Presentation
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 patient we are presenting had small ectopic nonfunctioning right kidney in the association with CISS. [hindawi.com]
We present a 15-month-old girl who required anesthetic care during laparoscopic fundoplication and gastric tube insertion. The perioperative implications of the disorder are reviewed and suggestions for anesthetic management provided. [unboundmedicine.com]
To date, it is an unresolved problem whether the two conditions are distinct clinical entities or a single clinical entity with variable expressions or with different presentations depending on the patients' age at diagnosis. [pesquisa.bvsalud.org]
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]
Entire Body System
- 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]
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]
An apnea monitor is recommended; intervention for feeding difficulties is required; bracing, occupational therapy, or plastic surgery may be necessary to correct congenital finger and hand deformities. [ncbi.nlm.nih.gov]
- Turkish
[…] with Crisponi syndrome. 24 Hakan N...Ceylaner S 23181498 2012 10 Isolated 'sign of the horns': a simple, pathognomonic, prenatal sonographic marker of Crisponi syndrome. 24 Dessi A...Ottonello G 22381110 2012 11 Homozygous mutation of CRLF-1 gene in a Turkish [malacards.org]
The aim of this study was to report on three new patients with CS and review the Turkish patients. We report here on three patients from two related families harboring a homozygous mutation in the cytokine receptor-like factor-1 (CRLF1) gene. [ingentaconnect.com]
Homozygous mutation of CRLF-1 gene in a Turkish newborn with Crisponi syndrome. Clin Dysmorphol2011;20:187-9. 23. Dessì A, Fanos V, Crisponi G, Frau A, Ottonello G. [jcnonweb.com]
Tüysüz B, Kasapçopur O, Yalçınkaya C, Işık Haşıloğlu Z, Knappskog PM, Boman H: Multiple small hyperintense lesions in the subcortical white matter on cranial MR images in two Turkish brothers with cold-induced sweating syndrome caused by a novel missense [karger.com]
Respiratoric
- Nasal Voice
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]
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]
Jaw & Teeth
- Trismus
Type your tag names separated by a space and hit enter Abstract Crisponi syndrome is an autosomal recessive disorder characterized by intermittent episodes of muscular contraction of the facial muscles with trismus and excessive salivation simulating [unboundmedicine.com]
Adaptor Proteins, Vesicular Transport Adolescent Adult Child Child, Preschool Cytokines Death, Sudden Facies Female Genetic Association Studies Hand Deformities, Congenital Humans Hyperhidrosis Hypohidrosis Male Mutation Pedigree Receptors, Cytokine Trismus [portal.findresearcher.sdu.dk]
Affected infants show a tendency to startle, with contractions of the facial muscles in response to tactile stimuli or during crying, trismus, abundant salivation, and opisthotonus. [uniprot.org]
Life expectancy is probably normal. [7] Summary The manifestations of Crispony syndrome at birth is mimicking neonatal tetanus, with frequent facial spasms and trismus. [saudijhealthsci.org]
The cardinal features of this syndrome, which are always evident at birth, consist of muscular contractions of the facial muscles in response to tactile stimuli with trismus simulating tetanic spasm, abundant salivation, major feeding and respiratory [go.gale.com]
- Microstomia
Frequent - High vaulted / narrow palate - Intellectual deficit / mental / psychomotor retardation / learning disability - Restricted joint mobility / joint stiffness / ankylosis Occasional - Micrognathia / retrognathia / micrognathism / retrognathism - Microstomia [csbg.cnb.csic.es]
Eyes
- 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]
Musculoskeletal
- Hand Deformity
Fingerprint Adaptor Proteins, Vesicular Transport Adolescent Adult Child Child, Preschool Cytokines Death, Sudden Facies Female Genetic Association Studies Hand Deformities, Congenital Humans Hyperhidrosis Hypohidrosis Male Mutation Pedigree Receptors [portal.findresearcher.sdu.dk]
An apnea monitor is recommended; intervention for feeding difficulties is required; bracing, occupational therapy, or plastic surgery may be necessary to correct congenital finger and hand deformities. [ncbi.nlm.nih.gov]
- Flexion Contracture
contractures of the elbows. [nature.com]
Face, Head & Neck
- 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]
- Facial Spasm
Life expectancy is probably normal. [7] Summary The manifestations of Crispony syndrome at birth is mimicking neonatal tetanus, with frequent facial spasms and trismus. [saudijhealthsci.org]
- Prominent Cheeks
[…] case per 20,700 newborns.[3] CISS1 is characterized at birth by congenital contractions of facial muscles during crying or in response to tactile stimuli similar to tetanic contraction, bilateral camptodactyly, and dysmorphic facial features including prominent [jcnonweb.com]
Neurologic
- Generalized Seizure
But death may occur in the first few months because of hyperthermic crisis and generalized seizures. [saudijhealthsci.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]
Four new cases. 24 Hahn AF...Boman H 20400119 2010 15 Successful treatment of cold-induced sweating in Crisponi syndrome and its possible mechanism of action. 24 Herholz J...Rutsch F 20187881 2010 16 Stüve-Wiedemann syndrome: long-term follow-up and genetic [malacards.org]
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]
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
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]
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]
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]
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]