Presentation
Mitochondrial diseases are heterogeneous and multifaceted, and can present at any age. [bcmj.org]
Oral features occurred in 53 (98%) cases; macrodontia was present in 49 (96%) cases." [kbgfoundation.com]
Delayed dentition, enamel dysplasia, and abnormal cusp morphology are often present. Cardiac septal defects may be seen. Genetics Homozygous mutations in LONF1 (19p13.3) segregate with the phenotype. [disorders.eyes.arizona.edu]
Fifty-three loci have presently been reported. The 17 deafness forms for which the genes have been identified are presented. [ommbid.mhmedical.com]
Here, we present a new case of isochromosome 18q. The proband is a 16 months old female who was born to nonconsanguineous parents. [ashg.org]
Entire Body System
- Chronic Infection
A rare genetic ectodermal dysplasia syndrome with characteristics of conductive hearing loss due to atresia of the external auditory canal and the middle ear complicated by chronic infection, ptosis and skeletal anomalies (internal rotation of hips, dislocation [ncbi.nlm.nih.gov]
infection, ptosis and skeletal anomalies (internal rotation of hips, dislocation of the radial heads and fifth finger clinodactyly). [malacards.org]
[…] otitis media Chronic infections of the middle ear 0000389 Ectodermal dysplasia 0000968 Showing of 19 | Last updated: 5/1/2019 If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease [rarediseases.info.nih.gov]
Infants with CMV may also develop sensorineural hearing losses due to chronic infections of the inner ear. [deafed.net]
- Single Transverse Palmar Crease
transverse palmar creases 0007598 Myopia Close sighted Near sighted Near sightedness Nearsightedness [ more ] 0000545 Percent of people who have these symptoms is not available through HPO Abnormality of the dentition Abnormal dentition Abnormal teeth [rarediseases.info.nih.gov]
transverse palmar crease Recurrent infections Bifid uvula Posteriorly rotated ears Respiratory tract infection Granulocytopenia Short finger Malar flattening Reduced bone mineral density Corneal dystrophy Retinal degeneration Blue sclerae Congenital [mendelian.co]
- Underweight
Although underweight tends to persist in children who meet FAS criteria, those with PFAS/ARND diagnoses have higher rates of overweight and obesity by adolescence. [ Fuglestad: 2014 ] Management information can be found in the Portal’s Childhood Obesity [medicalhomeportal.org]
Jaw & Teeth
- Abnormal Teeth
[…] who have these symptoms is not available through HPO Abnormality of the dentition Abnormal dentition Abnormal teeth Dental abnormalities Dental abnormality [ more ] 0000164 Autosomal recessive inheritance 0000007 Chronic otitis media Chronic infections [rarediseases.info.nih.gov]
- Anterior Open Bite
Anterior open bite, mandibular overjet, and crowding of the mandibular anterior teeth are also common. 46 Pfeiffer Syndrome Pfeiffer syndrome is characterized by craniosynostosis; midface deficiency; broad thumbs, great toes, or both; brachydactyly; variable [pocketdentistry.com]
Skin
- Sparse Hair
In some types, teeth may be missing and nails may be defective, while in another type there may be missing teeth, inability to sweat, and sparse hair. Still another may have hearing loss and defects of the enamel of the teeth. [nfed.org]
Characteristic facial features include brachycephaly; fine, sparse hair; hypertelorism; epicanthal folds; small, low set or cupped ears; flat, broad nasal root and tip; short philtrum; and wide mouth with full lips. [dnatesting.uchicago.edu]
[…] or thin sparse hair Table 1. [aafp.org]
Primrose syndrome is characterized by typical facial features, macrocephaly, mental retardation, enlarged and calcified external ears, sparse body hair, and distal muscle atrophia. [bredagenetics.com]
By puberty, the hair problems may worsen until all the hair on the scalp is lost (total alopecia). The eyelashes, eyebrows, underarm (axillary) hair, and pubic hair are also sparse or absent. [quizlet.com]
- Sparse Hair
In some types, teeth may be missing and nails may be defective, while in another type there may be missing teeth, inability to sweat, and sparse hair. Still another may have hearing loss and defects of the enamel of the teeth. [nfed.org]
Characteristic facial features include brachycephaly; fine, sparse hair; hypertelorism; epicanthal folds; small, low set or cupped ears; flat, broad nasal root and tip; short philtrum; and wide mouth with full lips. [dnatesting.uchicago.edu]
[…] or thin sparse hair Table 1. [aafp.org]
Primrose syndrome is characterized by typical facial features, macrocephaly, mental retardation, enlarged and calcified external ears, sparse body hair, and distal muscle atrophia. [bredagenetics.com]
By puberty, the hair problems may worsen until all the hair on the scalp is lost (total alopecia). The eyelashes, eyebrows, underarm (axillary) hair, and pubic hair are also sparse or absent. [quizlet.com]
- Alopecia
2 Palmoplantar Keratoderma and Congenital Alopecia, Autosomal Dominant Papillon-Lefevre Syndrome Pili Torti and Developmental Delay Pilodental Dysplasia with Refractive Errors Poikiloderma with Neutropenia Polyposis, Skin Pigmentation, Alopecia, and [nfed.org]
By puberty, the hair problems may worsen until all the hair on the scalp is lost (total alopecia). The eyelashes, eyebrows, underarm (axillary) hair, and pubic hair are also sparse or absent. [quizlet.com]
Patients may have frontal alopecia, cardiomyopathy and testicular atrophy. It is caused by expansion of a heterozygous trinucleotide repeat (CTG)n in the DMPK gene (19q13). [reviewofophthalmology.com]
- Acne Vulgaris
The acne vulgaris of Apert syndrome suggests exquisite end-organ responsiveness to steroid hormones. 46 Ocular findings include hypertelorism, proptosis (often asymmetric), and down-slanting palpebral fissures. [pocketdentistry.com]
Musculoskeletal
- Hip Dislocation
A rare genetic ectodermal dysplasia syndrome with characteristics of conductive hearing loss due to atresia of the external auditory canal and the middle ear complicated by chronic infection, ptosis and skeletal anomalies (internal rotation of hips, dislocation [ncbi.nlm.nih.gov]
dislocation of the radial heads and fifth finger clinodactyly). [malacards.org]
- Acrocephaly
Acrocephalosyndactyly, Type 1 Acrocephalosyndactylies, Type 3 Acrocephalosyndactylies, Type I Acrocephalosyndactylies, Type III Acrocephalosyndactyly, Type V Acrocephalosyndactylies, Type II Acrocephalosyndactylies, Type III Acrocephalosyndactylies, Acrocephaly-Skull [xpertdox.com]
Psychiatrical
- Aggressive Behavior
[…] patterns: inappropriate laughter and happy affect, hand flapping, sleep abnormalities, fascination with water, plastics and music, aggressive behavior Genes: X genes that escape inactivation (SHOX) Inheritance: sporadic Clinical feats: congenital lymphadema [quizlet.com]
Face, Head & Neck
- Narrow Face
[…] tarsal bones Fusion of midphalangeal joints Abnormality of the proximal phalanges of the hand Abnormality of the proximal phalanx of the hallux Progressive conductive hearing impairment Slender build Short 1st metacarpal Decreased corneal thickness Narrow [mendelian.co]
It can include: long narrow face with facial dysmorphisms, congenital cataract, blepharophimosis, dental anomalies, syndactyly, cardiopathy, cleft palate, renal and genital anomalies, micorcephaly. [bredagenetics.com]
- Narrow Nose
Symptoms - Deafness conductive ptosis skeletal anomalies * Droopy eyelids * Conductive deafness * Abnormal inner ear structure * Narrow nose * Thin face Causes - Deafness conductive ptosis skeletal anomalies Not supplied. [checkorphan.org]
- Delayed Closure of Fontanelles
Gene: RUNX2 (6p21) Inheritance: AD (high de novo rate), variable expressivity Clinical feat: delayed closure of fontanelles (adulthood), short stature, hypoplastic or aplastic clavicles, extra/missing teeth, unusally shaped teeth, peg-like teeth, misalignment [quizlet.com]
Workup
Sleep apnea may be central, obstructive, or of mixed origin; proper workup and assessment are crucial to the establishment of the correct diagnosis and treatment. * Central apnea may result from intracranial hypertension. [pocketdentistry.com]
X-Ray
- Odontoid Erosion
apophyseal joint fusion and capsule ossification; discovertebral erosions and sclerosis; and odontoid erosion with atlanto-axial subluxation. [rrnursingschool.biz]
- Cervical Spine X-Ray
Figure 6: Cervical spine X-ray showing complete fusion of C1 and C2 vertebrae Click here to view Discussion Some of these familial occurrences are attributed to single factor inheritance such as the familial C2-C3 fusion which may be an autosomal dominant [ijmdent.com]
- Joint Space Narrowing
Radiographic abnormalities in juvenile chronic arthritis are most prominent in the cervical spine, and consist in atlanto-axial subluxation, odontoid erosion, and apophyseal joint space narrowing and ankylosis. [rrnursingschool.biz]
Treatment
This era was followed by improved environmental factors which operate to produce methods of medical treatment, introduction congenital cardiac malformations. [books.google.com]
Treatment Treatment Options: There is no general treatment available and infants sometimes die from laryngeal obstruction in the first days of life. Individual anomalies may be surgically correctable in selected individuals. [disorders.eyes.arizona.edu]
Treatment - Deafness conductive ptosis skeletal anomalies Not supplied. Resources - Deafness conductive ptosis skeletal anomalies Not supplied. [checkorphan.org]
However, there safe and effective treatments that can help the body improve in a shorter time. These treatments are immunoglobulins (IVIG) and plasma exchange. [ncbi.nlm.nih.gov]
[…] of these patients, playing an important role in the diagnosis, treatment planning and postsurgical management. [elsevier.es]
Prognosis
[…] medical testing related to Deafness conductive - ptosis - skeletal anomalies: * Concentration -- Home Testing * ADHD -- Home Testing * Ear Infections: Home Testing: o Home Ear Infection Tests o Home Ear Tests o Home Hearing Tests * Home Andropause Tests Prognosis [checkorphan.org]
Prognosis: Although these tumors are not malignant, their anatomical location and multiplicity lead to great morbidity and early mortality. The average age of death is 36 years. [quizlet.com]
Patients with MFS usually do not require immunotherapy, presumably because they have a good prognosis and spontaneous recovery. [ncbi.nlm.nih.gov]
Conduction abnormalities have been successfully managed with pacemaker implantation. 6 In cases of severe cardiac dysfunction, heart transplant is an option. 28 Prognosis The visual prognosis for Kearns-Sayre syndrome is relatively good. [eyewiki.aao.org]
Mild PVS has a good prognosis, while severe valvular dysplasia of the pulmonary valve may recommend valvulotomy or valvulectomy [ 8 ]. [ojrd.biomedcentral.com]
Etiology
Their etiology is not precisely century with the first clinical recognition of known, so we have included chapters that dis symptoms and patterns for diagnosis of car cuss many aspects of congenital cardiac mal diovascular diseases. [books.google.com]
Etiology Kearns-Sayre syndrome is a genetic disorder most commonly due to single sporadic deletions in mitochondrial DNA. [eyewiki.aao.org]
Margherita Cirillo Silengo Original Paper First Online: 18 June 2009 Received: 11 March 2009 Accepted: 03 June 2009 382 Downloads 4 Citations Abstract Background Orofacial clefts are common congenital malformations usually characterized by a multifactorial etiology [link.springer.com]
Its etiology is still unknown and is believed to be an autosomal recessive, and X-linked dominant inheritance has also been suggested. In our patient, it was localized and was seen in the anterior cervical region just above the laryngeal prominence. [jclpca.org]
Confusion arising from the wide variability of vertebral fusion within affected families has prompted researchers to develop other classification systems, based not only on the location of vertebral fusion but also on the etiology and genetic origin of [rrnursingschool.biz]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]
Robert E, Kallen B, Harris J (1996) The epidemiology of orofacial clefts. Some general epidemiological characteristics. J Craniofac Genet Dev Biol 16:234–241 PubMed Google Scholar 15. [link.springer.com]
From the molecular data presently available, three main epidemiologic results emerge: (a) Mutations in the gene encoding a gap junction protein, connexin 26, account for about half of the cases of prelingual isolated deafness in Caucasian populations; [ommbid.mhmedical.com]
Age-appropriate guidelines for the management of Noonan syndrome are available. 1 Epidemiology Noonan syndrome is characterized by marked variable expressivity, which makes it difficult to identify mildly affected individuals. [aafp.org]
Epidemiology LS is a rare condition, but the exact birth prevalence is unknown. Not less than 200 patients have been reported and two reviews published [ 1, 4 ]. [ojrd.biomedcentral.com]
Pathophysiology
Each form is introduced by a brief history of how the gene was discovered, followed by the description of its clinical features and the established or putative role of the encoded protein, as well as the current hypotheses concerning the associated pathophysiological [ommbid.mhmedical.com]
Antibodies against the GQ1b ganglioside are a typical serological finding as described in the pathophysiology section of this article, but the absence of antibodies does not rule out the disease completely. [ncbi.nlm.nih.gov]
Retinal evaluation reveals disruption and atrophy of retinal photoreceptors as well as aberrant pigment distribution in all layers of the retina. 4, 5 Spongiform degeneration of the brain has been reported in multiple patients at autopsy. 6 Pathophysiology [eyewiki.aao.org]
Endocrine system Endocrine disorders may present in childhood or may develop over time and present in adulthood.[ 17,18 ] Diabetes mellitus with a complex pathophysiology can occur. [bcmj.org]
Votruba M, Moore AT, Bhattacharya SS (1998) Clinical features, molecular genetics, and pathophysiology of dominant optic atrophy. J Med Genet 35: 793–800. View Article Google Scholar 9. [journals.plos.org]
Prevention
Prevention - Deafness conductive ptosis skeletal anomalies Not supplied. [checkorphan.org]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
FAS Diagnostic and Prevention Network provides more details. [medicalhomeportal.org]
Lifestyle education with advice on diet and exercise must be included in a program of prevention of diabetes, osteoporosis, and hypertension. [turnersyndrome.co.nz]
Ocular There is no definitive treatment for Kearns-Sayre syndrome although symptomatic and preventative treatments can improve quality of life. [eyewiki.aao.org]