Presentation
Cutaneous changes and hearing loss typically present in early childhood, whereas ocular symptoms present later. [ncbi.nlm.nih.gov]
[…] with the skin lesions that had been present since birth. [semanticscholar.org]
The plantar and palmar surfaces presented with diffuse keratoderma having abundant and course scales [Figure 3a-c]. All the nails were yellowish and thickened with subungual hyperkeratosis. [journals.lww.com]
Entire Body System
- Falling
Daytime sleepiness: problems with falling asleep and staying asleep may result in problems with daytime sleepiness. [my.clevelandclinic.org]
But their parents said they worried about the responsibility that would fall on them if Taylor and Michael did start a family. [abc.net.au]
Beaver Falls, PA 15010 724-773-6851 Children's Specialty Care Center Erie at Magee–Womens, UPMC Hamot Magee–Womens, UPMC Hamot 118 East 2nd Street W1150 Erie, PA 16507 814-877-8701 Children's Specialty Care Center Hermitage 80 East Silver St., Suite 100 [chp.edu]
They may have seizures or fall into a coma. There is no cure for Reye’s syndrome. However, symptoms can sometimes be managed. For example, steroids help reduce swelling in the brain. Preventing Reye’s Syndrome Reye’s syndrome has become less common. [healthline.com]
In fact, many kids who fall prey to the “Rich Kid Syndrome” (RKS) are not rich; their parents may only have average to slightly above average incomes. [awakeningminds.sg]
- Short Stature
Short stature and mental retardation have also been noted. The hearing loss is neurosensory in type. Epidermal glycogen deposition has been found in one patient with the presumed recessive disorder. [disorders.eyes.arizona.edu]
The proposita was similar to the latter patients in having progressive cirrhosis necessitating liver transplantation; she also had short stature (10/35 patients) and mental retardation (3/35). [ncbi.nlm.nih.gov]
The recessive form also presents with hepatic cirrhosis, which may progress to the point of requiring liver transplantation by middle age, short stature, and mental retardation. [accessanesthesiology.mhmedical.com]
Some of these problems may include: obsessive and compulsive behaviours, such as picking at the skin eye problems, such as short-sightedness short stature, often due to growth hormone deficiency delayed onset of puberty scoliosis (sideways curves in the [betterhealth.vic.gov.au]
- Recurrent Infection
The patient also had a history of recurrent infections and cysts on the scalp. [ncbi.nlm.nih.gov]
infections, such as pneumonia Your child may be checked by a paediatrician more often than other children to pick up problems as early as possible. [nhs.uk]
There is a whole spectrum of other associated abnormalities, including recurrent infections, abnormal teeth, reduced sweating, growth or mental delay, which may occur in some but not many patients. [firstskinfoundation.org]
There is a whole spectrum of other associated symptoms, including recurrent infections, abnormal teeth, reduced sweating, and an increased risk for developing squamous cell carcinoma of the skin or mucous membranes, which may occur in some but not many [rarediseases.org]
- Sepsis
Hypothermia, hypoglycemia, dehydration, acidosis, sepsis, and diarrhea with acidosis and electrolyte changes are the most common causes. [articles.extension.org]
Aspirin has commonly been used due to concerns for coronary artery involvement, and antibiotics are routinely used to treat potential sepsis while awaiting bacterial cultures. [cdc.gov]
The presenting signs and symptoms of MIS-C in children can overlap with other time-sensitive diagnoses, such as sepsis, toxic shock, myocarditis, appendicitis, or meningitis. [bmj.com]
Patients with KID syndrome are susceptible to severe sepsis and deaths are reported with increased frequency in these patients. [4] An increased oncogenic potential with invasive squamous cell carcinoma (SCC) arising within the hyperkeratotic lesions [idoj.in]
Unfortunately, at 2 months of age this patient died from overwhelming sepsis. https://doi.org/10.7554/eLife.04249.002 We introduced the A88V mutation into Cx26 and then tested the CO 2 sensitivity of Cx26 A88V hemichannels expressed in HeLa cells via [elifesciences.org]
Gastrointestinal
- Abdominal Pain
Gastrointestinal symptoms: diarrhea, vomiting, or abdominal pain. Respiratory symptoms such as cough and shortness of breath. New neurologic symptoms, such as headache, neck pain, confusion, numbness/tingling in the hands and feet, or seizures. [childrenshospital.org]
pain, diarrhea or vomiting Acting unusually sleepy or confused Even though we are still learning more about this condition, here’s what doctors and scientists know so far: MIS-C is a rare complication of COVID-19, but it can be dangerous. [hopkinsmedicine.org]
Your child’s doctor or pediatrician is likely to discuss several symptoms with you, and will be particularly alert to children who have experienced a high fever combined with other symptoms that may include: Abdominal pain/diarrhea/vomiting without another [chla.org]
Contact your child's pediatrician right away if you notice any of these symptoms: fever (100.4 degrees Fahrenheit or higher) lasting 24 hours or more abdominal pain, diarrhea or vomiting neck pain rash or changes in skin color bloodshot eyes seems extra [healthychildren.org]
Encourage parents or caregivers to return to care if their child develops symptoms that suggest more serious disease, including rapid or laboured breathing, dehydration, persistent fever, severe abdominal pain, or altered mental status. [bmj.com]
- Loss of Appetite
The main symptoms to watch for are a persistent fever (lasting more than 24 hours and usually present for several days), your child appearing fatigued and ill, rash, red eyes, abdominal pain, vomiting, diarrhea, or loss of appetite or not drinking enough [childrenshospital.org]
Loss of appetite and food refusal because of illness can impact on a child’s nutritional status, growth and well-being. [indi.ie]
Eyes
- Photophobia
Deafness and photophobia were added to these symptoms in the following years. He had had recurrent… Figures from this paper One Citation References SHOWING 1-10 OF 11 REFERENCES [semanticscholar.org]
The patient had severe photophobia, and ophthalmological examination showed conjunctivitis, profuse corneal vascularization, opacification, and grossly reduced visual acuity [Figure 2a and b]. [journals.lww.com]
The present case is having marked photophobia, bilateral corneal ulceration with vascularlsation, neurosensory deafness and skin changes. [ijdvl.com]
Ocular findings in Ichthyosis follicularis, alopecia, photophobia (IFAP) syndrome. Ophthalmic Genet 2004;25:153-6. [idoj.in]
Under the therapy the pain and photophobia in his right eye rapidly decreased. Discussion We report a new case of KID syndrome. To our knowledge no other patient has been treated with topical matrix regeneration therapy. [sfo-online.fr]
Ears
- Hearing Impairment
Both hearing impairment and ophthalmic involvement were mild in severity. Genetic mutation analysis revealed a previously described, rare mutation in GJB2, resulting in a glycine to arginine change at codon 12 (p.G12R). [ncbi.nlm.nih.gov]
It is characterized by defects of the surface of the corneas (keratitis); red, rough, thickened plaques of skin (erythrokeratoderma); and sensorineural deafness or severe hearing impairment. [diseaseinfosearch.org]
Sensorineural deafness or severe hearing impairment is often congenital. Corneal epithelium may be affected, manifesting as keratitis and photophobia. KID/HID syndrome is an autosomal dominant trait but most cases are sporadic. [genome.jp]
Skin
- Hyperkeratosis
The characteristic features are diffuse hyperkeratosis, keratotic plaques, reticulated hyperkeratosis on the face, peribuccal grooves, and heavy-grain leatherlike keratoderma. [ncbi.nlm.nih.gov]
Typical skin changes gradually develop during infancy and include linear and spiny hyperkeratosis of the flexures, and ichthyosis-hystrix-like scaling on the limbs [4]. Scattered follicular hyperkeratosis appears on the trunk. [escholarship.org]
There may be diffuse hyperkeratosis, keratotic plaques, reticulated pattern of hyperkeratosis on the face, the palms and soles, peribuccal grooves, and heavy-grain leather-like keratoderma. D = Deafness - Neurosensory deafness. [pathopedia-india.com]
- Alopecia
(b) Thick hyperkeratotic scaling on face sparing periorbital areas and lips and alopecia on scalp and eyebrows. [journals.lww.com]
The most frequent clinical features were neurosensory deafness 90%, erythrokeratoderma 89%, vascularizing keratitis 79%, alopecia 79%, and reticulated hyperkeratosis of the palms and soles 41%. [ncbi.nlm.nih.gov]
The skin lesions, described as erythrokeratoderma occurs occasionally with scarring alopecia and are predominantly on the face, palms and soles, with a typical reticulated pattern. [odermatol.com]
Alopecia may be present at birth. [dermatologyadvisor.com]
- Erythema
CHILD ( congenital hemidysplasia with ichthyosiform erythroderma and limb defects) syndrome comprises: Ch: congenital hemidysplasia I: ichthyosiform erythroderma develops at or shortly after birth unilateral erythema and scaling, with a distinct demarcation [radiopaedia.org]
This disease usually appears in neonates as generalized erythema, sometimes with diffuse scaling and leathery skin. [escholarship.org]
[…] ichthyosis and deafness OMIM: 148210 Inheritance: autosomal dominant Incidence: very rare Key Findings: skin: sharply outlined and irregularly shaped red plaques with accuminate scale; face more commonly involved than extremities or trunk; generalized, mild erythema [firstskinfoundation.org]
[…] eyelashes Abnormality of the eyelashes Eyelash abnormality [ more ] 0000499 Aplasia/Hypoplasia of the eyebrow Absence of eyebrow Lack of eyebrow Missing eyebrow [ more ] 0100840 Corneal neovascularization New blood vessel formation in cornea 0011496 Erythema [rarediseases.info.nih.gov]
Neurologic
- Seizure
Children with Dravet syndrome can develop many different seizure types: Myoclonic seizures Tonic-clonic seizures Absence seizures Atypical absence seizures Atonic seizures Focal aware or impaired awareness seizures (previously called partial seizures) [epilepsy.com]
This is because the seizures happen infrequently and because most children will stop having seizures within a few months after the seizures start. [epilepsy.org.uk]
The most common seizure patterns are tonic, atypical absence, and “drop attacks” or atonic seizures, but generalized tonic-clonic and focal seizures can occur as well. [childneurologyfoundation.org]
Swelling may also occur in the brain, which can cause seizures, convulsions or loss of consciousness. [mayoclinic.org]
Children with Angelman syndrome may also start to have seizures or fits around this age. [nhs.uk]
Workup
The workup subsequently was consistent with GBS, AIDP form. [pediatrics.aappublications.org]
Clinical Testing and Workup In the past, a specific chromosomal study known as G-band analysis, which demonstrates missing (deleted) material on chromosome 17p, was used to help obtain a diagnosis of SMS. [rarediseases.org]
Microbiology
- Candida
As a result of culture, Candida albicans grew out. Treatment was difficult and only symptomatic relief could be achieved by keratolytic agents and therapy for skin infections. [ci.nii.ac.jp]
Skin surface swabs revealed Candida albicans, Staphylococcus aureus and Pseudomonas aeruginosa. [medicaljournals.se]
Comparaçao da actividade antimicrobiana de soluçoes de peróxido de hidrógeno e malva sobre candida albicans. Cienc Odontol Bras 2009 abr/jun.;12(2).24-28. Estela V. Kloc. Farmacodinamia de la Clorhexidina y su aplicación en odontopediatria. [odon.edu.uy]
He had been treated with penetrating keratoplasty on four previous occasions (the last time four years earlier) because of ulcers, corneal leucoma and infections caused by Candida albicans and Pseudomonas aeruginosa. [elsevier.es]
Treatment
Treatment Treatment Options: The use of ocular lubricating preparation may supply significant relief from symptoms but scarring may eventually necessitate penetrating keratoplasty. [disorders.eyes.arizona.edu]
The patient had significant improvement of the hyperkeratosis on the scalp, trunk, and extremities within 4 weeks after initiating treatment. [ncbi.nlm.nih.gov]
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
DISCUSSION Due to its congenital character, treatment of KID syndrome is very difficult and only supportive. Unfortunately, due to it’s severity, skin changes are very resistant to the topical treatment with keratolytic preparations. [odermatol.com]
Prognosis
Based on our findings, we believe that cancer surveillance in patients with KID syndrome should include screening for pilar tumors and their early removal to avoid development of malignant proliferating pilar tumors with poor prognosis. [ncbi.nlm.nih.gov]
[…] distinctive appearance 04 Dec 2018 A-Z of syndromes: Usher syndrome Understanding Usher syndrome which is found in approximately 10,000 people in the UK 25 Oct 2018 A-Z Syndromes: Tay-Sachs disease An insight into this genetic disorder which carries a poor prognosis [rcni.com]
Learn more about doctor visits, therapies, equipment, prognosis and more. FIND OUT MORE > What is PKS? Information for medical professionals and families. [pkskids.net]
Prognosis Because of the highly variable nature of SMS, it is impossible to generalize about prognosis for individual cases. [rarediseases.org]
The prognosis for people diagnosed with Budd-Chiari syndrome often depends on where the blockage is, and the number of veins that are blocked. [chp.edu]
Etiology
KID (keratitis, ichthyosis, deafness) syndrome is a congenital ectodermal defect of unknown etiology. [ncbi.nlm.nih.gov]
Etiology is not known, but tic disorders tend to be familial. In some families, they appear in a dominant pattern with incomplete penetrance. Comorbidities are common. [merckmanuals.com]
Our understanding of, and ability to test for, the underlying etiology of syndromes has been greatly enhanced by the study of the human genome and proteins necessary for normal development. [asha.org]
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]
Epidemiology of Down syndrome. Ment Retard Dev Disabil Res Rev. 2007;13(3):221-7. Adams MM, Erickson JD, Layde PM, Oakley GP. Down’s syndrome. Recent trends in the United States. JAMA. 1981 Aug 14;246(7):758-60. [cdc.gov]
[…] individuals with CHILD syndrome is still under investigation, but contributing factors likely include deficient cholesterol synthesis, buildup of toxic metabolites in the cholesterol biosynthesis pathway, and abnormal sonic hedgehog signaling. [15, 16] Epidemiology [emedicine.medscape.com]
[…] screened all admitted patients for SARS-CoV-2 infection by polymerase chain reaction testing and found that 45% of the 438 positive paediatric cases hospitalised were asymptomatic.14 In another study, investigators fit age structured mathematical models to epidemiological [bmj.com]
This requires that the audiologist be familiar with the genetic epidemiology of hearing loss and resources for referral and information. [asha.org]
Pathophysiology
Pathophysiology KID syndrome is a rare congenital ectodermal disorder caused by mutations of the GJB2 gene encoding the gap junction protein connexin-26 (Cx26). [dermatologyadvisor.com]
Pathophysiology CHILD syndrome is inherited in an X-linked dominant fashion and involves a mutation in the NSDHL (NAD[P]H steroid dehydrogenase–like protein) gene. [5, 6, 7, 8, 9] The gene has been localized to Xq28 and encodes for 3beta-hydroxy sterol [emedicine.medscape.com]
Prevention
Bullying: Prevention and Strategies External This site has a free app for parents to help prevent bullying, created by the Substance Abuse and Mental Health Agency (SAMHSA) KnowBullying app External [cdc.gov]
Hyperkeratotic, erythematous skin may prevent ECG electrodes or tape from adhering to the skin, thus making the securing of endotracheal tubes and IV catheters difficult. [accessanesthesiology.mhmedical.com]
We present a case occurring in a 48-year-old woman where improvement in the ichthyosiform dermatosis, stabilization of her ocular disease, and apparent partial prevention of further cutaneous malignancies occurred in association with ketoconazole therapy [ncbi.nlm.nih.gov]
Prevention In the U.S., the Pfizer-BioNTech COVID-19 vaccine is now available to people age 12 and older. A vaccine can prevent you or your child from getting the COVID-19 virus. [mayoclinic.org]
Prevention. Wash your hands before and after touching your sick child to help prevent giving a new illness to your child and to prevent spreading this viral illness to yourself and to other children. [fairview.org]