Presentation
The patient we are presenting had small ectopic nonfunctioning right kidney in the association with CISS. [hindawi.com]
Abnormal central control of respiration may be present at birth, increasing the risk of sudden death. Febrile episodes disappear after the first year of life, whereas feeding difficulties persist. [orpha.net]
The purpose of this book is to present a focused approach to the pathophysiology, diagnosis, and management of the most common autonomic disorders that may present to the clinical neurologist. Autonomic Neurology is divided into 3 sections. [books.google.de]
Worldwide, there are fewer than 100 reported cases and we present the second Indian patient with a CRLF1 genetic mutation [1-4]. [indianpediatrics.net]
A–D, Facial expression at different ages, from birth to present. E, Front and back views, at the present time. Note scoliosis and limited extension of elbows. F, Subjects' hands. Note consistent camptodactyly. 5, Subject CS37, aged 14 mo. [pubmed.ncbi.nlm.nih.gov]
Entire Body System
- Hyperthermia
Crisponi syndrome (CS) is a severe disorder characterized by muscular contractions at birth, intermittent hyperthermia, facial abnormalities and camptodactyly. [monarchinitiative.org]
Episodes of fever in Crisponi syndrome arise from CRLF1 mutation, which differs from the physiological pathway underlying malignant hyperthermia. [scielo.br]
occasionally high grade with seizures, but it is often only low grade, this hyperthermia will be resolved gradually in months. [saudijhealthsci.org]
She was also seen frequently in the emergency room due to hyperthermia. She was on regular follow-up in the clinic till 5 years of age and was doing well according to her mother attending school. [jcnonweb.com]
- Feeding Difficulties
Marked feeding difficulties require nasogastric tube feeding. Prognosis Characteristic hyperthermic crises frequently lead to death within the first months of life. [orpha.net]
Associated physical and constitutional findings include characteristic facial anomalies, camptodactyly, intermittent hyperthermia, and feeding difficulties. [unboundmedicine.com]
Abstract Crisponi syndrome (CS) is a rare autosomal recessive syndrome, characterized by episodic facial muscle contraction with trismus, abundant salivation along with intermittent hyperthermia, feeding difficulties, characteristic facial dysmorphism [link.springer.com]
Crisponi/CISS1 syndrome (MIM#272430) is a rare autosomal recessive disease characterized by major feeding difficulties, camptodactyly, and anhidrosis in early childhood; and the subsequent development of paradoxical cold-induced sweating and scoliosis [portal.findresearcher.sdu.dk]
In infancy, she did not show paroxysmal muscular contractions, but showed feeding difficulty, hyperthermia, and facial characteristics including thick and arched eyebrows, a short nose with anteverted nostrils, full cheeks, an inverted upper lip, and [pesquisa.bvsalud.org]
Respiratoric
- Nasal Voice
Clinical description Additional abnormalities may include kyphoscoliosis, a high-arched palate, a nasal voice, depressed nasal bridge, and impaired peripheral sensitivity to pain and temperature. [orpha.net]
Additional abnormalities include a high-arched palate, nasal voice, depressed nasal bridge, inability to fully extend the elbows and kyphoscoliosis. [uniprot.org]
They also had some additional abnormalities, in clud in g a high-arched palate, nasal voice, depressed nasal bridge, in ability to fully extend the ir elbows, and kyphoscoliosis. [yumpu.com]
Jaw & Teeth
- Prognathism
In adolescence to adulthood, she showed a Marfanoid habitus with progressive kyphoscoliosis and craniofacial characteristics including dolichocephaly, a slender face with poor expression, a distinctive nose with hypoplastic nares, malar hypoplasia, prognathism [pesquisa.bvsalud.org]
Other characteristic features in CRLF1 mutation include marfanoid habitus with progressive kyphoscoliosis and craniofacial characteristics including dolichocephaly, a slender face with poor expression, a nose with hypoplastic nares, malar hypoplasia and prognathism [wikidoc.org]
Ears
- Hearing Impairment
Systemic Features: Type I Usher syndrome is characterized by profound hearing impairment beginning at birth, vestibular dysfunction, and unintelligible speech in addition to retinitis pigmentosa. [disorders.eyes.arizona.edu]
Skin
- Sweating
GENETIC COUNSELING: Cold-induced sweating syndrome (CISS) and its infantile version, Crisponi syndrome, are inherited in an autosomal recessive manner. [ncbi.nlm.nih.gov]
DISEASE: Cold-induced sweating syndrome Entry H00935 Disease Name Cold-induced sweating syndrome Subgroup Crisponi syndrome Description Cold-induced sweating syndrome (CISS) is inherited in an autosomal recessive manner. [genome.jp]
Eyes
- Night Blindness
The most common clinical features of retinitis pigmentosa include the following 1 : Night blindness or defective adaptation to dark, also known as nyctalopia Visual acuity e.g. early loss of cone function, resulting in loss of central visual acuity over [centogene.com]
RP is clinically characterized by retinal pigment deposits visible on fundus examination, nyctalopia ("night blindness"), followed by progressive degeneration of the photoreceptors, which eventually leads to blindness (van Soest et al. 1999. [preventiongenetics.com]
Night blindness and visual acuity loss are evident in the first decade of life and progressively worsen leading to severe handicaps by the third. [disorders.eyes.arizona.edu]
- Lacrimation
Continuous profuse sweating in the medial supraorbital region associated with Raeder syndrome (Horner syndrome plus temporal and frontal headache and paresthesia) is known as lacrimal sweating. [plasticsurgerykey.com]
- Retinal Pigmentation
RP is clinically characterized by retinal pigment deposits visible on fundus examination, nyctalopia ("night blindness"), followed by progressive degeneration of the photoreceptors, which eventually leads to blindness (van Soest et al. 1999. [preventiongenetics.com]
Psychiatrical
- Suggestibility
The perioperative implications of the disorder are reviewed and suggestions for anesthetic management provided. [unboundmedicine.com]
Although genotype/phenotype correlation has been elusive, it has been suggested that the level of the mutant protein may correlate with the phenotypic severity. [portal.findresearcher.sdu.dk]
These results suggest a high neonatal phenotypic overlap among these disorders and will be very helpful for clinicians. [publons.com]
Indications for Test All patients with symptoms suggestive of RP and CS/CISS1-like Phenotype are candidates. This test may also be considered for the reproductive partners of individuals who carry pathogenic variants in KLHL7. [preventiongenetics.com]
Their parents shared a common grandfa the r, suggest in g that the observed condition represented a novel syndrome in herited as an autosomal recessive trait. [yumpu.com]
Face, Head & Neck
- Short Nose
In infancy, she did not show paroxysmal muscular contractions, but showed feeding difficulty, hyperthermia, and facial characteristics including thick and arched eyebrows, a short nose with anteverted nostrils, full cheeks, an inverted upper lip, and [pesquisa.bvsalud.org]
[…] and skeletal features)[3][4] Crisponi syndrome (CS), characterized by neonatal-onset paroxysmal muscular contractions, abnormal function of the autonomic nervous system and craniofacial and skeletal manifestations such as thick and arched eyebrows, a short [wikidoc.org]
- Short Neck
neck Pursed lips (see photos); may resolve with time Blepharospasm (sustained, forced closing of the eyelids) Flat or depressed nasal bridge Highly arched palate Long philtrum (groove below nose) Two types of Crisponi syndrome/CISS have been described [forgottendiseases.org]
Workup
Growth delay, developmental delay, decrease pain sensation, and hyperintense lesions in the subcortical white matter on the brain MRI were reported with some of the patients, basic hematologic and biochemical workup usually does not show any abnormalities [hindawi.com]
Workup was done and he was referred to genetics. [jcnonweb.com]
Treatment
Pregnancy management : Pharmacologic treatments for cold-induced sweating should be discontinued during pregnancy, as teratogenic effects on the fetus have not been well studied and remain a possibility. [ncbi.nlm.nih.gov]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Primary hyperhidrosis controlled with oxybutynin after unsuccessful surgical treatment. Clin Exp Dermatol. 2009 Dec. 34(8):e990-1. [Medline]. Bouman HD, Lentzer EM. The treatment of hyperhidrosis of hands and feet with constant current. [emedicine.medscape.com]
[…] or other antihidrotic treatment. [patient.info]
Prognosis
Prognosis Characteristic hyperthermic crises frequently lead to death within the first months of life. The documents contained in this web site are presented for information purposes only. [orpha.net]
Prognosis Primary focal hyperhidrosis usually runs a chronic course, although a small number of people spontaneously improve after the age of about 25 years. [ 1 ] [patient.info]
Etiology
Applicable To Excessive sweating Night sweats Secondary hyperhidrosis Code First Code First Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Etiology Mutations in the CRLF1 gene are causative. Differential diagnosis CS belongs to a group of conditions with overlapping features, including cold-induced sweating syndromes and Stüve-Wiedemann syndrome (see these terms). [orpha.net]
General pathology > Genetic and developmental anomalies > cold-induced sweating syndrome Etiology CISS1 (MIM.272430) at 19p12: mutations in the CRLF1 gene ( 12509788 ) CISS2 (MIM.610313) at 11q13 .3: mutation in the CLCF1 gene (MIM.607672). [humpath.com]
Stüve-Wiedemann syndrome: LIFR and associated cytokines in clinical course and etiology. Orphanet Journal of Rare Diseases. 2014;9:34. https://doi.org/10.1186/1750-1172-9-34 Accessed Feb. 5, 2018. Crisponi Syndrome. Orphanet. [rarediseases.org]
Epidemiology
[…] data: Class of prevalence: <1 / 1 000 000 Average age onset: childhood Average age of death: - Type of inheritance: autosomal recessive Epidemiological data: Class of prevalence: <1 / 1 000 000 Average age onset: neonatal/infancy Average age of death [csbg.cnb.csic.es]
Summary Epidemiology Since the first description of the disease in 1996, it has been described in less than 30 patients from 13 Italian (mainly Sardinian) families. [orpha.net]
Epidemiology of hyperhidrosis in 2 population-based health care databases. J Am Acad Dermatol. 2018 Feb. 78 (2):358-362. [Medline]. Adar R, Kurchin A, Zweig A, Mozes M. Palmar hyperhidrosis and its surgical treatment: a report of 100 cases. [emedicine.medscape.com]
Epidemiology of injuries in northern areas. Arctic Med Res 51:5–14. Mills, WJ. 1991. Cold injury. Alaska Med 35:1. Morton, WE and JWS Hearle. 1975. Physical Properties of Textile Fibres. London: Heinemann. Newburgh, LH (ed.). 1949. [ilocis.org]
Pathophysiology
The purpose of this book is to present a focused approach to the pathophysiology, diagnosis, and management of the most common autonomic disorders that may present to the clinical neurologist. Autonomic Neurology is divided into 3 sections. [books.google.de]
Its pathophysiology was only understood later. Crisponi syndrome falls under the umbrella of CNTF receptor-related disorders due to a mutation in the soluble cytokine receptor CRLF1.44 Crisponi L, Crisponi G, Meloni A, et al. [scielo.br]
The pathophysiology of hypothermia. In International Reviews of Ergonomics, edited by DJ Oborne. New York:Taylor & Francis. 201–218. Middaugh, J. 1992. Epidemiology of injuries in northern areas. Arctic Med Res 51:5–14. Mills, WJ. 1991. Cold injury. [ilocis.org]
Prevention
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
It can be prevented by addition of salt to the diet (drinking beer was a suggested preventive measure in the UK in the 1920s!). Similarly, physiological mechanisms control the electrolyte composition of the body fluids via processes in the kidneys. [ilocis.org]
This might include prevention of choking while eating via a tube that connects the nose to the stomach for feeding (nasogastric tube), prevention of inhaling food on accident (lung aspiration), or physiotherapy and/or surgery to correct bone malformations [rarediseases.org]
Excessive sweating—diaphoresis—affects up to 22% of patients who take antidepressants. 1 Diaphoresis may interfere with social and occupational activities, which can lead to medication discontinuation and prevent effective treatment. [mdedge.com]