Presentation
However, hypomyelination and the facial features of typical CS patients are not present. Diagmosis and Treatment COFS is usually diagnosed at birth. [disabled-world.com]
Both syndromes present a strong overlap with COFS syndrome [18]. [bmcmedgenomics.biomedcentral.com]
COFS syndrome affects both females and males from all ethnic groups and symptoms are present at birth. This is a very rare syndrome and the exact number of cases in the UK is unknown. [medic8.com]
Your application for Social Security Disability benefits must be presented properly in order for your claim to be processed under the Compassionate Allowances program. [disability-benefits-help.org]
Cyanotic acral edema was present in 75% of our patients, a finding not previously reported in CS. [jamanetwork.com]
Entire Body System
- Accelerated Growth
For 5 children, the dystrophy consisted of an exaggerated curvature of the nail plate; for 2, accelerated growth of the nail; and for 2, distal onycholysis with hyperkeratosis. [jamanetwork.com]
Cardiovascular
- Cyanosis
Acral cyanosis with slight peripheral edema, which to our knowledge has not been previously reported, was present in 75% of the patients with CS. [jamanetwork.com]
- Acrocyanosis
A neurologic cause was suspected because vascular complications of paralyzing neurologic disorders are well known to practitioners, although they have been rarely reported.14 These vascular complications consist of cold and edematous feet with acrocyanosis [jamanetwork.com]
Skin
- Skin Lesion
Seven patients developed skin lesions on sun-exposed skin: more than 5 pigmented macules in 7 patients and stellate scars in 1 patient. We noticed pigmented macules and stellate scars in 1 patient. [jamanetwork.com]
- Cutaneous Manifestation
manifestations constitute one of the major symptoms leading to clinical suspicion of nucleotide excision repair disorders. [jamanetwork.com]
- Thin Skin
When patients with CS grow older, the fat surrounding their eyes is progressively reduced, leading to sunken eyes, and the skin becomes thin. Thin skin predominates on temporal areas, with abnormal visualization of veins. [jamanetwork.com]
- Purpura
Alopecia, dermo-epidermal atrophy (“cigarette paper” skin), thin transparent skin, stellar scars, telangiectasis, Bateman purpura, and other signs suggestive of cutaneous aging were recorded. [jamanetwork.com]
- Koilonychia
Dysplasia, splitting (onychoschizia), koilonychias, ridging, thickening (onychogryphosis), yellow discoloration, brittle nails, hypoplasia, and unguis inflexus were noted in large reviews of trichothiodystrophy and occurred in 63% of the patients,15 but [jamanetwork.com]
Musculoskeletal
- Large Feet
Ozdirim et al13 described large feet and hands in 14 of 25 patients (56%) but did not mention edema. In the present study, edema was cyanotic with increased visibility of veins because of skin atrophy. [jamanetwork.com]
Psychiatrical
- Suggestibility
Mutations in the same gene are responsible for Cockayne type B syndrome (133540) and some suggest that the variable phenotype represents a spectrum of disease rather than individual entities. [disorders.eyes.arizona.edu]
We suggest including a detailed assessment of the fetal eyes and lenses when the presence of limbs abnormalities raises the suspicion of AMC. [bmcmedgenomics.biomedcentral.com]
The neuropathological changes, previously not well documented, suggest that COFS syndrome is associated with a degenerative process that begins in utero and affects many brain cell types. Similarities to Cockayne syndrome are discussed. [academic.oup.com]
Alopecia, dermo-epidermal atrophy (“cigarette paper” skin), thin transparent skin, stellar scars, telangiectasis, Bateman purpura, and other signs suggestive of cutaneous aging were recorded. [jamanetwork.com]
- Denial
A lack of sufficient medical evidence may result in approval delays or a denial of your Social Security Disability claim. [disability-benefits-help.org]
Workup
Biopsy
- Liver Biopsy
Endotracheal intubation was done via sevoflurane combined with nitrous oxide in this patient who was scheduled for liver biopsy, and the procedure lasted for 13 min. We did not use muscle relexants in induction and maintenance of anesthesia, too. [scielo.br]
Treatment
Treatment Treatment Options: No treatment is available for this disorder. References Read more about Cerebrooculofacioskeletal Syndrome [disorders.eyes.arizona.edu]
Read More Read Less Treatment Treatment Treatment is supportive and symptomatic. Individuals with the disorder often require tube feeding. Because COFS is genetic, genetic counseling is available. Prognosis Prognosis COFS is a fatal disease. [ninds.nih.gov]
Treatment is supportive and symptomatic. Individuals with the disorder often require tube feeding. Because COFS is genetic, genetic counseling is available. [disabled-world.com]
Treatment Treatment is supportive and symptomatic. Individuals with the disorder often require tube feeding. Because COFS is genetic, genetic counseling is available. Prognosis COFS is a fatal disease. Most children do not live beyond five years. [childneurologyfoundation.org]
Prognosis
Prognosis Prognosis COFS is a fatal disease. Most children do not live beyond five years. Clinical Trials Clinical Trials [ninds.nih.gov]
Prognosis COFS is a fatal disease. Most children do not live beyond five years. Research The NINDS supports research on genetic disorders such as COFS. The goals of this research include finding ways to prevent, treat, and cure these disorders. [childneurologyfoundation.org]
Etiology
The etiology is highly heterogeneous and prenatal diagnosis is reached in around 25% during an obstetric routine care [9, 10]. [bmcmedgenomics.biomedcentral.com]
Disease Epidemiology Only 14 cases of COFS were documented between 1974 and 2010.[3] The only documented case of COFS since 2010 was reported in 2021 by Sirchia et al.[1] Etiology COFS is a congenital autosomal recessive disorder stems from a mutation [eyewiki.org]
Epidemiology
Introduction History Cause and symptoms Epidemiology Case reports Diagnosis and treatment References Further reading Cerebro-oculo-facio-skeletal syndrome or COFS is a rare neurodegenerative disease with an autosomal recessive pattern of inheritance. [news-medical.net]
Smith–Lemli–Opitz syndrome: phenotype, natural history, and epidemiology. Am J Med Genet C Semin Med Genet. 2012;160C(4):250–62. Article Google Scholar Hall JG. Pena-Shokeir phenotype (fetal akinesia deformation sequence) revisited. [bmcmedgenomics.biomedcentral.com]
Disease Epidemiology Only 14 cases of COFS were documented between 1974 and 2010.[3] The only documented case of COFS since 2010 was reported in 2021 by Sirchia et al.[1] Etiology COFS is a congenital autosomal recessive disorder stems from a mutation [eyewiki.org]
Pathophysiology
Clubbing: an update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance. J Am Acad Dermatol. 2005;52(6):1020-1028.PubMedGoogle ScholarCrossref [jamanetwork.com]
Microarray analysis and targeted molecular testing for mutations in the following genes can help determine a couple’s risk for conceiving a child with COFS: 46 nucleotide excision repair genes, most notably:[1] ERCC1 ERCC2 ERCC5 ERCC6 KIAA1109 PHGDH FKTN Pathophysiology [eyewiki.org]
Prevention
The goals of this research include finding ways to prevent, treat, and cure these disorders. [ninds.nih.gov]
The goals of this research include finding ways to prevent, treat, and cure these disorders. Information from the National Library of Medicine’s MedlinePlus Degenerative Nerve Diseases [brainandlife.org]
However, reduced fetal movements and the fixed fetal position may prevent the study of these anatomical regions by ultrasound and misguide in the diagnostic process, while fetal MRI could increase the diagnostic accuracy of these defects [16, 17]. [bmcmedgenomics.biomedcentral.com]