Presentation
A form of Diamond-Blackfan anemia, a congenital non-regenerative hypoplastic anemia that usually presents early in infancy. [nectarmutation.org]
Typical features if age of presentation is 1 y: Hematuria Proteinuria Hypertension Usual age of presentation is 30-50 y. [drdebasismaity.com]
Neonates present with hypertension, abdominal masses, and variable degrees of renal failure. Adults typically present with flank pain, hematuria, and hypertension. [emedicine.medscape.com]
The majority of patients present in infancy, although presentation can occasionally be as late as early adulthood. [hawaii.edu]
A precise diagnosis is important for prognosis, treatment, and genetic counselling although this may not be possible at presentation. 1-3 As the aetiology, histology, and clinical presentation are diverse, no single classification of “cystic renal disease [adc.bmj.com]
Entire Body System
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Disability
[…] with Associated Features Suggesting Smith-Lemli-Opitz Syndrome and Meckel Syndrome: 60 33 (show all 34) # Description HPO Frequency Orphanet Frequency HPO Source Accession 1 ptosis 60 33 hallmark (90%) Very frequent (99-80%) HP:0000508 2 intellectual disability [malacards.org]
1 Causes of Biparietal Narrowing : 15q14 Microdeletion Syndrome 16q24.3 Microdeletion Syndrome 1q44 Microdeletion Syndrome 3q29 Microduplication 8p23.1 Microdeletion Syndrome Allan-Herndon-Dudley Syndrome Alopecia-Contractures-Dwarfism-Intellectual Disability [familydiagnosis.com]
Intellectual Disability Intellectual disability, autosomal recessive Intellectual Disability Intellectual disability, syndromal Intellectual Disability Intellectual disability, X-linked Intellectual Disability Joubert syndrome Intellectual Disability [genomediagnosticsnijmegen.nl]
Part 1 - Recognised Disabilities Moderate to severe multiple disability or moderate to severe physical disability (including neurological disability) where the child is, or is likely to be, dependent for mobility indoors and outdoors from the age of three [dss.gov.au]
Some children with SOD have normal intelligence, while others may be developmentally delayed, learning disabled, or intellectually disabled. Some symptoms of this disorder can be treated, but the visual impairment usually cannot be corrected. [tsbvi.edu]
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Short Stature
[…] frequent (33%) Frequent (79-30%) HP:0002093 7 short nose 60 33 frequent (33%) Frequent (79-30%) HP:0003196 8 anteverted nares 60 33 frequent (33%) Frequent (79-30%) HP:0000463 9 visual impairment 60 33 frequent (33%) Frequent (79-30%) HP:0000505 10 short [malacards.org]
Diamond-Blackfan anemia is characterized by a moderate to severe macrocytic anemia, erythroblastopenia, and an increased risk of malignancy. 30 to 40% of Diamond-Blackfan anemia patients present with short stature and congenital anomalies, the most frequent [nectarmutation.org]
JS is a skeletal ciliopathy characterized by small thorax, short-limbed short stature, fibrocystic renal disease and retinal degeneration. [clinicaltrials.gov]
The optic nerves swell and become damaged DeGrouchy’s Syndrome A person who has DeGrouchy’s will have a short stature, hypotonia (lack of muscle tone), hearing impairment, and foot abnormalities. [tsbvi.edu]
Jeune asphyxiating thoracic dystrophy (JATD) is characterized by abnormal bone growth resulting in short stature, small thoracic cage and hypoplastic lungs, chronic tubulointerstitial nephritis, and CHF [ Hudgins et al 1992 ]. [ncbi.nlm.nih.gov]
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Movement Disorder
Purple/Blue ribbon GNA01 Gene Mutation Disorder - The awareness ribbon is colored purple and blue with the words "Epilepsy" written on the purple part and "Movement Disorder" written on the blue part. [disabled-world.com]
disorders (WES) Neurological Muscle disorders (WES) Neurological Neurodegeneration due to cerebral folate transport deficiency Neurological Neurodegeneration with brain iron accumulation Neurological Neuropathies (WES) Neurological Parkinson disease [genomediagnosticsnijmegen.nl]
Hyperkinetic movement disorders in children. In: UpToDate Online Journal [serial online]. Waltham, MA: UpToDate; updated April 2007. Weber S, Tonshoff B. [aetna.com]
disorder Approved pyrimethamine acute lymphoblastic leukemia post unrelated transplant, toxoplasmosis prophylaxis Approved pyrimethamine acute ocular toxoplasmosis Approved pyrimethamine AML, Graft Versus Host Disease, neutropenia Approved pyrimethamine [pharmac.govt.nz]
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Relapsing Polychondritis
Polychondritis Short-Limb Skeletal Dysplasia With Severe Combined Immunodeficiency Smith-Lemli-Opitz Syndrome Tetraploidy Toluene Embryopathy X-Linked Intellectual Disability, Cabezas Type XY Type Gonadal Dysgenesis-Associated Anomalies Syndrome • • [familydiagnosis.com]
Respiratoric
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Respiratory Insufficiency
insufficiency 60 33 frequent (33%) Frequent (79-30%) HP:0002093 7 short nose 60 33 frequent (33%) Frequent (79-30%) HP:0003196 8 anteverted nares 60 33 frequent (33%) Frequent (79-30%) HP:0000463 9 visual impairment 60 33 frequent (33%) Frequent (79- [malacards.org]
insufficiency due to muscle weakness Abnormal facial shape Progressive microcephaly Trophic changes related to pain Retinal coloboma Hemiplegia Bilateral sensorineural hearing impairment Feeding difficulties Single naris Microcephaly Scoliosis Motor [mendelian.co]
Approximately 30% of affected infants die in the neonatal period or within the first year of life primarily of respiratory insufficiency or superimposed pulmonary infections. [ncbi.nlm.nih.gov]
Liver, Gall & Pancreas
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Liver Fibrosis
COACH syndrome has many of the same features as Joubert syndrome, with the addition of liver fibrosis that is present at birth. [sema4genomics.com]
Given that Public Health Relevance Joubert syndrome and related disorders (JSRD) provide a model for studying intellectual disability, ataxic cerebral palsy, retinal dystrophy, cystic kidney disease and liver fibrosis. [grantome.com]
fibrosis Juvenile subtype associated with mutations in NPHP1 ( OMIM 256100 ) (chromosome 2q), 4 (chromosome 1p) Infantile subtype associated with NPHP2 (chromosome 9q) Adolescent subtype associated with NPHP3 (chromosome 3q) Electron microscopy description [pathologyoutlines.com]
Some of these genes have also been associated with extra-renal features such as retinal dystrophy, liver fibrosis, and pancreatic cysts. [invitae.com]
Using exome sequencing, we describe a syndrome associated with homozygous loss of Acyl CoA Oxidase 2 ( ACOX2 ) featuring elevated transaminase levels, liver fibrosis, ataxia, and cognitive impairment. [pnas.org]
Musculoskeletal
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Skeletal Dysplasia
Dysplasia With Severe Combined Immunodeficiency Smith-Lemli-Opitz Syndrome Tetraploidy Toluene Embryopathy X-Linked Intellectual Disability, Cabezas Type XY Type Gonadal Dysgenesis-Associated Anomalies Syndrome • • • Back to: « Biparietal narrowing Causes [familydiagnosis.com]
These include growth retardation, urine concentrating defects (polyuria and polydipsia), skeletal dysplasia, anemia, and progressive renal failure. [emedicine.medscape.com]
dysplasia Skeletal Small Patella syndrome Skeletal Spondyloepimetaphysal dysplasia Skeletal Spondyloepiphyseal dysplasia Skeletal Spondyloepiphyseal dysplasia tarda (SEDT) Skeletal Stickler syndrome Skeletal Thanatofore dysplasia Skeletal Torg-Winchester [genomediagnosticsnijmegen.nl]
These include growth retardation, urine concentrating defects, skeletal dysplasia, and progressive renal failure. Some degree of hepatic fibrosis and biliary duct enlargement is usually present. [homeopathyworldcommunity.ning.com]
Eyes
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Visual Impairment
impairment 60 33 frequent (33%) Frequent (79-30%) HP:0000505 10 short stature 60 33 frequent (33%) Frequent (79-30%) HP:0004322 11 hypertonia 60 33 frequent (33%) Frequent (79-30%) HP:0001276 12 abnormality of movement 60 33 frequent (33%) Frequent [malacards.org]
Some symptoms of this disorder can be treated, but the visual impairment usually cannot be corrected. [tsbvi.edu]
impairment Myopia Poor speech Microphthalmia Elevated serum creatine phosphokinase Polyhydramnios Glaucoma Reduced visual acuity Neonatal hypotonia Retinal degeneration Blindness Neoplasm Upslanted palpebral fissure Syndactyly Neural tube defect Vertebral [mendelian.co]
Rehabilitation strategies must be planned for cognitive and behavioral difficulties and specific manifestations such as the visual impairment. [ojrd.biomedcentral.com]
Impairment (CVI) Awareness Disabled Children Dyslexia Elderly Abuse Encephalitis Essential Tremor Gynaecological Cancer awareness (NZ) Kienbock's Disease (Silver and Black) Medical Device Injury Awareness Niemann-Pick Ovarian cancer awareness (Australia [disabled-world.com]
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Strabismus
[…] frequent (33%) Frequent (79-30%) HP:0004322 11 hypertonia 60 33 frequent (33%) Frequent (79-30%) HP:0001276 12 abnormality of movement 60 33 frequent (33%) Frequent (79-30%) HP:0100022 13 glossoptosis 60 33 frequent (33%) Frequent (79-30%) HP:0000162 14 strabismus [malacards.org]
Hyperplasia of iris Narrow palpebral fissures (the opening between upper and lower eyelids) High myopia Strabismus Cataracts Grey spots on the iris Duane’s Syndrome A congenital rare type of strabismus. [tsbvi.edu]
COLLINS SYNDROME 1; TCS1 Is also known as treacher collins-franceschetti syndrome;tcof, treacher collins syndrome;tcs, mandibulofacial dysostosis;mfd1 Related symptoms: Autosomal dominant inheritance Intellectual disability Hearing impairment Micrognathia Strabismus [mendelian.co]
Patient and Methods Clinical Report The proband is a 6-year-old girl, referred to our department, who presented with generalized hypotonia, ataxia, speech delay, low-set ears, ptosis, strabismus, clinodactyly, and a history of psychomotor developmental [karger.com]
Primary position nystagmus is also common, while occasionally associated features include strabismus and ptosis. [ojrd.biomedcentral.com]
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Prolapse
Polycystic liver disease severity was associated with altered biochemical and hematologic laboratory tests and a lower quality of life. [23] Other clinical associations in ADPKD include the following: Cardiac valve disease (particularly mitral valve prolapse [emedicine.medscape.com]
Associated anomalies : Cysts of liver (m/c), (F M; appears later than renal cyst), pancreas, spleen, lungs Berry aneurysm Q (10-40% cases; leads to SAH and death in 9%) Aortic aneurysm Colonic diverticula Mitral valve prolapse Q Good to know Other pathologies [drdebasismaity.com]
Mitral valve prolapse, the most common valvular abnormality, occurs in up to 25% of affected individuals. Substantial variability in severity of renal disease and other extrarenal manifestations occurs even within the same family. [ncbi.nlm.nih.gov]
Other clinical associations include cardiac valve disease (particularly mitral valve prolapse 25%), diverticulosis, cerebral aneurysms (5-10%), pancreatic cysts, and seminal vesicle cysts. [homeopathyworldcommunity.ning.com]
[…] cardiomyopathy Approved mexiletine Chest Pain, neuropathic pain in pregnancy, SLE Approved mexiletine endometriosis, pelvic pain Approved mexiletine myotonia congenita, Thomsen's condition Approved mexiletine neuropathic pain in pregnancy, lumbar disc prolapse [pharmac.govt.nz]
Ears
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Low-Set Posteriorly Rotated Ears
posteriorly rotated ears 60 33 frequent (33%) Frequent (79-30%) HP:0000368 25 meningocele 60 33 frequent (33%) Frequent (79-30%) HP:0002435 26 blepharophimosis 60 33 frequent (33%) Frequent (79-30%) HP:0000581 27 abnormality of the eye 60 Frequent [malacards.org]
Psychiatrical
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Suggestibility
Human phenotypes related to Cerebellar Vermis Aplasia with Associated Features Suggesting Smith-Lemli-Opitz Syndrome and Meckel Syndrome: 60 33 (show all 34) # Description HPO Frequency Orphanet Frequency HPO Source Accession 1 ptosis 60 33 hallmark [malacards.org]
SELECTED GENES FOR YOUR SLICE SUGGESTED CUSTOM SLICES Customize below OR enter Suggested Slice ID on printed requisition form (e.g. 706 XomeDx Slice - Slice ID: CS-Albinism). [genedx.com]
Although the manifestations in these two sisters are similar to the Smith-Lemli-Opitz and Meckel syndromes respectively, there are sufficient differences to suggest that they had a separate autosomal recessive MCA-MR syndrome. [ncbi.nlm.nih.gov]
Single-locus allelism is insufficient to explain the variable penetrance and expressivity of such disorders, leading to the suggestion that variations across multiple sites of the ciliary proteome, including RPGRIP1L, influence the clinical outcome. [ [nectarmutation.org]
Primitive cartilage and ductules are present, suggesting aberration of renal differentiation, the hallmark of dysplasia. [adc.bmj.com]
Face, Head & Neck
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Narrow Face
Phenotypic abnormalities associated with Fragile X syndrome include developmental delay/intellectually disability, autistic behaviors, characteristic narrow face with large jaw, and speech and language disorders. [aetna.com]
Neurologic
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Nystagmus
Source Accession 1 ptosis 60 33 hallmark (90%) Very frequent (99-80%) HP:0000508 2 intellectual disability 60 33 hallmark (90%) Very frequent (99-80%) HP:0001249 3 congenital hepatic fibrosis 60 33 hallmark (90%) Very frequent (99-80%) HP:0002612 4 nystagmus [malacards.org]
Congenital cataracts Infantile glaucoma Nystagmus Marchesani's Syndrome This is an autosomal recessive syndrome that results in multiple skeletal abnormalities. [tsbvi.edu]
The boy demonstrated poor language development, bidirectional horizontal gaze-evoked nystagmus, instability of stance, and wide-based ataxic gait; he was unable to stand and walk without major assistance. [jscimedcentral.com]
Retrognathia Micropenis Neurodegeneration Abnormality of the pinna Iris coloboma Preauricular skin tag Hydranencephaly Large fontanelles Hypoplasia of the corpus callosum Dyspnea Retinopathy Apnea Pulmonary hypoplasia Apraxia Gait disturbance Hepatic fibrosis Nystagmus [mendelian.co]
Primary position nystagmus is also common, while occasionally associated features include strabismus and ptosis. [ojrd.biomedcentral.com]
Workup
Progress logically from the histologic pattern, through the appropriate workup, around the pitfalls, to the best diagnosis. [books.google.de]
A clinical geneticist or genetic counselor familiar with Alagille syndrome should review the results of the workup of a parent or relative to try to determine the recurrence risk for the individual. [chop.edu]
Other Pathologies
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Occipital Encephalocele
encephalocele 33 HP:0002085 32 agenesis of cerebellar vermis 33 HP:0002335 33 postaxial polydactyly 33 HP:0100259 34 periportal fibrosis 33 HP:0001405 [malacards.org]
Meckel syndrome often manifests before birth and is characterized by occipital encephalocele, brain malformations, facial dysmorphism, renal agenesis, and extra digits. [sema4genomics.com]
encephalocele Polydactyly Craniofacial dysplasia Small to normal-sized kidneys Polydipsia and polyuria Mild proteinuria with benign urinary sediment ESRD possibly during childhood Zellweger syndrome (cerebrohepatorenal syndrome) Brain and liver defects [msdmanuals.com]
Other common features seen in subsets of JSRD patients include, fibrocystic renal disease, congenital hepatic fibrosis, retinal degeneration, retinal colobomas, occipital encephalocele, and polydactyly. [clinicaltrials.gov]
Treatment
Treatment may include: Pain medication Surgery to shrink cysts and relieve pain Treatment for high blood pressure Treatment for urinary tract infections Dialysis Kidney transplantation Autosomal recessive PKD (inherited) Autosomal recessive PKD is a rare [stanfordchildrens.org]
Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]
TREATMENT: No cure. Those who survive require treatment for hypertension, CCF, renal and hepatic failure. Portal hypertension is dealt with Warrant Shunt. ? Treatment of oesophageal varices, if needed. [drdebasismaity.com]
This research will directly benefit individuals with JSRD and their families through improved diagnostic, prognostic and recurrence risk information, as well as monitoring and early treatment for medical complications. [grantome.com]
Part 2 - Medical Conditions Chronic or end stage organ failure where the child is receiving organ specific treatment and/or awaiting transplant. [dss.gov.au]
Prognosis
The prognosis of patients depends mainly on the degree of brain malformation. Keywords: Cerebellar vermis hypoplasia, children, Joubert syndrome, renal anomalies, retinal dystrophy How to cite this article: Elhassanien AF, Alghaiaty HA. [annalsofian.org]
FAVOREVOLE CON MODESTA COMPROMISSIONE FUNZIONALE 9323 NEOPLASIE A PROGNOSI FAVOREVOLE CON GRAVE COMPROMISSIONE FUNZIONALE 9324 SINDROME DI TURNER 9325 NEOPLASIE A PROGNOSI INFAUSTA O PROBABILMENTE SFAVOREVOLE NONOSTANTE ASPORTAZIONE CHIRURGICA 9326 SCLERODERMIA [studioaquilani.it]
ESRD in persons with the PKD1 genotype occurs at a mean age of 53 years, while the onset of ESRD in persons with the PKD2 genotype occurs at a mean age of 69 years. [7] In addition, studies have suggested that the type of PDK1 mutation also affects prognosis [emedicine.medscape.com]
Prognosis Soon after birth, prognosis is related to the extent and severity of breathing dysregulation. In particular, recurrent episodes of prolonged apneas can be life-threatening and require assisted ventilation. [ojrd.biomedcentral.com]
PATOLOGIA NEOPLASTICA min. max. fisso 9322 NEOPLASIE A PROGNOSI FAVOREVOLE CON MODESTA COMPROMISSIONE FUNZIONALE 0 0 11 9323 NEOPLASIE A PROGNOSI FAVOREVOLE CON GRAVE COMPROMISSIONE FUNZIONALE 0 0 70 9325 NEOPLASIE A PROGNOSI INFAUSTA O PROBABILMENTE [asimas.it]
Etiology
Renal cell carcinoma (RCC) develops in as many as 40% of patients. [25] Acquired cystic renal disease Acquired renal cystic disease (ARCD) may be found in patients with all etiologies of ESRD, particularly in those who are dialysis dependent. [emedicine.medscape.com]
Candidates for diagnostic testing include infants, children, and adults with generalized hypotonia and proximal muscle weakness of unknown etiology. [aetna.com]
Acquired cystic renal disease Acquired cystic disease may be found in patients with all etiologies of ESRD, particularly in patients who are dialysis-dependent. Hemorrhagic cysts occur in 50% of patients. [homeopathyworldcommunity.ning.com]
A detailed three-generation family history focusing on hepatorenal fibrocystic disease, CHF/CS, liver or kidney disease of unknown etiology, and the associated findings of the multisystem disorders discussed in this GeneReview can be used to help determine [ncbi.nlm.nih.gov]
Epidemiology
Autosomal Recessive Polycystic Kidney Disease (ARPKD) REMEMBER: Epidemiology: Incidence is 1:40,000 live births If not apparent at birth, disease will be apparent in late childhood upto 13 y of age. [drdebasismaity.com]
[…] general Group of autosomal recessive disorders characterized by corticomedullary cysts, atrophy and interstitial fibrosis "Phthisis" (Greek): dwindling or wasting away Also referred to as juvenile nephronophthisis medullary cystic kidney disease complex Epidemiology [pathologyoutlines.com]
Epidemiology [ edit ] TSC occurs in all races and ethnic groups, and in both genders. The live-birth prevalence is estimated to be between 10 and 16 cases per 100,000. [en.wikipedia.org]
Epidemiology Although the incidence of JSRD has not been precisely determined, it may range between 1/80,000 and 1/100,000 live births, but may be underestimated [ 16, 17 ]. [ojrd.biomedcentral.com]
Screening and diagnosis for the fragile X syndrome among the mentally retarded: An epidemiological and psychological survey. Am J Hum Genet. 1997;61:660-667. Gonnaud PM, Sturtz F, Bonnebouche C, et al. [aetna.com]
Pathophysiology
Pathophysiology [ edit ] Hamartin and tuberin function as a complex which is involved in the control of cell growth and cell division. [en.wikipedia.org]
Pathophysiology Cysts develop from renal tubule segments and most detach from the parent tubule after they grow to a few millimeters in size (Psora/ Syphilis). [homeopathyworldcommunity.ning.com]
Clinical manifestations, pathophysiology, and diagnosis of atrioventricular (AV) canal defects. UpToDate [online serial]. Waltham, MA: UpToDate; reviewed December 2013. Altman CA. [aetna.com]
Prevention
Metabolic defects prevent the body from properly breaking down food to create energy. [m.kidshealth.org]
As the genetic counselor for the Victor Center for the Prevention of Jewish Genetic Diseases, Miami, she provides genetic counseling for Ashkenazi Jewish genetic diseases to students, newlywed couples and other patients. Ms. [victorcenter.org]
Greater understanding of the development/function of the brain, retina, kidney and liver through the study of this relatively rare disorder will facilitate the prevention and treatment of more common disorders of these organ systems and benefit society [grantome.com]
In the pancreas, the mucus prevents the release of digestive enzymes that allow the body to break down food and absorb vital nutrients. Cystic Fibrosis occurs at a rate of 1 in 2,500–6,000 newborns. [eloxxpharma.com]
The child has a change (mutation) in the UBE3A gene on chromosome 15, which prevents its expression or function. (This causes 11 per cent of cases.) The child inherits two copies of chromosome 15 from the father. [betterhealth.vic.gov.au]