Presentation
Aplasia cutis congenita most commonly occurs on the scalp, but may present in the face, trunk, or limbs. [rarediseases.info.nih.gov]
Cutis aplasia is one of the major features presented by 19q13.11 deletion syndrome patients. However, Gana et al. Patient 2, does not present such features (Table 1 ). [link.springer.com]
However, these haplotype groups are currently distinguished by the number and combination of KIR genes present. [ebi.ac.uk]
These individuals present with nearly the same spectrum of findings as those individuals with the standard deletion. Chromosomes, which are present in the nucleus of human cells, carry the genetic information for each individual. [rarediseases.org]
Treatment is based on the signs and symptoms present in each person. [malacards.org]
Entire Body System
- Feeding Difficulties
People affected by this condition may have poor growth, severe feeding difficulties shortly after birth, developmental delay, learning disabilities, microcephaly (an unusually small head), hypospadias, and skin abnormalities. [malacards.org]
Speech delay [ more ] 0000750 Failure to thrive Faltering weight Weight faltering [ more ] 0001508 Feeding difficulties Feeding problems Poor feeding [ more ] 0011968 Hypospadias 0000047 Intellectual disability Mental deficiency Mental retardation Mental [rarediseases.info.nih.gov]
[…] including gastroesophageal reflux, chronic constipation, feeding difficulties, and dysmotility • Curvature of the spine (scoliosis) • Seizures and differences in the structure of the brain • Hearing loss • Eye abnormalities such as clouding of the lens [rarediseases.org]
Her early years were compromised by feeding difficulties and failure to thrive. From the first (7 month old) to her last examination (23 years old) she always presented slender habitus, she was very thin with very little subcutaneous fat tissue. [link.springer.com]
- Slender Habitus
Get Update Overview Distal chromosome 19q13.11 deletion syndrome is an autosomal dominant neurodevelopmental disorder characterized by poor overall growth, slender habitus, microcephaly, delayed development, intellectual disability with poor or absent [diseaseinfosearch.org]
From the first (7 month old) to her last examination (23 years old) she always presented slender habitus, she was very thin with very little subcutaneous fat tissue. [link.springer.com]
Only 11 cases have been reported, and the common clinical characteristics include intellectual disability, growth retardation, microcephaly, variable signs of ectodermal dysplasia, slender habitus, and genital malformations in males [ 1 ]-[ 7 ]. [molecularcytogenetics.biomedcentral.com]
- Short Stature
[…] nose Decreased length of nose Shortened nose [ more ] 0003196 Short palpebral fissure Short opening between the eyelids 0012745 Short philtrum 0000322 Short stature Decreased body height Small stature [ more ] 0004322 Single umbilical artery Only one [rarediseases.info.nih.gov]
Synopsis congenital diaphragmatic hernia (CDH) cognitive deficits cryptorchidism short stature Diamond-Blackfan anaemia (DBA) 15q25.2 target genes CPEB1, AP3B2 HOMER2 HDGFRP3 References (...) terminal 15q26.2->qter Deletion 30 October 2010 Target gene [humpath.com]
At 22 months of age the boy had relatively short extremities, slight macrocephaly (+2 SD), and short stature (−3 SD). [jmg.bmj.com]
Gastrointestinal
- Failure to Thrive
It is characterized by sparse, kinky hair; failure to thrive; and progressive deterioration of the nervous system. [checkrare.com]
[…] to thrive Faltering weight Weight faltering [ more ] 0001508 Feeding difficulties Feeding problems Poor feeding [ more ] 0011968 Hypospadias 0000047 Intellectual disability Mental deficiency Mental retardation Mental retardation, nonspecific Mental-retardation [rarediseases.info.nih.gov]
Onset is in infancy or early childhood with encephalopathy and failure to thrive (usually between three months and two years of age). [bredagenetics.com]
Her early years were compromised by feeding difficulties and failure to thrive. From the first (7 month old) to her last examination (23 years old) she always presented slender habitus, she was very thin with very little subcutaneous fat tissue. [link.springer.com]
Other features include dysmorphism (71%), intellectual disability or developmental delay (69%), frequent or serious infections (53%), splenomegaly (41%), bony abnormalities (19%), systemic lupus erythematosus (SLE; 14%), failure to thrive (16%), microcephaly [karger.com]
Musculoskeletal
- Small Head
People affected by this condition may have poor growth, severe feeding difficulties shortly after birth, developmental delay, learning disabilities, microcephaly (an unusually small head), hypospadias, and skin abnormalities. [malacards.org]
[…] skull Decreased circumference of cranium Decreased size of skull Reduced head circumference Small head circumference [ more ] 0000252 30%-79% of people have these symptoms Broad columella 0010761 Cryptorchidism Undescended testes Undescended testis [ [rarediseases.info.nih.gov]
Distinct physical features sometimes associated with the syndrome include loss of muscle tone (hypotonia), small slender stature, tapered hands and fingers, small head circumference (microcephaly), recessed jaw (retrognathia), tubular nose, flat cheeks [rarediseases.org]
Skin
- Dry Skin
[…] circumference of cranium Decreased size of skull Reduced head circumference Small head circumference [ more ] 0000252 30%-79% of people have these symptoms Broad columella 0010761 Cryptorchidism Undescended testes Undescended testis [ more ] 0000028 Dry [rarediseases.info.nih.gov]
Among patients with molecular characterization, skin abnormalities are the most common feature, present in 79% of patients, including ulcerations, telangiectasias, photosensitivity, dry skin, pseudo-psoriasis, or nonspecific dermatitis. [karger.com]
skin + + + + + - - + 6/8 Thin-sparse hair + + + + + - + - - + 7/10 Thin-sparse eyebrows/eyelashes + + + + + + + + - - + 9/11 Teeth abnormalities + g + h - + i + j - + j 5/7 Dysplasic nails + + - + - - + - - + 5/10 Genital abnormalities Hypospadias NA [molecularcytogenetics.biomedcentral.com]
Ears
- Hearing Impairment
Complete Probemix List New and Improved Products IVD-Registered Products Bacteria Blood Cancers Cardiovascular Carrier Endocrine & Reproductive Gastrointestinal & Liver Hearing Impairment Hereditary Blood Disorders Immunological Imprinting Intellectual [mlpa.com]
impairment Deafness Hearing defect [ more ] 0000365 Microcornea Cornea of eye less than 10mm in diameter 0000482 Single median maxillary incisor Only one upper front tooth 0006315 Ventricular septal defect Hole in heart wall separating two lower heart [rarediseases.info.nih.gov]
Psychiatrical
- Psychomotor Retardation
Moderate psychomotor retardation was diagnosed at the age of 4 years. A cranial CT scan at this age was normal, as were ultrasound and x ray investigations of the heart and lungs. [jmg.bmj.com]
Breast
- Widely Spaced Nipples
[…] nostril 0000430 Wide intermamillary distance Wide-spaced nipples Widely spaced nipples Widely-spaced nipples [ more ] 0006610 5%-29% of people have these symptoms Bifid scrotum Cleft of scrotum 0000048 Cataract Clouding of the lens of the eye Cloudy [rarediseases.info.nih.gov]
Patient 1 was hypotonic and dysmorphic at birth, with aplasia of the posterior corpus callosum, bilateral ptosis, oculomotor paralysis, down-slanting palpebral fissures, facial asymmetry, submucosal cleft palate, micrognathia, wide-spaced nipples, right-sided [pubfacts.com]
Face, Head & Neck
- Thin Lips
[…] skin 0000963 Thin vermilion border Decreased volume of lip Thin lips [ more ] 0000233 Toe clinodactyly 0001863 Toe syndactyly Fused toes Webbed toes [ more ] 0001770 Underdeveloped nasal alae Underdeveloped tissue around nostril 0000430 Wide intermamillary [rarediseases.info.nih.gov]
Figure 3 The aborted fetus had ambiguous genitalia and facial dysmorphism including long face, high forehead, retrognathia, thin lips, maxillary protrusion, broad nasal root, and large posteriorly angulated and low-set ears. [degruyter.com]
Figure 1 Patient 1 at 14 years of age showing dystonic tetraplegia ( a ) with severe oromandibular impairment ( b ), thin face, thick eyebrows medially sparse, hypertelorism, columella below alae nasi, thin lips, low set ears with large lobules ( b ), [nature.com]
lips + + + + + + + + + + 10/10 Retro-micrognathia + + + + + + + + + - + + 11/12 Large ears or low-set ears + + + + + + + + + + + 11/11 Signs of ectodermal dysplasia Aplasia cutis in midline of scalp + + + + + + - + - + + 9/11 Thin/dry skin + + + + + [molecularcytogenetics.biomedcentral.com]
Neurologic
- Global Developmental Delay
developmental delay 0001263 Hypodontia Failure of development of between one and six teeth 0000668 Inguinal hernia 0000023 Long palpebral fissure Broad opening between the eyelids Long opening between the eyelids Wide opening between the eyelids [ more [rarediseases.info.nih.gov]
delay and intellectual disabilities (DD/ID) or rare neurological syndromes Cases present with non-syndromic developmental delay and intellectual disabilities (DD/ID) or rare neurological syndromes Soueid J, et al. (2016) Discovery cohort of ASD cases [gene.sfari.org]
Workup
However, this reported case also had IUGR, which prompted us to do further workup. [degruyter.com]
Treatment
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Food and Drug Administration has chosen Wave Life Sciences’ planned phase 2/3 study of suvodirsen, its lead experimental therapy for the treatment of Duchenne muscular dystrophy, to break new ground. [globalgenes.org]
Access the comprehensive, expert clinical guidance you need to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan. [books.google.de]
Treatment is based on the signs and symptoms present in each person. [malacards.org]
Article Effect of antidepressant switching between nortriptyline and escitalopram after a failed first antidepressant treatment among patients with major depressive disorder Ole Köhler-Forsberg, Erik Roj Larsen, Henriette N. [bjp.rcpsych.org]
Prognosis
In addition, they are frequently located in the insula, larger in size and associated with poor prognosis. [reviewsinoncology.com]
Different studies identified primary tumor-specific signatures associated with poor prognosis. [cancerindex.org]
In addition to the low resolution backbone, we selected 29 regions associated with genetic syndromes that would have a clear prognosis, should they be detected in a fetus (see Table 1 ). [peerj.com]
Mandel H, Abeling N, Gutman A, Berant M, Scholten EG, et al: Prolidase deficiency among an Israeli population: prenatal diagnosis in a genetic disorder with uncertain prognosis. Prenat Diagn 20:927-929 (2000). [karger.com]
The EMP3 promoter contains a CpG island, which is methylated in both high-grade astrocytoma and neuroblastoma brain tumors associated with poorer prognosis ( 14 ). [spandidos-publications.com]
Etiology
In our patient, standard G-banding also failed to identify the etiology of the abnormal sonographic findings. [degruyter.com]
Linkage of familial Wilms' tumor predisposition to chromosome 19 and a two-locus model for the etiology of familial tumors. [cancerindex.org]
Those regions are related to highly penetrant (>70%) morbid conditions, due to deletions/duplications as main etiological mechanism [ 15, 16 ]. [omicsonline.org]
The data suggest fairly strongly that the etiological mutation resides in a block of linkage disequilibrium that encompasses at least XPD and RAI. [cebp.aacrjournals.org]
For severe fetal phenotypes detected on ultrasound scan, a decision to terminate may be based on the ultrasound findings alone; in these cases, the CMA result will have value in determining the etiology and recurrence risk for any causative CNVs detected [peerj.com]
Epidemiology
Genetics and epidemiology of Wilms' tumor: the French Wilms' tumor study. [cancerindex.org]
Social Responsiveness Scale (SRS) used as a quantitative measure of social deficits Krumm N, et al. (2013) WES Solid phase hybridization (Illumina 1M, 1 M Duo, or Omni 2.5) Individuals originally recruited from an epidemiological cohort targeting children [gene.sfari.org]
DNA repair and aging in basal cell carcinoma: a molecular epidemiology study. Proc. Natl. Acad. Sci USA, 90 : 1614 -1618, 1994. ↵ Shen M. R., Jones I. M., Mohrenweiser H. [cebp.aacrjournals.org]
Pathophysiology
Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. [books.google.de]
Greater awareness and improved understanding of the pathophysiology of the disease will improve the recognition and treatment of this multisystem disorder. Statement of Ethics The authors have no ethical conflicts to disclose. [karger.com]
Prevention
Stay up to date on hot topics such as mechanisms of action of commonly used drugs, neuronal angiogenesis and stem cells, basic mechanisms of spasm and hemorrhage, prevention of stroke, genetics/predisposing risk factors, and much more. [books.google.de]
Published on behalf of the Royal College of Psychiatrists, the journal’s overriding concern is to improve the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally. [bjp.rcpsych.org]
Of the genes that we have investigated, XPD, ERCC1, and LIG1 relate to DNA repair and are probably directly involved in preventing cancer. [cebp.aacrjournals.org]