Presentation
Other skeletal features of the radial ray syndrome including absence of the radial and ulnar bones are variably present. [disorders.eyes.arizona.edu]
The book covers entire panorama of science and clinical practice of orthodontics, from basics to clinical, presented in 58 chapters organised in 15 sections. [books.google.de]
Some tissue(s) of the eye may fail to close, presenting as a notch (coloboma) of varying size. In about one-third of cases, the patient presents with a cyst on the eye (dermoids cyst). [rarediseases.org]
The diagnosis is further substantiated if vertebral anomalies are present in addition to the triad. The diagnosis becomes more difficult if additional symptoms are present. [jomfp.in]
A macrostomia was present on the affected side. A preauricular tag was present, but the auricle is only mildly displaced and anteriorly rotated. [pocketdentistry.com]
Entire Body System
- Short Stature
[…] of the lung Leukemia Anonychia Renal cell carcinoma Synostosis of carpal bones Stillbirth Arthritis Pancreatic squamous cell carcinoma Severe short stature Delayed skeletal maturation Kyphosis Gait disturbance Pain Milia Growth delay Pica Short stature [mendelian.co]
[…] foot ; Short metacarpal ; Short phalanx of finger ; Short stature ; Wide nasal base Associated Genes - Mouse Orthologs - Source OMIM:264475 (names, synonyms, disease associated genes), Orphanet (disease classes), HGNC, Ensembl, MGI (gene symbols, gene [mousephenotype.org]
stature, Pierre Robin sequence, cleft mandible, hand anomalies, clubfoot syndrome Short stature, unique facies, enamel hypoplasia, progressive joint stiffness, high-pitched voice syndrome Skull congenital deformities Smith Fineman Myers syndrome Sonoda [icdlist.com]
STATURE, AND IMPAIRED GLUCOSE METABOLISM + MICROCEPHALY, SHORT STATURE, AND IMPAIRED GLUCOSE METABOLISM 1 MICROCEPHALY, SHORT STATURE, AND IMPAIRED GLUCOSE METABOLISM 2 MICROCEPHALY, SHORT STATURE, AND POLYMICROGYRIA WITH OR WITHOUT SEIZURES Microcephaly-Capillary [rgd.mcw.edu]
stature 60 33 frequent (33%) Frequent (79-30%) HP:0004322 10 micrognathia 60 33 frequent (33%) Frequent (79-30%) HP:0000347 11 delayed eruption of teeth 60 33 frequent (33%) Frequent (79-30%) HP:0000684 12 short foot 60 33 frequent (33%) Frequent (79 [malacards.org]
- Short Finger
[…] stature Skeletal Spine: kyphoscoliosis Head And Neck Teeth: anodontia malocclusion delayed dental eruption supernumerary teeth darkly colored teeth (reddish-brown) Skeletal Hands: short fingers single flexion crease fingers 2, 3, +/-5 hypoplastic thenar [malacards.org]
Hand anomalies include short fingers, hypoplasia of thenar and hypothenar eminences and cutaneous syndactyly. Feet are small with a peculiar shape, wide space between toes 1 and 2 and syndactyly type 1 (see this term). [orpha.net]
Hands The hands may have a characteristic shape with broad palms and with a “hockey-stick” palmar crease, short fingers and small malformed thumbs. [entokey.com]
- Amyloidosis
AA [↗] Amyloidosis AL [↗] Amyloidosis, Ostertag type [↗] Amylopectinosis [↗] Amyoplasia congenita [↗] Amyotrophic lateral sclerosis [↗] Amyotrophic lateral sclerosis, hemiplegic type [↗] Amyotrophic lateral sclerosis-parkinsonism-dementia complex [↗] [wikicure.wikia.com]
Muckle-Wells syndrome (urticaria, deafness, and amyloidosis) ... Renal tubular acidosis and hearing loss. This is an autosomal recessive condition ... Townes-Brock syndrome. This autosomal dominant condition can be quite variable within families. [ibis-birthdefects.org]
Elliptocytosis Alsing Syndrome Alstrom syndrome Alves Castelo dos Santos Syndrome Ameloonychohypohidrotic Syndrome Amino Aciduria with Mental Deficiency, Dwarfism, Muscular Dystrophy, Osteoporosis, and Acidosis Amish Lethal Microcephaly Amniotic Band Syndrome + Amyloidosis [rgd.mcw.edu]
Musculoskeletal
- Osteoporosis
There is an autosomal disorder, Cheney syndrome [MIM*102500], in which this finding is combined with sutural (wormian) bones, hypoplasia of the mandibular rami, and basilar osteoporosis. See also: Cheney syndrome. [medical-dictionary.thefreedictionary.com]
Updated clinical guidelines for diabetes, lipid disorders, obesity management, osteoporosis, and more, as well as essential treatment updates for the medical management of acromegaly, Cushing's Disease, hypercalcemia, and diabetes mellitus. [books.google.de]
Bone Mineral Density Quantitative Trait Locus Osteoporosis, Involutional Osteoporosis, Postmenopausal BMND 166710 Genetic Test Registry Osteoporosis-Pseudoglioma Syndrome Osteogenesis Imperfecta, Ocular Form OPPG OPS 259770 Genetic Test Registry Otofaciocervical [ukgtn.nhs.uk]
Syndrome Alport Syndrome, Mental Retardation, Midface Hypoplasia, and Elliptocytosis Alsing Syndrome Alstrom syndrome Alves Castelo dos Santos Syndrome Ameloonychohypohidrotic Syndrome Amino Aciduria with Mental Deficiency, Dwarfism, Muscular Dystrophy, Osteoporosis [rgd.mcw.edu]
- Thumb Hypoplasia
Halal F et al. (1984) Acro-renal-ocular syndrome: autosomal dominant thumb hypoplasia, renal ectopia, and eye defect. 4. Ferrell RL et al. (1966) Simultaneous occurrence of the Holt-Oram and the Duane syndromes. 5. [moldiag.com]
Saudi Medical Journal 26(7): 1161; Author Reply 1161-2, 2005 Acro-renal-ocular syndrome: autosomal dominant thumb hypoplasia, renal ectopia, and eye defect. [eurekamag.com]
Acro-renal-ocular syndrome: autosomal dominant thumb hypoplasia, renal ectopia, and eye defect. Am J Med Genet 1984 ; 17 : 753 –62. ↵ Naito T, Kida H, Yokoyama H, Abe T, Takeda S, Uno D, Hattori N. [jmg.bmj.com]
Duane-Radial Ray syndrome allelic to AROS is characterized by Duane eye anomaly, radial ray malformations like triphalangeal thumb, preaxial polydactyly, hypoplasia/aplasia of the thumb and radii, shortening and radial deviation of the forearm. [academic.oup.com]
Eyes
- Blepharoptosis
[…] of ocular anterior segment AD FOXE3,PITX3 #107250 APERT SYNDROME Shallow orbits, proptosis, hypertelorism, downslanting palpebral fissures AD FGFR2 #101200 ARIMA SYNDROME Chorioretinal coloboma, retinal dystrophy, nystagmus, abnormal eye movements, blepharoptosis [eyewiki.aao.org]
[…] of ocular anterior segment/AD/FOXE3, PITX3/#107250 APERT SYNDROME/Shallow orbits, proptosis, hypertelorism, downslanting palpebral fissures/AD/FGFR2/#101200 ARIMA SYNDROME/Chorioretinal coloboma, retinal dystrophy, nystagmus, abnormal eye movements, blepharoptosis [eyewiki.org]
Ears
- Hearing Impairment
Mixed hearing impairment Mixed hearing loss A type of hearing loss resulting from a combination of conductive hearing impairment and sensorineural hearing impairment. [rarediseases.oscar.ncsu.edu]
impairment 60 33 frequent (33%) Frequent (79-30%) HP:0000407 9 short stature 60 33 frequent (33%) Frequent (79-30%) HP:0004322 10 micrognathia 60 33 frequent (33%) Frequent (79-30%) HP:0000347 11 delayed eruption of teeth 60 33 frequent (33%) Frequent [malacards.org]
Present in only 50% of all children among whom substantial hearing impairment is eventually diagnosed ... [ibis-birthdefects.org]
impairment ; High palate ; Hypotelorism ; Increased number of teeth ; Kyphoscoliosis ; Low-set ears ; Micrognathia ; Narrow palate ; Numerous nevi ; Pectus excavatum ; Pseudopapilledema ; Sandal gap ; Short foot ; Short metacarpal ; Short phalanx of [mousephenotype.org]
The patient declined a hearing test. His mother had a hearing impairment from an early age, and a female cousin had a left hypoplastic optic disc, but did not have the Duane anomaly. Figure 4 (A) Left hand of patient 4. (B) Right hand of patient 4. [jmg.bmj.com]
Skin
- Ulcer
[…] ac·ro·os·te·ol·y·sis (ak'rō-os-tē-ol'i-sis), [MIM*102400] Congenital condition manifested by palmar and plantar ulcerating lesions with osteolysis involving distal phalanges of the fingers and toes. [medical-dictionary.thefreedictionary.com]
Purple papules and macules appear, which in some instances are painful and become ulcerated. [text.123docz.net]
/Numerous/#154500, #613717, #248390 TUBEROUS SCLEROSIS/Retinal hamartomas, adenoma sebaceum of eyelids/AD (2/3 de novo)/TSC1 and TSC2/#191100, #613254 TURNER SYNDROME/Hypertelorism /Most not inherited /SHOX/- TYROSINEMIA, TYPE II/Herpetiform corneal ulcers [eyewiki.org]
AR Numerous #154500, #613717, #248390 TUBEROUS SCLEROSIS Retinal hamartomas, adenoma sebaceum of eyelids AD (2/3 de novo) TSC1 and TSC2 #191100, #613254 TURNER SYNDROME Hypertelorism Most not inherited SHOX - TYROSINEMIA, TYPE II Herpetiform corneal ulcers [eyewiki.aao.org]
- Palmar Keratosis
keratosis partial syndactyly more Skin Nails Hair Skin: multiple pigmented nevi palmar keratosis poorly developed palmar creases Head And Neck Nose: broad nasal base Endocrine Features: partial growth hormone deficiency Chest Ribs Sternum Clavicles And [malacards.org]
Workup
X-Ray
- Delayed Bone Age
The most common features that have been reported include generalized obesity starting from early childhood; macrocephaly; ocular abnormalities (especially retinal or choroid coloboma); delayed bone age; and intellectual disability. [diseaseinfosearch.org]
bone age Skeletal Feet: small feet widely spaced 1st-2nd toes zygodactyly short 3rd-4th toes protruding calcaneus Growth Weight: birthweight Abdomen Gastrointestinal: multiple episodes of choking (1st year of life) Clinical features from OMIM: 264475 [malacards.org]
Treatment
We know from our own experience and can prove as IVF patients that high-quality Donor IVF treatment abroad doesn't have to break the bank. Your reason for travelling abroad for treatment may not just be about saving money. [eggscursion.com.au]
A detailed step by step approach to orthodontic treatment with contemporary fixed appliances, from diagnosis to finishing. [books.google.de]
Treatment Treatment Options: No treatment has been reported. [disorders.eyes.arizona.edu]
[citation needed] Selection of treatment[edit] The initial treatment chosen should be individualized depending on the person's characteristics, such as age and tumor size. [en.wikipedia.org]
Prognosis
One can predict prognosis based on the amount of damage done initially, modified by other factors such as age, and other medical problems. [dizziness-and-balance.com]
The prognosis is generally good if the child survives infancy. [entokey.com]
Prognosis Soon after birth, prognosis is related to the extent and severity of breathing dysregulation. In particular, recurrent episodes of prolonged apneas can be life-threatening and require assisted ventilation. [ojrd.biomedcentral.com]
In mild cases without any systemic involvement, the prognosis is good, where jaw reconstruction surgeries can be performed and structural anomalies of the eyes and ears can be corrected by plastic surgery. [1] Declaration of patient consent The authors [indianjotol.org]
[…] corresponding brain stem nuclei demonstrated at autopsy. [26] Brain stem involvement detected by magnetic resonance imaging in patients with Goldenhar Syndrome has been also reported; however, the stem lesions are very severe, resulting in a poor general prognosis [jomfp.in]
Etiology
Review of the etiologic heterogeneity of the oculo-auriculo-vertebral spectrum (hemifacial microsomia). Orthod Craniofac Res 2007;10:121-8. 29. Larsen WJ. Human Embryology. New York: Churchill Livingstone; 1993. 30. [jomfp.in]
Maternal diabetes, rubella, and influenza have also been suggested as an etiological factor. [1] The clinical features of this syndrome were incomplete development on the affected side. [indianjotol.org]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Potential etiologies of secondary anophthalmia include infectious, vascular, metabolic, or toxic events. [radiologykey.com]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.de]
Summary Epidemiology Only 4 cases have been reported in the literature from 3 inbred sibships. [orpha.net]
"An epidemiological analysis of CHARGE syndrome: preliminary results from a Canadian study". American Journal of Medical Genetics Part A. 133A (3): 309–17. doi : 10.1002/ajmg.a.30560. PMID 15637722. ^ Hall BD (1979). [en.wikipedia.org]
Pathophysiology
Pathophysiology [ edit ] CHILD syndrome is inherited in an X-linked dominant fashion and is associated with a mutation of the NSDHL gene. [en.wikipedia.org]
[…] of Undetermined Significance (MGUS) Smoldering Multiple Myeloma (SMM) Solitary Plasmacytoma Waldenstrom s Macroglobulinemia More information Systemic Lupus Erythematosus Harvard-MIT Division of Health Sciences and Technology HST.021: Musculoskeletal Pathophysiology [docplayer.net]
[…] mutation or deletion of the CHD7 gene, some individuals with CHARGE syndrome harbor disparate pathologic cytogenetic anomalies (including 22q11.2 deletions) or mutations in other genes (including SEMA3E ) unrelated to CHD7. [10, 11, 12, 13, 14, 15, 16] Pathophysiology [emedicine.medscape.com]
Familiarity with craniofacial embryology and its associated effects on resultant anatomy also leads to a better understanding of the pathophysiologic basis of craniofacial syndromes. [ajnr.org]
Prevention
American Tinnitus Association American Tinnitus Association, 2007 "Good source ... " Non-profit organization dedicated to promoting the relief, prevention ... [ibis-birthdefects.org]
[…] room 5 minutes after the infusion is over, laser of 689 nm is applied for 83 seconds (both eyes can be treated in same session) Patient is kept in dark room for 48 hours and discharged Patient advised to avoid direct sun light exposure for 15 days to prevent [eophtha.com]
[…] reconstruction typically consists of a cleft repair, corrections of colobomas and ear deformities and removal of dermoids and preauricular tags. [31] The complex treatment is focused not only on dental care, articulation and hearing but also on the prevention [jomfp.in]
According to many authors early surgery is indicated to prevent maxillary deformities, which are believed to be secondary to a primary mandibular deformity (Mulliken and Kaban 1987; Kaban,1998). [pocketdentistry.com]