Presentation
In addition, severe mental retardation and multiple congenital anomalies are present. Synonyms Allan-Herndon Syndrome; X-Linked Mental Retardation with Hypotonia. [accessanesthesiology.mhmedical.com]
Vickers RR Gibson JS A review of the genomic analysis of children presenting with developmental delay/intellectual disability and associated dysmorphic features. Cureus. 2019; 11e3873 2. Groeneweg S Peeters RP Moran C et al. [thelancet.com]
Pulizzano's constitutional right to present the evidence. [law.justia.com]
He presented with hypotonia in the trunk and hypertonia in the extremities with clenched fists (Fig. 1C/E). [bmcpediatr.biomedcentral.com]
At present, there is no report of incomplete penetrance of AHDS, but there was heterogeneity in presentation of clinical severity. [frontiersin.org]
Entire Body System
- Wheelchair Bound
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Mutations in the SLC16A2 gene cause Allan-Herndon-Dudley syndrome. [bionity.com]
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. 2. Frequency Allan-Herndon-Dudley syndrome appears to be a rare disorder. [encyclopedia.pub]
This affects an individual's ability to move and walk, and by adulthood most individuals with the condition are wheelchair bound. It may also cause bowel and urinary incontinence. [fdna.health]
As a result, many people with Allan–Herndon–Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Mutations in the SLC16A2 gene cause Allan–Herndon–Dudley syndrome. [unavitarara.it]
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Allan-Herndon-Dudley syndrome appears to be a rare disorder. [ghr.nlm.nih.gov]
Musculoskeletal
- Joint Deformity
As they get older, they usually develop joint deformities called contractures, which restrict the movement of certain joints. [bionity.com]
Psychiatrical
- Psychomotor Retardation
It is difficult to establish which men with retarded psychomotor development have X-linked mental retardation. [thyroid.org]
Mechanisms of disease: psychomotor retardation and high T3 levels caused by mutations in monocarboxylate transporter 8. Nat Clin Pract Endocrinol Metab. 2006 Sep;2(9):512-23. Review. [ghr.nlm.nih.gov]
These patients presented with psychomotor retardation and characteristic thyroid function abnormalities, such as elevated T3 and low T4 levels. [karger.com]
Association between mutations in a thyroid hormone transporter and severe X-linked psychomotor retardation. Lancet. 2004; 364: 1435-1437 8. Groeneweg S Visser WE Visser TJ Disorder of thyroid hormone transport into the tissues. [thelancet.com]
Face, Head & Neck
- Narrow Forehead
forehead Decreased width of the forehead 0000341 Neonatal hypotonia Low muscle tone, in neonatal onset 0001319 Pectus excavatum Funnel chest 0000767 Pes planus Flat feet Flat foot [ more ] 0001763 Prominent antihelix 0000395 Spastic paraplegia 0001258 [rarediseases.info.nih.gov]
Neurologic
- Unable to Walk
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Mutations in the SLC16A2 gene cause Allan-Herndon-Dudley syndrome. [bionity.com]
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. 2. Frequency Allan-Herndon-Dudley syndrome appears to be a rare disorder. [encyclopedia.pub]
As a result, many people with Allan–Herndon–Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Mutations in the SLC16A2 gene cause Allan–Herndon–Dudley syndrome. [unavitarara.it]
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Allan-Herndon-Dudley syndrome appears to be a rare disorder. [ghr.nlm.nih.gov]
As a result, many people with Allan-Herndon-Dudley syndrome are unable to walk independently and become wheelchair-bound by adulthood. Frequency Allan-Herndon-Dudley syndrome appears to be a rare disorder. [medlineplus.gov]
- Ataxia
[…] deterioration, and hearing loss, MT-TV related MT-TV Ataxia, sensory type 1, autosomal dominant RNF170 Ataxia-oculomotor apraxia type 1 APTX Ataxia-oculomotor apraxia type 2 SETX Ataxia-oculomotor apraxia type 3 PIK3R5 Ataxia-oculomotor apraxia type [centogene.com]
Hyperreflexia with clonus, ataxia, athetosis, and dysarthria become increasingly more apparent. [accessanesthesiology.mhmedical.com]
Inability to transport T3 may lead to neurological impairments such as central hypotonia, ataxia, paralysis, aphasia, choreoathetosis, dystonia, non-epileptic paroxysmal movement disorders, hypoplasia, spastic paraplegia, and intellectual incapacities [cureus.com]
APRAXIA SYNDROME Oculomotor apaxia, nystamus, hypometric saccades, external ophthalmoplegia AR APTX - ATAXIA TELANGIECTASIA (LOUIS-BAR SYNDROME) Oculomotor abnormalities AR ATM #208900 AUTOSOMAL DOMINANT CEREBELLAR ATAXIA DEAFNESS AND NARCOLEPSY (ADCADN [eyewiki.aao.org]
[citation needed] Signs and symptoms[edit] It is estimated that 80–99% of people with Allan–Herndon–Dudley syndrome will have biparietal narrowing (narrowing of skull), ataxia, abnormalities of the neck, and both absent speech development and aphasia. [en.wikipedia.org]
- Clonus
Hyperreflexia with clonus, ataxia, athetosis, and dysarthria become increasingly more apparent. [accessanesthesiology.mhmedical.com]
Type I diabetes [ more ] 0100651 Percent of people who have these symptoms is not available through HPO Abnormal conjugate eye movement 0000549 Athetosis Involuntary writhing movements in fingers, hands, toes, and feet 0002305 Babinski sign 0003487 Clonus [rarediseases.info.nih.gov]
He had ankle clonus and hypertonicity in all four extremities with central muscular hypoplasia. His patellar and bicep reflex were brisk. The rest of his examination findings were unremarkable. [cureus.com]
His physical examination revealed malnutrition, apathy, slow response, ankle clonus, muscle hyperirritability, neck muscle weakness, conjunctival hyperemia and laryngeal stridor. His hearing, vision and skeletal system were normal. [frontiersin.org]
- Irritability
Irritable 0000737 Leukodystrophy 0002415 Microcephaly Abnormally small skull Decreased circumference of cranium Decreased size of skull Reduced head circumference Small head circumference [ more ] 0000252 Narrow forehead Decreased width of the forehead [rarediseases.info.nih.gov]
Black, who treated him with morphine to manage his pain and allow the President to relax. 31 He improved some but the following morning was described as feeble, ill, feverish, and irritable. [ncbi.nlm.nih.gov]
Black, who treated him with morphine to manage his pain and allow the President to relax.[31] He improved some but the following morning was described as feeble, ill, feverish, and irritable. [thieme-connect.com]
- Hyperreflexia
Hyperreflexia with clonus, ataxia, athetosis, and dysarthria become increasingly more apparent. [accessanesthesiology.mhmedical.com]
They have global developmental delays in childhood, and they display spasticity and hyperreflexia as adults. [thyroid.org]
[…] speech development No speech or language development Nonverbal [ more ] 0001344 Aphasia Difficulty finding words Losing words Loss of words [ more ] 0002381 Ataxia 0001251 Biparietal narrowing 0004422 Bowel incontinence Loss of bowel control 0002607 Hyperreflexia [rarediseases.info.nih.gov]
Treatment
Objective: To test safety and efficacy of PB treatment in AHDS patients. Primary objectives: To determine the effect of PB treatment on serum levels of TH. [clinicaltrials.gov]
Treatment with a combination of PTU plus L-T4 had been tried previously in three of the children: one developed hypogranulocytosis (4). [thyroid.org]
There is currently no cure, treatment is symptomatic and supportive. [unavitarara.it]
Triac seems a reasonable treatment strategy to ameliorate the consequences of untreated peripheral thyrotoxicosis in patients with MCT8 deficiency. Full-Text PDF [thelancet.com]
[citation needed] Treatment[edit] In May 2013, the US FDA granted Orphan drug status to Diiodothyropropionic acid (DITPA) in the treatment of MCT8 deficiency. [en.wikipedia.org]
Prognosis
However, the prognosis is not good. Currently, there is no cure. Life expectancy is short. Despite this, their smiles were infectious! Ben continues to adore interaction and music! Ben is so lovable as was his little brother Jake. [mykidstime.com]
Etiology
In the 1880s, Bright's disease was the syndrome that described renal failure associated with proteinuria, but the etiology of Arthur's kidney failure has never been determined. [ncbi.nlm.nih.gov]
Epidemiology
Next year legislators and funding agencies may be more interested in diverting research funds to infectious disease research, prevention, and epidemiology. [thednaexchange.com]
Pathophysiology
Karger AG, Basel References Heuer H, Visser TJ: Minireview: pathophysiological importance of thyroid hormone transporters. Endocrinology 2009;150:1078-1083. [karger.com]
Therefore, it is likely that with a better understanding of the pathophysiology, we may be able to delineate the heterogeneity of AHDS and why non-pathogenic variant mutations may lead to more severe clinical phenotypes, such as this case. [cureus.com]
Monocarboxylate transporter 8 deficiency: from pathophysiological understanding to therapy development. Front Endocrinol. (2021) 12:723750. doi: 10.3389/fendo.2021.723750 CrossRef Full Text | Google Scholar 5. Vancamp P, Demeneix BA, Remaud S. [frontiersin.org]
Pathophysiologic response to severe burn injury. Ann Surg 2008; 248:387-401. 21. Klein GL, Wolf SE, Langman CB, Rosen CJ, Mohan S, Keenan BS, et al. [asja.eg.net]
Prevention
The hand restraint board effectively prevents the flexion of the fingers and/or wrist of either hand of the patient or subject to prevent reflexive or otherwise spontaneous jerking movements thereof. [patents.google.com]
A WHO plan for burn prevention and care. Geneva: World Health Organization; 2008. 2. Breederveld RS, Tuinebreijer WE. Recombinant human growth hormone for treating burns and donor sites (Review). Cochrane Library 2012; 12:37-38. 3. [asja.eg.net]
Third, the statute prevents the trier of fact from being misled or confused by collateral issues and deciding a case on an improper basis. [law.justia.com]
Next year legislators and funding agencies may be more interested in diverting research funds to infectious disease research, prevention, and epidemiology. [thednaexchange.com]
Safety, tolerability, and efficacy of repeated doses of dihydroartemisinin-piperaquine for prevention and treatment of malaria: a systematic review and meta-analysis. Lancet Infect Dis 2017; 17 (02) 184-193 54 Sternberg GM. [thieme-connect.com]