Presentation
In the present patients, normal or elevated gonadotropin serum levels demonstrate a normal hypothalamic-pituitary function. [updoc.site]
Devriendt-Legius-Fryns syndrome Prevalence: - Inheritance: - Age of onset: - ICD-10: - OMIM: - UMLS: C2931406 MeSH: C537053 GARD: - MedDRA: - Summary This disease has been moved to Woodhouse-Sakati syndrome The documents contained in this web site are presented [orpha.net]
All affected patients present total or partial alopecia, clinical and chemical evidence of hypogonadism (low levels of estradiol and testosterone). Females have streak or absent ovaries. [accessanesthesiology.mhmedical.com]
Phenotypic variability may be associated with different subtypes which leads to the different presentations. [epostersonline.com]
We also examined a separate collection of 11 cases presenting with deafness and dystonia, two constituents of WSS, but found no pathogenic changes. [discovery.ucl.ac.uk]
Entire Body System
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Wheelchair Bound
Her motor skills declined faster, and she was wheelchair-bound by the time she was in her early 20s. She also showed signs of primary hypogonadism and no development of secondary female sex characteristics. [accessanesthesiology.mhmedical.com]
She became wheelchair bound in her early 20s. Around the age of 14, a slowly progressive dysarthria and alopecia developed. There was primary amenorrhea, with no development of secondary female sexual characteristics. [updoc.site]
Over ten years of follow-up, she became severely disabled and wheelchair bound because of her worsening movement disorder. Physical examination on admission disclosed generalized dystonia involving the trunk and all four limbs. [e-sciencecentral.org]
Some patients may become wheelchair-bound as young adults (summary by Haack et al., 2016 ). [mendelian.co]
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Difficulty Walking
walking Pes cavus Cerebellar atrophy Fatigue Anxiety Postural instability Muscle weakness Peripheral neuropathy Horizontal nystagmus Autosomal recessive inheritance Truncal ataxia Limb ataxia Progressive Myoclonus Cerebral cortical atrophy Dysdiadochokinesis [mendelian.co]
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Unable to Stand
The proband was unable to stand or walk, had scoliosis, hyperreflexia, and extensor plantar responses. Brain MRI of the proband, one sister, and one cousin showed diffuse white matter disease. [cags.org.ae]
Respiratoric
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Aspiration
However, depending on the age and severity of neurologic symptoms, recurrent pulmonary aspirations are possible, and a preoperative chest radiograph might be ... [accessanesthesiology.mhmedical.com]
Mitral valve prolapse Absence of secondary sex characteristics Macroglossia Micrognathia Acne Polydactyly Abnormal heart morphology Aspiration pneumonia Low-set ears Generalized hyperpigmentation Edema Epistaxis Abnormality of the pinna Atrial septal [mendelian.co]
Skin
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Normal Hair
Both sibs had normal hair until the second decade, when progressive hair loss occurred. Structurally, nonspecific findings of longitudinal grooves in the hair shafts were present. The pathogenesis of this disorder is unknown. [updoc.site]
Heterozygous carriers had normal hair and were unaffected. [findzebra.com]
Ears
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Normal Hearing
Eye movements were normal. Hearing was normal and she was able to understand a simple conversation. There was alopecia of the scalp, with absence of eyelashes (mainly of the lower eyelids) and sparse eyebrows. [updoc.site]
Psychiatrical
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Aggressive Behavior
behavior Cerebral atrophy Coma Impaired visuospatial constructive cognition Upgaze palsy Jerky ocular pursuit movements Impaired distal vibration sensation Intention tremor Titubation Morphological abnormality of the pyramidal tract Lower limb spasticity [mendelian.co]
Neurologic
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Learning Difficulties
She gave positive history of hirsutism over the chin and upper lip, learning difficulties in school and hair loss. No other relevant medical or surgical comorbidities mentioned .No significant family history relayed at this point of time. [epostersonline.com]
Learning difficulties were noted in primary school and she received special education. At age 14 years, a progressive gait disturbance, mainly of the right leg became evident. She became wheelchair bound in her early 20s. [updoc.site]
Learning difficulty and short stature are additional features. [ncbi.nlm.nih.gov]
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Neurologic Manifestation
The neurological manifestations included moderate to severe intellectual decline, muscular hypotonia, choreoathetoid posture and dystonic movements resulting in gait difficulty, dysarthria, dysphagia, and scoliosis. [accessanesthesiology.mhmedical.com]
The slowly progressive neurological manifestations with onset later in life suggest a neurodegenerative disorder. [updoc.site]
The neurological manifestations included moderate to severe intellectual decline and abnormality of muscle tone and posture with choreo-athetoid and dystonic movements resulting in gait difficulty, dysarthria, difficulty swallowing, and scoliosis. [ncbi.nlm.nih.gov]
Neurological manifestations The American College of Rheumatology published a nomenclature plan pro neuropsychiatric manifestations of SLE in an endeavour to standardize and The using software is judicial proceeding manifestation purchase clomid 100mg [warmbutter.com]
Clinical and laboratory attributes of affected individuals Affected Individuals Sex Age (years) Height (cm) Weight (kg) Ectodermal appendages Alopecia Adontia Premature aged appearance Ocular findings Keratoconus Neurological Manifestations Deafness MRI [docksci.com]
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Babinski Sign
sign Dysmetria Hyperreflexia Dystonia Abnormal pyramidal sign Tremor Seizures Depressivity Torticollis Difficulty walking Pes cavus Cerebellar atrophy Fatigue Anxiety Postural instability Muscle weakness Peripheral neuropathy Horizontal nystagmus Autosomal [mendelian.co]
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Cerebellar Sign
One patient with adolescent-onset ceroid lipofuscinosis with extrapyramidal and cerebellar signs, associated with hypergonadotropic hypogonadism has been reported “ass et al., 19861. This was not associated with alopecia. [updoc.site]
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Unable to Walk
She was unable to walk and could not sit unsupported. Speech was unintelligible. Movements were uncontrolled, with choreoathetotic and dystonic movements of the upper limbs with the head constantly held in hyperextension. Eye movements were normal. [updoc.site]
Onset
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Onset in Adolescence
Fryns Published 1996 in American journal of medical genetics We report on 2 sibs with consanguineous parents, and an identical progressive extrapyramidal movement disorder with onset in adolescence and associated with progressive alopecia and primary [semanticscholar.org]
Koenraad Devriendt, Eric Legius, and Jean Pierre Fryns Center for Human Genetics, University of Leuuen, Leuuen, Belgium We report on 2 sibs with consanguineous parents, and an identical progressive extrapyramidal movement disorder with onset in adolescence [updoc.site]
Workup
Complete biochemical workup was done, which was non-contributory. Imaging Findings Imaging Technique: MRI Brain was done in a 3T MRI. Standard Brain Protocol with TIWI, T2WI, FLAIR, DWI and SWI images obtained. [eurorad.org]
The workup of these girls was performed to either confirm this syndrome or exclude other conditions with common features reported in literatures. [ncbi.nlm.nih.gov]
T Wave
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T Wave Abnormality
Additional manifestations include sensorineural hearing loss, seizures, T-wave abnormalities on ECG, and polyneuropathy. The syndrome is caused by mutation of the C2orf37 gene encoding a nucleolar protein. [genome.jp]
Treatment
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]
A primary gonadal dysfunction is further supported by the lack of clinical significant effects of gonadotropin treatment in patient 1,whereas progression of pubertal development was obtained by testosterone treatment. [updoc.site]
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]
Management: The treatment of Woodhouse Sakati syndrome is directed toward alleviation of specific symptoms that are present in each individual. [xpertdox.com]
More videos for Woodhouse-Sakati syndrome more ... » Woodhouse Sakati syndrome Symptoms, Diagnosis, Treatments ... [archive.fo]
Prognosis
Prognosis - Woodhouse Sakati syndrome Not supplied. Treatment - Woodhouse Sakati syndrome Not supplied. Resources - Woodhouse Sakati syndrome [checkorphan.org]
Am j Hum Genet2008;83(6):684-91. [ 4 ] Çekdemir D, DizKüçükkaya R.Treatment and Prognosis of Immune Thrombocytopenia. Turkiye Klinikleri J Hematol-Special Topics 2014; 7 (2):72-9. [ 5 ] Koshy G, Danda S, Thomas N, Mathews V, Viswanathan V. [sciepub.com]
In article View Article PubMed [4] Çekdemir D, DizKüçükkaya R.Treatment and Prognosis of Immune Thrombocytopenia. Turkiye Klinikleri J Hematol-Special Topics 2014; 7 (2):72-9. In article [5] Koshy G, Danda S, Thomas N, Mathews V, Viswanathan V. [pubs.sciepub.com]
Etiology
Anamnesis was asked to his relatives and there was no medical history which can explain the etiology of thrombocytopenia. [pubs.sciepub.com]
(Etiology) Woodhouse-Sakati Syndrome is associated with mutations in the DCAF17 gene (2q31.1), encoding a nucleolar protein of unknown function The disorder is transmitted in an autosomal recessive manner (Source: Woodhouse-Sakati Syndrome ; Orphanet, [dovemed.com]
ANE syndrome caused by mutated RBM28 gene: A novel etiology of combined pituitary hormone deficiency. Eur J Endocrinol 2010; 162: 1021-1025 57 Pingault V, Bodereau V, Baral V. et al. [thieme-connect.com]
Hillmer et al. (2005) demonstrated that genetic variation in the AR gene is the cardinal prerequisite for the development of early-onset androgenetic alopecia, with an etiologic fraction of 0.46. [findzebra.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.com]
Hypersensitivity Allergic reactions and anaphylaxis usually cleared with drug withdrawal. [ Ref ] Rare (0.01% to 0.1%): Allergic reactions, anaphylaxis [ Ref ] Immunologic Very rare (less than 0.01%): Strongyloidiasis hyperinfection [ Ref ] Respiratory In a large epidemiological [drugs.com]
Genetic epidemiology and nonsyndromic structural birth defects: from candidate genes to epigenetics. JAMA pediatrics, 168(4), 371-377. Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, Correa A (2010). [centogene.com]
This does not supervision out the plausibility that high-dose supplements might achieve a adequate con- centration in vivo to have antioxidant properties but does obtain it inconceivable that the epidemiological associations between dietary consumption [waittfoundation.org]
Pathophysiology
Further studies for better understanding of the disease pathophysiology is required. References : 1. Bohlega SA, Alkuraya FS. Woodhouse-Sakati Syndrome. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews . [mdsabstracts.org]
The varying pathophysiology of these disorders is also reflected in the variable response to therapy, which ranges from complete cure in acrodermatitis enteropathica to the virtual absence of effective treatment options in molybdenum cofactor deficiency [accesspediatrics.mhmedical.com]
The pathophysiology and genetics of congenital lipoid adrenal hyperplasia. International Congenital Lipoid Adrenal Hyperplasia Consortium. N Engl J Med 1996; 335(25):1870-1878. Nakae J, Tajima T, Sugawara T et al. [endocrine.gr]
Its pathophysiology is not well known. In some cases, different components of the disease can be observed. [pubs.sciepub.com]
Prevention
Prevention - Woodhouse Sakati syndrome Not supplied. Diagnosis - Woodhouse Sakati syndrome Not supplied. Prognosis - Woodhouse Sakati syndrome Not supplied. Treatment - Woodhouse Sakati syndrome Not supplied. Resources - Woodhouse Sakati syndrome [checkorphan.org]
How can Woodhouse-Sakati Syndrome be Prevented? Currently, Woodhouse-Sakati Syndrome may not be preventable, since it is a genetic disorder. [dovemed.com]
Hypergonadotropic ovarian failure information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and. [dropped-impulsively.gq]
Prevention of secondary complications: Adequate nutrition through swallowing evaluation, dietary assessment, gastrostomy tube feeding as needed. [bloodgenetics.com]
Nothing can be done to prevent the disease. Diagnosis The occurrence of WS has been reported to be one in 45,000 in Europe. [senyawa-kimia.blogspot.com]