, and the nervous system [ 4 ]. [biomedsearch.com]
Note the similar broad nasal bridge seen in both the parent and proband (a). A closer look at the proband reveals periorbital puffiness and slightly downward slanting palpebral fissures (b). [bmcmedgenomics.biomedcentral.com]
Although facial features associated with 2p15p16.1 deletion vary between individuals, most children have a distinctive appearance characterized by small head size ( microcephaly ), a high forehead, a broad nasal bridge, a prominent lower lip, and wide [portal.bsc.gwu.edu]
- Beaked Nose
The major phenotypic features involve nearly all of the systems, including the head and neck (microcephaly, dolichocephaly, trigonocephaly, retro-micrognathia, large abnormally shaped posteriorly rotated and low-set ears, prominent or beaked nose, broad [biomedsearch.com]
- High Nasal Root
In particular, mild to moderate cognitive deficits, speech delay, low birth weight, a high nasal root, and ocular abnormalities are common findings (Table 1). [bmcmedgenomics.biomedcentral.com]
Neurologic
- Hyperactivity
Other, less common, behavior problems that have been noted include hyperactivity, attention deficit hyperactivity disorder (ADHD), aggression, and autism spectrum disorder. [portal.bsc.gwu.edu]
The patient has language-based learning disabilities and behavioral features consistent with diagnoses of autism and attention deficit hyperactivity disorder (ADHD) of the inattentive type. [owlapps.net]
[…] and 50% cases Cleft lip Commonly - More than 50% cases Small for gestational age Not very common - Between 30% and 50% cases Prominent nose Commonly - More than 50% cases Pectus carinatum Not very common - Between 30% and 50% cases Attention deficit hyperactivity [mendelian.co]
- Dysphasia
Learning problems Speech delay (60%) Receptive language delay (33%) Verbal apraxia (a motor speech disorder) (19%) Short-term memory problems (17%) Visual processing deficits (12%) Dysphasia/aphasia (10%) Auditory processing disorder (7%) Neuropsychiatric [ncbi.nlm.nih.gov]
- Hyporeflexia
In the first year of life Feeding problems (64%) and failure to gain weight (39%) Jaundice (34%) Hypotonia (34%) and hyporeflexia (7%) Respiratory distress (25%) (although this may have to do with normal respiratory disease due to RSV, parainfluenza, [ncbi.nlm.nih.gov]
Workup
The workup required for individual tests and families varies considerably, so the lab may require some advance warning even after a test request has been approved. [nhslothian.scot.nhs.uk]
Microbiology
- Chlamydia
The prenatal history included a maternal chlamydia infection at 3 months gestational age (treated with antibiotics) and intrauterine growth restriction. [bmcmedgenomics.biomedcentral.com]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Certain infections in pregnancy Preterm birth Often there is no cure, but treatment can help the symptoms. Treatments include physical, speech, and occupational therapy. Special education classes and psychological counseling can also help. [medlineplus.gov]
Diagnosis of 3q29 microdeletion syndrome may be suspected by symptoms but is confirmed by genetic testing .[4] Treatment is based on signs and symptoms of each person and may include surgeries to repair any physical abnormalities, speech therapy, behavior [rarediseases.info.nih.gov]
Prognosis
Prognosis he prognosis depends on the malformations (cardiac, cerebral or intestinal) associated with the 2q37 deletion. The documents contained in this web site are presented for information purposes only. [orpha.net]
Prognosis Treatment takes place over several years as the child grows and the palate and dentition develop. However, it is possible to achieve a normal appearance, and normal speech and eating habits, early in the process. [patient.info]
Triple Hit Lymphoma: Rare Cases with Less Dire than Usual Prognosis. Int J Surg Pathol. 2016 Dec;24(8):709-714. Epub 2016 Jun 29. PMID: 27363433. Abstract here. [pathology.ucla.edu]
Etiology
Etiology The syndrome is caused by a recurrent deletion of the 3q subtelomeric region. The microdeletion is commonly 1.6 Mb in length and encompasses more than 20 genes. [orpha.net]
These genes are related to neuronal postsynaptic membrane function and PTEN signaling, suggesting a role for synaptic connectivity dysfunction in the etiology of autism in these children. [ncbi.nlm.nih.gov]
Elsevier Health Sciences, ١٨/٠٨/٢٠١٣ - 979 من الصفحات Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.com]
Elsevier Health Sciences, 18 ago. 2013 - 979 páginas Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.es]
Epidemiology
Summary Epidemiology It has been described in 23 patients. Clinical description The clinical phenotype is extremely variable. [orpha.net]
This new edition contains several chapters on the associated problems of autism, such as intellectual disability, epilepsy, tics, eating disorders and sleep problems, as well as a chapter on epidemiology that documents the historical increase in autism [books.google.com]
An epidemiological study in 2012 looked at 30 countries from 2002 to 2006 and suggested a worldwide incidence of around 0.8/1,000 live births, about half the rates reported in older literature. [ 3 ] CLP is more common in Asian populations and in Native [patient.info]
Saulnier Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA Jennifer Gladys Mulle Department of Cell Biology, Emory University School of Medicine, Atlanta, GA, USA Gary J. [nature.com]
Pathophysiology
The novel clinical presentation of our patients expands the clinical spectrum of the 3q29 microdeletion syndrome and provides additional insights into the pathophysiology of autism and psychiatric disorders. Copyright © 2010 Wiley-Liss, Inc. [ncbi.nlm.nih.gov]
The novel clinical presentation of our patients expands the clinical spectrum of the 3q29 microdeletion syndrome and provides additional insights into the pathophysiology of autism and psychiatric disorders. To Access Article, Click Here [empiregenomics.com]
This project will help us to understand the core pathophysiology underlying neurodevelopment and neuropsychiatric phenotypes. [grantome.com]
Prevention
Prevention Identification of modifiable risk factors is the first step towards primary prevention: Pre-pregnancy planning seems to reduce risk. [patient.info]
Published on behalf of the Royal College of Psychiatrists, the journal’s overriding concern is to improve the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally. [bjp.rcpsych.org]
Vincent Hospital, Indianapolis, IN, USA (6) Department of Preventive Medicine, University of Mississippi Medical Center, Jackson, MS, USA (7) Division of Medical Genetics, Duke University Medical Center, Durham, NC, USA (8) The Children's Hospital of [doi.org]