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Asphyxiating Thoracic Dysplasia
Asphyxiating Thoracic Dysplasia [jeune]

Images

WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0

Presentation

ATD is inherited as a recessive trait with significant variablility of clinical course, and fairly constant radiographic presentation. [czytelniamedyczna.pl]

Brachydactyly and postaxial polydactyly are sometimes present and involve the feet more commonly than the hands. Short stature secondary to short limbs is frequently noted. [disorders.eyes.arizona.edu]

Thus some cases are lethal whereas other patients present with mild symptoms. [neocyst.de]

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.com]

Polydactyly is variably present. Non-skeletal involvement can include cleft lip/palate as well as anomalies of major organs such as the brain, eye, heart, kidneys, liver, pancreas, intestines, and genitalia. [uniprot.org]

Musculoskeletal

  • Normal Stature

    The seventh child is remarkable for his normal stature and excellent health at 15 years of age. 3 babies had no respiratory difficulty but 2 of them subsequently died of renal failure; one remains alive at 3 years. [ncbi.nlm.nih.gov]

Workup

Workup Laboratory studies recommended in JS include urinalysis (for hematuria, proteinuria, defective urine concentrating capacity) and arterial blood gas ( ABG ) sampling (since hypoxia and hypercarbia in room air reflect severe restrictive lung disease [emedicine.medscape.com]

Treatment

[…] action=getRecordDetail&idt=2889536 Other title Surgical treatment of asphyxiating thoracic dystrophy of Jeune by expanding sternoplasty (en) Author CZYGLIK, O; SABATIER, E; CHAPPUIS, J. P; FLORET, D1 [1] Hôp. [pascal-francis.inist.fr]

Treatment is symptomatic, and is aimed at improving respiratory function, treating respiratory infection, and alleviating renal or hepatic symptoms. [news-medical.net]

The cognitive development in patients is most often not affected. treatment No causal treatment available. A multidisciplinary care is necessary. Known genes for Jeune asphyxiating thoracic dyplasia to date sources Huber C, Cormier-Daire V. [neocyst.de]

Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]

Presently it seems to be superior to any other method for the treatment of small children with progressive scoliosis and thoracic insufficiency syndrome. [doi.org]

Prognosis

Prognosis Prognosis depends on the initial severity of bone malformations and the age. [news-medical.net]

The long-term follow up emphasizes that the pulmonary prognosis is probably less pejorative and retinal involvement more frequent than previously thought. [ncbi.nlm.nih.gov]

The prognosis can be variable as a result of the marked phenotypic variation. [radiopaedia.org]

The neonatal prognosis depends on the degree of pulmonary hypoplasia and respiratory distress. 20 – 60 % of cases die within the first weeks of life. [neocyst.de]

Course / Prognosis / Frequency / Other : Frequency: - Over 50 published cases Course/Prognosis: - Early infancy is often not outlived - Later, the kidney insufficiency determines the prognosis - The dyspnea lessens, the thoracic dysplasia remains the [kinderradiologie-online.de]

Etiology

Hahn (Dresden) Email Address: Viewable for logged on visitors ( Log on ) Age: Gender: N/A Region-Organ: Syndromes Most likely etiology: congenital History: Prenatally, an obvious dysplastic thorax and polyhydramy was seen in ultrasound. [kinderradiologie-online.de]

Etiology Only gold members can continue reading. Log In or Register to continue Dec 21, 2015 | Posted by in PEDIATRIC IMAGING | Comments Off on 121 Asphyxiating Thoracic Dystrophy [radiologykey.com]

Dysplasia Prevalence Etiology Prognosis Features Thanatophoric dysplasia 1 in 10,000 Sporadic Lethal Limbs: very short. Thorax: narrow. Trunk: normal. Head: large with prominent forehead. Type I Femurs: curved (telephone receiver). [fetalmedicine.org]

Klippel-Feil syndrome: clinical features and current understanding of etiology. Clin Orthop Relat Res 2004; 424:183–190. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. [journals.lww.com]

Epidemiology

Epidemiology Incidence is in the region of 1/4,000 births. [ 1 ] Lethal skeletal dysplasias are estimated to occur in 0.95 per 10,000 deliveries. [patient.info]

Clinical epidemiology of skeletal dysplasias in South America. Am J Med Genet A 2012; 158A:1038–1045. 4. Camera G, Mastroiacovo P. Birth prevalence of skeletal dysplasias in the Italian multicentric monitoring system for birth defects. [journals.lww.com]

Pathophysiology

Pathophysiology The basic pathophysiological defect in Jeune syndrome is defective ciliary production. Cilia are cell surface structures which are now known to be involved in many life processes. [news-medical.net]

Pathomorphology or Pathophysiology of this disease : -Autosomal-recessive illness. -Pathogenesis unknown. [kinderradiologie-online.de]

Prevention

Prevent and treat kidney or liver problems that can lead to kidney failure. Prevent and treat heart problems that affect some children with Jeune syndrome. [seattlechildrens.org]

These examples discussed of preventive ophthalmology, if justified and successful, would have a negligible effect on the prevalence of blindness, but at the individual and family level could prevent much misery. [healio.com]

Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Asphyxiating thoracic dystrophy Asphyxiating thoracic dystrophy, also known as Jeune syndrome, is an inherited disorder of bone growth characterized by a narrow chest [icdlist.com]

Early surgical interventions include fusion of the vertebrae to prevent twisting and turning and insertion of custom manufactured expandable instruments called “growing rods.” [managedcaremag.com]

TIS is a congenital condition where severe deformities of the chest, spine, and ribs prevent normal breathing and lung development. [rarediseases.org]

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