Presentation
The wrist joint in CRUS had three levels of radial and ulnar bone location: 68.6% present the (0) variant (articular plates located at the same level), 5.7% present the (–) variant (the ulnar head was located proximal to the radius articular plate); and [journals.eco-vector.com]
Furthermore, a high index of suspicion should be present, because patients with FA often initially present to general pediatricians or other subspecialists. [healio.com]
[…] hypospadias or splayed labia majora, mental retardation, and congenital heart defects no present in our patient. [ispub.com]
Case report of a 7 year old boy is presented with characteristic features of Crouzon's syndrome with mental retardation. [contempclindent.org]
Director, Williams Syndrome Clinic, Oishei Children's Hospital (1994-present) Clinical Director, Craniofacial Center of Western New York, Oishei Children's Hospital (1992-present) Associate Clinical Director, Genetics, UBMD Pediatrics, Oishei Children's [medicine.buffalo.edu]
Entire Body System
- Pain
Bone and joint decade initiative of World Health Organization identifies chronic musculoskeletal pain of 3 months or more as a common medical complaint with every 1 in 2 adults, older than 18 years [2]. [austinpublishinggroup.com]
Children who had pain syndrome and radial club hand that resided in the vicinity of the institute underwent a two-stage method to eliminate the faulty position. [journals.eco-vector.com]
In some cases, the rash, including painful blisters, may also affect the mouth, soft palate, and top portion of the throat ringing in the ear (tinnitus) and ear pain (otalgia)., transient hearing loss Hurler-Scheie Syndrome (MPS IH/S), accumulation of [slideshare.net]
Congenital craniofacial dysostosis Leukocytosis Intellectual disability, progressive Encephalopathy Wide mouth Syndactyly Craniosynostosis Dental malocclusion Low anterior hairline Partial agenesis of the corpus callosum Hallux valgus Anterior plagiocephaly Pain [mendelian.co]
The chief complaint being as presented by the mother was pain in relation to the child's upper left teeth since 2 days. [contempclindent.org]
- Feeding Difficulties
Additional features include vision abnormalities and variable sensorineural hearing loss, as well as short stature, hypotonia and gastrointestinal manifestations (e.g. poor feeding, gastroesophageal reflux, constipation). [mendelian.co]
difficulties in infancy 0008872 Glabellar hemangioma 0001076 Hand clenching Clenched hands 0001188 Hydronephrosis 0000126 Hypertelorism Wide-set eyes Widely spaced eyes [ more ] 0000316 Hypertonia 0001276 Hypoplastic philtrum 0005326 Hypospadias 0000047 [rarediseases.info.nih.gov]
Feeding difficulties These are caused by a combination of the small mandible, the position of the tongue, respiratory distress, and cleft palate. [emedicine.medscape.com]
Newborns with Jacobsen syndrome may have difficulties in feeding and tube feeding may be necessary. Special attention should be devoted due to hematological problems. [ojrd.biomedcentral.com]
Other neurological symptoms reported were hypotonia ( n = 1), mild dystonic movement ( n = 1), and swallowing difficulty ( n = 1) ([ Table 6 ]). [thieme-connect.com]
Respiratoric
- Dyspnea
Women may develop pulmonary hemorrhage, cardiac failure or profound dyspnea and cyanosis from increased shunting, or stroke. [nature.com]
• A-V malformations in lung, brain, spinal cord, liver • Dyspnea, hemoptysis, cyanosis, polycythemia vera • Vertigo • Portal hypertension, biliary disease • Hyperdynamic circulation 86 87. 87 88. [slideshare.net]
- Cough
The child only takes small amounts, coughs frequently because food is inhaled, and regurgitates much of the food; tracheostomy and gavage feeding may be necessary. [emedicine.medscape.com]
Cardiovascular
- Hypertension
Hypertension in South Africa adults: results from the Demographic and Health Survey, 1998. Journal of Hypertension 2001;19:1717-1725. 16. Spence JD. Treatment options for renovascular hypertension. Expert Opin Pharmacother 2002 Apr;3(4):411-416. 17. [ispub.com]
A decrease in PAI-1 has been noted, and a model for macroangiopathy protection has been hypothesized. 77 The relative paucity of systemic hypertension contrasts to the increased risk of pulmonary vascular hypertension in childhood. 63 Pregnancy-related [nature.com]
[…] encephalopathy Inability to walk Heterotopia Plagiocephaly Short chin Infantile spasms Large earlobe Type I diabetes mellitus Periventricular leukomalacia Abnormal corpus callosum morphology Hemiclonic seizures Periventricular white matter hyperdensities Pica Hypertension [mendelian.co]
Hypertension Diabetes mellitus Lichen planus Diagnosis 104 105. It is likely that Grinspans’s syndrome represents a drug induced disorder 105 106. [slideshare.net]
[…] paraplegia-optic atrophy-microcephaly (Teebi) XY gonadal dysgenesis with autosomal deletions Del (2p) Del (9p) Del (10q) XY gonadal dysgenesis with autosomal duplications Dup1p (WNT1) Dup17q (SOX9) Germ-cell failure in both sexes (46,XY cases) No somatic anomalies Hypertension [glowm.com]
- Tachycardia
Although recommendations for a specific antihypertensive medication based on results of treatment trials are not available, beta-adrenergic receptor blockade is often selected if there is resting tachycardia, and because it is generally well-tolerated [nature.com]
- Hypotension
Postural hypotension in a patient with cervical myelopathy due to craniocervical anomaly. Cli Auton Res 1997 Oct;7(5):223-226. 15. Steyn K, Thomas AG, Bradshaw, Laubscher R and Fourier J. [ispub.com]
Eyes
- Visual Impairment
Velopharyngeal insufficiency Abnormality of cardiovascular system morphology Impaired social interactions Cortical visual impairment Pointed chin Disproportionate tall stature Cerebral atrophy Cone/cone-rod dystrophy Focal seizures with impairment of [mendelian.co]
Impaired, which starts the calendar as early as Middle School for a successful transition. [naricspotlight.wordpress.com]
Neurodevelopmental challenges include hypotonia, developmental delay, moderate mental retardation, visual impairment, and hearing loss. 60 Structural and functional anomalies of the gastrointestinal and genitourinary systems are common, as are hematologic [nature.com]
- Visual Impairment
Velopharyngeal insufficiency Abnormality of cardiovascular system morphology Impaired social interactions Cortical visual impairment Pointed chin Disproportionate tall stature Cerebral atrophy Cone/cone-rod dystrophy Focal seizures with impairment of [mendelian.co]
Impaired, which starts the calendar as early as Middle School for a successful transition. [naricspotlight.wordpress.com]
Neurodevelopmental challenges include hypotonia, developmental delay, moderate mental retardation, visual impairment, and hearing loss. 60 Structural and functional anomalies of the gastrointestinal and genitourinary systems are common, as are hematologic [nature.com]
Musculoskeletal
- Thin Fingers
Narrow fingers Slender fingers thin fingers [ more ] 0001238 Smooth philtrum 0000319 Stenosis of the external auditory canal Narrowing of passageway from outer ear to middle ear 0000402 Strabismus Cross-eyed Squint Squint eyes [ more ] 0000486 Supernumerary [rarediseases.info.nih.gov]
Hands show cutaneous syndactyly, flat finger pads with fetal tubercule, thin fingers, large 1 st interphalangeal joints, hypoplastic hypotenar regions, abnormal palmar creases, hypoplastic thenar regions. [ojrd.biomedcentral.com]
Breast
- Widely Spaced Nipples
nipples Widely spaced nipples Widely-spaced nipples [ more ] 0006610 Showing of 57 | 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]
Several types of combined malformations such as: KFS + frontonasal dysplasia + Sprengel deformity + widely spaced nipples + psotaxial hexadactily of the left foot, 4 KFS + malformations of laryngeal cartilages 5 KFS + microtia + conductive hearing loss [ispub.com]
[…] hands short slender tapered fingers 15 Traylor et al[ 19 ] Patient 4 Severely delayed Chiari I malformation Small downslanting palpebral fissures, posteriorly rotated ears, uveal coloboma, coloboma of the choroid and retina Fetal growth retardation, wide-spaced [thieme-connect.com]
Face, Head & Neck
- Thin Lips
[…] vermilion border Decreased volume of lip Thin lips [ more ] 0000233 Trigonocephaly Triangular skull shape Wedge shaped skull [ more ] 0000243 Turricephaly Tall shaped skull Tower skull shape [ more ] 0000262 Umbilical hernia 0001537 Upslanted palpebral [rarediseases.info.nih.gov]
Neurologic
- Irritability
[…] delayed, autistic features Hypotonia, bipolar disorder, ocular motor apraxia Short palpebral fissures, mild dental crowding, short neck Central obesity 11 Nimmakayalu et al[ 18 ] Patient 1 Severely delayed Hypotonia, microcephaly, feeding difficulty, irritability [thieme-connect.com]
Treatment
The China government has put more emphasis on newborn screening and treatment against PKU, yet by comparing the situation of newborn screening and treatment against PKU in China and the relatively developed countries ‒ United States, United Kingdom and [jstage.jst.go.jp]
It is reasonable to start CRUS surgical treatment at the age of 3 years. 5. All deformity variants are indications for surgical treatment, considering that treatment technique selection is determined by the degree of its severity. 6. [journals.eco-vector.com]
Sadly, the focus of the treatment is symptomatic and not really on the underlying etiology. Even if the craniosynostosis is found in the prenatal phase, the treatment is still only symptomatic. [syndromespedia.com]
It also reviews its contemporary and future treatment options with the objective of rendering comprehensive care through a multidisciplinary approach. [austinpublishinggroup.com]
Most exciting of all, more sophisticated treatment methods have evolved over the past 20 years. The age at presentation determines the treatment. If possible, provide early treatment and direct it at the cranial vault. [emedicine.medscape.com]
Prognosis
The prognosis for Craniosynostosis varies depending on whether single or multiple cranial sutures are involved or other abnormalities are present. The prognosis is better for those with single suture involvement and no associated abnormalities. [neurosurgerydallas.com]
Commentary Juan Martin-Liberal 2013 Volume 2 Issue 4 Pages 127-129 Published: November 30, 2013 Released: March 17, 2014 JOURNALS FREE ACCESS The term soft-tissue sarcomas (STS) embraces more than 50 different sub-types that are often associated with poor prognosis [jstage.jst.go.jp]
Undiagnosed hidden anomalies are close related with poor prognosis. We report a case with some of the before-mentioned anomalies plus renal artery stenosis (RAS). [ispub.com]
My goal as a clinical geneticist/dymorphologist is to make specific overall diagnoses in order to provide patients and their families with information regarding prognosis and recurrence risks, i.e., the likelihood that a trait or disorder present in one [medicine.buffalo.edu]
Prognosis depends on malformation severity. [6], [11] Our patient reported late with the syndrome and was never treated for it. His oral hygiene was compromised owing to his mental retardation and the lack of awareness on the part of the parents. [contempclindent.org]
Etiology
The etiology of craniosynostosis is heterogeneous. Isolated occurrence with unknown etiology is common, mostly affecting the sagittal suture. [ommbid.mhmedical.com]
Etiology The etiology of the disease remains unclear. It does not appear to be a primarily bacterial infection. [link.springer.com]
Sadly, the focus of the treatment is symptomatic and not really on the underlying etiology. Even if the craniosynostosis is found in the prenatal phase, the treatment is still only symptomatic. [syndromespedia.com]
KTWS is an uncommon disease (around 310 cases have been published) due to a congenital malformation of the deep venous system with agenesis, hypoplasia or segmental atresia, the etiology is not clear however seems to be related with diffuse mesodermal [ispub.com]
Genome-wide oligonucleotide array comparative genomic hybridization for etiological diagnosis of mental retardation: a multicenter experience of 1499 clinical cases. J Mol Diagn 2010;12:204–212. 27. [synapse.koreamed.org]
Epidemiology
This is not the case with CD which showed an insignificant increase at an IQ below 85. [2] Epidemiology [ edit ] The incidence of metopic synostosis is roughly between 1:700 and 1:15.000 newborns globally (differs per country). [11] [55] Trigonocephaly [en.wikipedia.org]
Epidemiology The incidence of metopic synostosis is roughly between 1:700 and 1:15.000 newborns globally (differs per country). [16] [24] Trigonocephaly is seen more in males than females ranging from 2:1 to 6,5:1. [25] [26] [27] [28] Hereditary relations [ipfs.io]
Epidemiology More than 200 cases of JS have been so far reported in the literature [ 3, 9 ]. The estimated occurrence of JS is about 1/100,000 births [ 2, 3, 9 ]. The female/male ratio is 2:1. [ojrd.biomedcentral.com]
An epidemiologic study. Oral Surg. Oral Med. Oral Pathol; 1993: 75, pp. 498-500 Ramesh BA. Ascher syndrome: Review of literature and case report. Indian J Plast Surg. 2011 Jan-Apr; 44(1):147-149 Dutt SN and Irving RM. [slideshare.net]
Turner syndrome Turner syndrome refers to women with absence or structural abnormality of one of the two X chromosomes with the birth prevalence estimated as ∼ 1/2000. 81 A 30-year epidemiologic trend analysis to 2001 in Denmark observed no change in [nature.com]
Pathophysiology
Symptoms & Pathophysiology People suffering from Pfeiffer syndrome have skulls that are tower-shaped and have high foreheads. They also have short and broad thumbs and big toes. [syndromespedia.com]
This provides a platform for ongoing work to understand the processes of suture biogenesis and the pathophysiology of craniosynostosis mutations. [ommbid.mhmedical.com]
Some clinicians have implicated environmental factors such as high temperature, high humidity, and mortar exposure, although exactly how these conditions contribute to the pathophysiology is unexplained. Some... [link.springer.com]
Pathophysiology and management of inherited bone marrow failure syndromes. Blood Rev. 2010;24:101–122. doi:10.1016/j.blre.2010.03.002 [CrossRef] Solomon PJ, Margaret P, Rajendran R, et al. [healio.com]
Pathophysiology and medical treatment of pain in fibrous dysplasia of bone. Orphanet J Rare Dis. 2012;7:S3 171 172. Allanson JE. Noonan Syndrome. [slideshare.net]
Prevention
Crouzon's syndrome: A review of literature and case report 1 Departments of Pedodontics and Preventive Children Dentistry, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India 2 Department of Pedodontics and Preventive Dentistry, A.B Shetty Memorial [contempclindent.org]
[…] syndromes and accounts for ~5% of all cases of colon cancers. gamma delta beta thalassemia due to deletion of the locus control region (LCR) of the -globin gene cluster Is an X-linked disorder that affects clotting. defect in promoter of Factor IX, preventing [brainscape.com]
Appropriately directed microbial therapy, while controlling infection and reducing inflammation acutely, is almost never sufficient to eradicate the pathologic process and prevent medial canal stenosis. [link.springer.com]
Prevention of Treacher Collins syndrome craniofacial anomalies in mouse models via maternal antioxidant supplementation. Nat Commun. 2016; 21;7:10328 Yao CT, Wang JN, Tai YT, Tsai TY, Wu JM. [slideshare.net]
Reviews 2013 Volume 2 Issue 4 Pages 106-114 Published: November 30, 2013 Released: March 17, 2014 JOURNALS FREE ACCESS Phenylketonuria (PKU) is a treat-able and prevent-able inborn error of metabolism which leads to severe mental retardation and neurobehavioral [jstage.jst.go.jp]