Presentation
Full-color medical illustrations present key anatomic details in a clear manner. Thousands of digital-quality images depict the complete range of normal and abnormal imaging presentations. [books.google.de]
Last updated: 3/13/2017 Adams-Oliver syndrome (AOS) should be suspected when the following signs and symptoms are present:[4] Aplasia cutis congenital, which may be severe and includes the skull under the area of the missing scalp, or mild and characterized [rarediseases.info.nih.gov]
If an underlying skull defect, is present then a bone graft may be necessary. [dermatologyadvisor.com]
Workup
[…] defects, stenotic lesions of left heart, cardiomyopathy, heart block, malformation of pulmonary vessels, and progressive pulmonary hypertension have been reported in AOS patients. [6], [15], [16] Therefore, echocardiography for screening or regular workup [advbiores.net]
All newborn infants with aplasia cutis congenita should be evaluated carefully with physical examination and laboratory workup to rule out associated diseases. [turkiyeklinikleri.com]
Ultrasound
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Ovarian Mass
Features new practice guidelines for obstetric evaluation (including first trimester assessment) and gynecologic management (including evaluation of the endometrium and of ovarian masses). [books.google.de]
Treatment
You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]
Mortality rates associated with both conservative treatment and with surgical repair are around 20% [3]. [pfond.cmmt.ubc.ca]
Complications are rare, but can be fatal, so early treatment must be achieved. The treatment remains controversial with no consensus between the conservative and surgical approach. [analesdepediatria.elsevier.es]
Management and treatment Limb and scalp defects require orthopedic treatment. Management requires a comprehensive multidisciplinary approach. The documents contained in this web site are presented for information purposes only. [orpha.net]
Prognosis
[…] with a better prognosis and a normal life expectancy.[7] However, when people with AOS have congenital heart defects or severe problems with other organs or systems, the condition can be very severe.[8][7] Last updated: 3/13/2017 If you need medical [rarediseases.info.nih.gov]
(Outcomes/Resolutions) The long term prognosis of Adams Oliver Syndrome is not described adequately due to the limited number of cases reported worldwide and limited extended follow-up of affected individuals However, the prognosis depends on the major [dovemed.com]
Generally, the more severe these interrelated anomalies are, the poorer the prognosis becomes. In the relevant literature on this topic, it is somewhat unclear as to whether the prognosis of AOS without lethal anomalies alters the lifespan. [synapse.koreamed.org]
Long-term prognosis for Adams-Oliver syndrome is difficult to predict: it is not adequately described in medical literature due to a dearth of cases. [dermnetnz.org]
Etiology
Etiology The etiopathogenesis remains unclear. Genetic counseling Most cases are transmitted as an autosomal dominant trait, but some show autosomal recessive transmission with familial or sporadic occurrence. [orpha.net]
Possible etiologies include trauma, teratogens, intrauterine infections, vascular compromise and genetic factors. [healio.com]
An intrinsic predisposition to interference with normal tissue development seems a likely etiology. [medresearch.in]
Another proposed etiology of AOS includes abnormal pericyte recruitment, supported by a mouse model in which ALK1-deficient mice show poor migration, recruitment, and proliferation of pericytes. [dermatologyadvisor.com]
Epidemiology
Summary Epidemiology The prevalence is unknown. Clinical description The severity of the disorder varies greatly among affected individuals. [orpha.net]
The Adams-Oliver syndrome in Spain: the epidemiological aspects. An Esp Pediatr. 1996;45:57-61. Scrubabu NMD. The syndrome of aplasia cutis congenital with terminal, transverse defect of limbs. Brief clinical and laboratory observations. [jpad.com.pk]
The Adams-Oliver syndrome in Spain: The epidemiological aspects. An EspPediatr 1996;45:57-61. Back to cited text no. 5 6. Whitley CB, Gorlin RJ. Adams-Oliver syndrome revisited. Am J Med Genet 1991;40:319-26. Back to cited text no. 6 7. Sybert VP. [jmscr.igmpublication.org]
The Adams-Oliver syndrome in Spain: The epidemiological aspects. An Esp Pediatr 1996;45:57-61. 6. Whitley CB, Gorlin RJ. Adams-Oliver syndrome revisited. Am J Med Genet 1991;40:319-26. 7. Sybert VP. [ijpd.in]
Pathophysiology
The pathophysiologic mechanism of these defects remains unclear, but several mechanisms have been proposed, including predisposition to amniotic rupture sequence, other forms of extrinsic trauma or compression, and vascular compromise. [medresearch.in]
Pathophysiology Many genes have been implicated in the development of AOS. [dermatologyadvisor.com]
Slegers, H. (2003) Physiological and pathophysiological functions of the ecto-nucleotide pyrophosphatase/phosphodiesterase family. [scindeks.ceon.rs]
Pathophysiology The exact pathophysiology of aplasia cutis congenita (ACC) is unclear. Proposed mechanisms include intrauterine trauma, vascular compromise, infection, and medications. [emedicine.medscape.com]
Prevention
"Ultimately, this knowledge may lead us to develop better ways of treating children with these kind of abnormalities, and one day we may even be able to prevent them from developing in the first place." [news-medical.net]
Since povidone-iodine dressings could lead to wound desiccation, they should be avoided to prevent fatal complication of bleeding [3]. [pfond.cmmt.ubc.ca]
A complete initial assessment to establish early treatment is necessary to prevent this. Surgery should be considered as an initial therapeutic option in defects 4 cm ( 12.6 cm 2 ) as it prevents the risk of fatal complications. [analesdepediatria.elsevier.es]