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]
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]
Our patient also had additional phenotypic features, including palatal cleft and absent rapid eye movement (REM) sleep that were not present in the two previously described patients with this syndrome. [ncbi.nlm.nih.gov]
Entire Body System
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Feeding Difficulties
difficulties Open mouth Short philtrum Anteverted nares Microcephaly Delayed speech and language development Low-set ears Abnormal facial shape Growth delay Depressed nasal bridge Muscular hypotonia Intrauterine growth retardation Short nose Hypoplasia [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]
During the neonatal period, most JS children have prolonged hospitalizations, due most commonly to a combination of feeding difficulties, cardiac problems, and/or bleeding problems. [ojrd.biomedcentral.com]
difficulty, irritability, hypoplastic optic nerves Narrow palpebral fissures, deep set eyes, full cheeks, small mandible, prominent lateral palatine ridges, prominent frenulum between upper central incisors, tented upper lip with downturned corners of [thieme-connect.com]
Gastrointestinal
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Vomiting
[…] 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 Fever Vomiting [mendelian.co]
Musculoskeletal
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Thin Fingers
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 nipple Accessory nipple 0002558 [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
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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 bilateral restriction [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
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Depressed Nasal Bridge
nasal bridge Muscular hypotonia Intrauterine growth retardation Short nose Hypoplasia of the corpus callosum Motor delay Hypertelorism Hearing impairment Obsessive-compulsive behavior Mandibular prognathia Short foot Autistic behavior Attention deficit [mendelian.co]
Craniosynostosis Midface hypoplasia Syndactyly Frontal flattening Hypertelorism Depressed nasal bridge Exophthalmos Mitten like syndactyly Valgus deformity Pinky Hallux Varus Acrocephaly 27 28. Constricted palate Narrow arch Crowding of teeth [slideshare.net]
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Thin Lips
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 fissure Upward slanting of the opening between [rarediseases.info.nih.gov]
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Beak Nose
CS is an autosomal dominant syndrome characterized by craniosynostosis (premature fusion of the skull sutures), hypertelorism, exophthalmos and external strabismus, parrot-beaked nose, short upper lip, hypoplastic maxilla, and a relative mandibular prognathism [abcam.com]
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Round Face
face Midface retrusion Thin upper lip vermilion Constipation Behavioral abnormality High palate Gastroesophageal reflux Rare Symptoms - Less than 30% cases Cone-shaped epiphysis Aggressive behavior Red hair Fair hair Long nose Spinal canal stenosis Mild [mendelian.co]
Neurologic
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Nystagmus
[…] ambiguous genitalia; absent or rudimentary nipples; parchment skin, delayed development of expressive language Autosomal recessive Aniridia-Wilms' tumor association 21, 22 Moderate to severe mental deficiency, growth deficiency, microcephaly, aniridia, nystagmus [glowm.com]
Mutations in FRMD7, a newly identified member of the FERM family, cause X-linked idiopathic congenital nystagmus. Nat Genet 38(11):1242-4, 2006. e-Pub 2006. PMID: 17013395. [faculty.mdanderson.org]
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Delayed Speech and Language Development
speech and language development Low-set ears Abnormal facial shape Growth delay Depressed nasal bridge Muscular hypotonia Intrauterine growth retardation Short nose Hypoplasia of the corpus callosum Motor delay Hypertelorism Hearing impairment Obsessive-compulsive [mendelian.co]
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]
It might be expected, therefore, that constitutional deletions of 11q regions result in an increased risk for developing neoplastic lesions and/or poor prognosis. [ojrd.biomedcentral.com]
Etiology
The etiology of craniosynostosis is heterogeneous. Isolated occurrence with unknown etiology is common, mostly affecting the sagittal suture. [ommbid.mhmedical.com]
Sharma Indian Journal of Medical Specialities. 2015; 6(3): 127 7 Molecular underpinnings of prefrontal cortex development in rodents provide insights into the etiology of neurodevelopmental disorders D Schubert,G J M Martens,S M Kolk Molecular Psychiatry [contempclindent.org]
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
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]
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 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 incidence [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]
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]
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]
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]
Characteristic appearance: wide-shaped head, with short Skull tall, flattened forehead (the entire forehead is prevented from growing in a forward direction) The first sign of Craniosynostosis is an abnormally shaped Skull. [neurosurgerydallas.com]