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Congenital Hemihypertrophy

Isolated Hemihypertrophy


Presentation

  • The case presenting two tumors had also the greatest number (twelve) of associated abnormalities.[ncbi.nlm.nih.gov]
  • We describe a very rare case of adrenocortical carcinoma (ACC) presenting with Cushing's virilising syndrome in a female child with congenital hemihypertrophy (CHh). CHh was of more value for early detection of ACC than Cushing's virilisation.[ncbi.nlm.nih.gov]
  • Abstract We have presented a case of medullary sponge kidney associated with congenital hemihypertrophy. Evaluation by calcium loading revealed no abnormal handling of this ion.[ncbi.nlm.nih.gov]
  • Pulmonary nodules were present on chest X-ray and CT of the lungs. The diagnosis was confirmed by open biopsy of a hepatic nodule. Despite significant disease progression the patient remains symptom free.[ncbi.nlm.nih.gov]
  • We describe a 19-year-old female, known to have congenital hemihypertrophy, who presented with bilateral benign pheochromocytoma. This is the second time that this combination has been reported in the literature.[ncbi.nlm.nih.gov]
Recurrent Infection
  • Other problems associated with Netherton syndrome are delayed growth and development, immune abnormalities, recurrent infections, and intermittent aminoaciduria.[ncbi.nlm.nih.gov]
  • Recurrent infections/stones and chronic pain cause most of the ongoing morbidity.[patient.info]
  • infections - Long face - Low set ears / posteriorly rotated ears - Lung / bronchopulmonary neoplasm / tumor / carcinoma / cancer - Macroorchidism / macrotestes - Macropenis / megapenis / large penis - Meningioma - Multiple caries - Myopathy - Myopia[csbg.cnb.csic.es]
  • Patients with lymphatic dysplasia syndrome suffer recurrent infections, in part because of an IgG2 deficiency, but also because of the associated bronchiectasis and rhinosinusitis.[atsjournals.org]
Precocious Puberty
  • Large functional tumors often produced symptoms of hirsutism, virilization, and precocious puberty. CT and ultrasound are necessary for early detection and prompt treatment.[ncbi.nlm.nih.gov]
  • The patient showed precocious puberty such as pubis and advanced bone age, but an endocrinological examination revealed no definite abnormalities. The right adrenal tumor with hematoma was resected after these evaluations.[ncbi.nlm.nih.gov]
Virilization
  • An 18 year old woman with congenital hemihypertrophy of her left side, presented with the rapid onset of virilism, hypertension and a cushingoid appearance. A computed tomographic examination revealed adrenal and hepatic masses.[ncbi.nlm.nih.gov]
  • Large functional tumors often produced symptoms of hirsutism, virilization, and precocious puberty. CT and ultrasound are necessary for early detection and prompt treatment.[ncbi.nlm.nih.gov]
Delayed Growth and Development
  • Other problems associated with Netherton syndrome are delayed growth and development, immune abnormalities, recurrent infections, and intermittent aminoaciduria.[ncbi.nlm.nih.gov]
Recurrent Urinary Tract Infection
  • Recurrent urinary tract infection (UTI) is a common presentation and affects more women than men. There may also be sterile pyuria.[patient.info]
Hepatic Mass
  • A computed tomographic examination revealed adrenal and hepatic masses. Adrenocortical carcinoma was confirmed by surgical pathology. Hemihypertrophy is linked to a variety of benign and malignant disorders that usually appear during childhood.[ncbi.nlm.nih.gov]
Dermatitis
  • Netherton syndrome is a rare genodermatosis comprised of anichthyosiform dermatitis, hair shaft defects, and atopic features.[ncbi.nlm.nih.gov]
  • Página 54 - Pedigree demonstrating a sex-linked recessive condition characterized by draining ears, eczematoid dermatitis and bloody diarrhea. ‎ Página 51 - Selective IgA deficiency: presentation of 30 cases and a review of the literature. ‎[books.google.es]
  • Pagina 54 - Pedigree demonstrating a sex-linked recessive condition characterized by draining ears, eczematoid dermatitis and bloody diarrhea. ‎ Pagina 51 - Selective IgA deficiency: presentation of 30 cases and a review of the literature. ‎[books.google.ro]
Hirsutism
  • Large functional tumors often produced symptoms of hirsutism, virilization, and precocious puberty. CT and ultrasound are necessary for early detection and prompt treatment.[ncbi.nlm.nih.gov]
  • Clinical case reports. 2016 Feb [PubMed PMID: 26862409] [3] Mimoto MS,Oyler JL,Davis AM, Evaluation and Treatment of Hirsutism in Premenopausal Women.[statpearls.com]
  • […] auditory canal atresia / stenosis / agenesis - Flared / thick ala nasi - Follicular / conjunctival hamartomas - Glaucoma - Hallux valgus - Heterochromia / mixed colouring of iris - Hip dislocation / dysplasia / coxa valga / coxa vara / coxa plana - Hirsutism[csbg.cnb.csic.es]
Advanced Bone Age
  • The patient showed precocious puberty such as pubis and advanced bone age, but an endocrinological examination revealed no definite abnormalities. The right adrenal tumor with hematoma was resected after these evaluations.[ncbi.nlm.nih.gov]
Long Arm
  • In one child the cytogenetic study of leukocyte cultures revealed elongation of the long arms of both No. 16 chromosomes; each parent and two of four siblings had a similar anomaly affecting one chromosome of pair 16.[pediatrics.aappublications.org]
Facial Hemihypertrophy
  • Facial hemihypertrophy and facial hemiatrophy: Report of 2 cases. J Indian Acad Oral Med Radiol 2008;20:57-9 How to cite this URL: Indurkar A, Degwekar S, Gondivkar S. Facial hemihypertrophy and facial hemiatrophy: Report of 2 cases.[jiaomr.in]
  • hemihypertrophy - Macrostomia / big mouth - Polydactyly of toes - Syndactyly of toes - Telangiectasiae of the skin - Upper limb polydactyly / hexadactyly Frequent - Broad cheeks / cherub-like / cherubin face - Cerebellum / cerebellar vermis anomaly [csbg.cnb.csic.es]
  • Differential diagnosis Facial hemihypertrophy or hemimacrosomia or partial/unilateral gigantism characterized by marked unilateral overdevelopment of hard and soft tissues of the face is a rare congenital malformation.[joacp.org]

Workup

  • Physical examination was normal and routine metabolic workup as unrevealing.[casereports.in]
  • […] performed. [3] If there is an affected parent it is unlikely that the child has a deletion extending to WT1 , although rare cases have been reported. [3] Tests Table 1: Genetic Tests for Aniridia by Phenotype and Family history [3] Testing Strategy Clinical Workup[eyewiki.aao.org]
Nephrolithiasis
  • A case of medullary sponge kidney associated with congenital hemihypertrophy, complicated by nephrocalcinosis and nephrolithiasis, is reported here.[ncbi.nlm.nih.gov]

Treatment

  • CT and ultrasound are necessary for early detection and prompt treatment.[ncbi.nlm.nih.gov]
  • Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.com]
  • ., diagnosis and treatment of the wide variety of disorders and injuries from which these tissues may suffer.[books.google.com]
  • Surgical treatment of macrodactyly in older children and adults. J Hand Surg Am 2004;29(6):1010-9. PMID: 15576209 Cerrato F, Eberlin KR, Waters P, et al. Presentation and treatment of macrodactyly in children. J Hand Surg Am 2013;38(11):2112-23.[handsurgeryresource.com]
  • By Claire Lavelle Advertisement - Continue Reading Below Skin and Hair 23/04/2019 Stretch marks: causes and treatments We look at the causes and most effective treatments for stretch marks.[netdoctor.co.uk]

Prognosis

  • Further brain development and prognosis depends on the functional status of contralateral cerebral hemisphere [ 6 ].[casereports.in]
  • Prognosis ... ________________________________________________________________________________________________ Last Updated: 2008/1/17 ________________________________________________________________________________________________[ibis-birthdefects.org]
  • The patient was explained of prognosis and was advised regular follow-up [Figure 4], [Figure 5], [Figure 6].[jiaomr.in]
  • Prognosis MSK is normally a benign condition that does not affect life expectancy. Renal impairment and failure are uncommon. Recurrent infections/stones and chronic pain cause most of the ongoing morbidity.[patient.info]
  • Prognosis The prognosis for patients with isolated superficial extremity bands is good (see the image below). Aside from cosmetic variability, no functional deficits remain.[emedicine.medscape.com]

Etiology

  • We hereby present the rare co-presence of hemihypertrophy and hemihypertrichosis, for which we could not identify an etiological cause and which is the third such case in the literature.[ncbi.nlm.nih.gov]
  • Abstract Congenital hemihypertrophy is an uncommon condition of unknown etiology characterized by unilateral overgrowth of part or all of one side of the body.[ncbi.nlm.nih.gov]
  • Congenital hemihypertrophy is an uncommon condition of unknown etiology characterized by unilateral overgrowth of part or all of one side of the body.[scholars.northwestern.edu]
  • The association between hemihypertrophy and Wilms' tumor may reflect common etiologic factors or a pre-neoplastic anlage in "hemihypertrophic" kidneys.[pediatrics.aappublications.org]
  • WHEN, through epidemiologic study of persons or families, diseases are found to be associated, the opportunities for determining their etiology may be very much increased. The association of leukemia and mongolism 1 is an example.[nejm.org]

Epidemiology

  • Author Affiliations † Chief, Epidemiology Branch, National Cancer Institute. ‡ Medical officer, Epidemiology Branch, National Cancer Institute. § Medical officer, Epidemiology Branch, National Cancer Institute; research associate in pediatrics, Children's[nejm.org]
  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.es]
  • […] data: Class of prevalence: Average age onset: neonatal/infancy Average age of death: any age Type of inheritance: sporadic Epidemiological data: Class of prevalence: Average age onset: neonatal/infancy Average age of death: any age Type of inheritance[csbg.cnb.csic.es]
  • Introduction Asymmetry between the right and left sides of the body to a greater degree than can be attributed to normal variation abnormal asymmetry defined as a 5% or greater difference in length and/or circumference Epidemiology incidence varies from[orthobullets.com]
  • Epidemiology There are no recent figures for prevalence, but it is estimated to have a prevalence in the general population of between 5 in 10,000 and 5 in 100,000. [ 3 ] As many as 12% of people with recurrent renal stones may have MSK. [ 4 ] Presentation[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • […] defined as a 5% or greater difference in length and/or circumference Epidemiology incidence varies from 1:14,000 to 1:86,000 demographics male:female 2:3 location slightly more common on the right side may also involve head, trunk and internal organs Pathophysiology[orthobullets.com]
  • Pathophysiology The developing embryo sits within two cavities, the amnion and the chorion.[emedicine.medscape.com]
  • Pathophysiology Doppler studies have shown a decreased flow rate of red blood cells, suggesting an abnormality in the vascular innervation of affected areas.[neurologyadvisor.com]
  • Although the pathophysiology of these cases is not completely understood, elevated systemic venous pressure, lymphatic dilation and secondary protein loss play important roles.[scielo.org.co]

Prevention

  • The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly.[books.google.es]
  • By Dr Roger Henderson Advertisement - Continue Reading Below Skin and Hair 25/04/2019 Nappy rash: causes, prevention and treatment tips Half of all babies will develop nappy rash at some point. Here’s how to treat and prevent it.[netdoctor.co.uk]
  • In addition, physical therapy is very important during the lengthening process, as it can help prevent stiffness once the limb becomes longer.[childrensortho.com]
  • Management No treatment can eliminate the cysts in MSK; therefore, management centres around treating and preventing UTIs and renal stones: Patient education about the usually benign nature of the condition.[patient.info]
  • Careful positioning and padding are necessary to prevent damage to the already delicate skin. Avoid neuromuscular blocker until the airway has been secured. Avoid succinylcholine and atropine in the presence of glaucoma.[accessanesthesiology.mhmedical.com]

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