Presentation
The mutation identified in the present case study lie next to the N-terminal transmembrane domain. [frontiersin.org]
Discussion DA5D is the only type of distal arthrogryposis presenting with an autosomic recessive segregation pattern. [mdpi.com]
Half of the present patients had cephalic presentation while the other half showed one of the considered risk presentations (breeched, transverse, or other position). [jped.elsevier.es]
A novel missense c.1819G>A mutation (G607S) in the ECEL1 gene has been identified in a consanguineous pedigree of Turkish origin presenting with congenital contracture syndromes. [antibodies-online.com]
The present study focused on bioinformatic analysis of a novel mutation in ECEL1, c.535A>G (p. Lys179Glu), which reported in a family with 2 affected boy and fetus through prenatal diagnosis. [authorea.com]
Entire Body System
- Short Stature
Affected individuals frequently have a bulbous nose, furrowed tongue, micro/retrognathia, a short neck, congenital hip dislocation, club feet, scoliosis and short stature. [mendelian.co]
Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms). [ncbi.nlm.nih.gov]
Clinical features include congenital contractures affecting mostly distal joints of upper and lower limbs, club feet, hip dislocation, short stature, and scoliosis. [preventiongenetics.com]
stature Decreased body height Small stature [ more ] 0004322 Showing of 41 | Last updated: 3/1/2019 If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. [rarediseases.info.nih.gov]
Gastrointestinal
- Diarrhea
2, With Microvillus Atrophy Congenital Familial Protracted Diarrhea With Enterocyte Brush-Border Abnormalities Davidson Disease Intractable Diarrhea Of Infancy Microvillus Atrophy, Congenital Microvillus Inclusion Disease DIAR2 MVID 251850 Genetic Test [ukgtn.nhs.uk]
[…] type 2 DSPP Dentinogenesis imperfecta, Shields type 2 DSPP Dentinogenesis imperfecta, Shields type 3 DSPP Dermatitis, atopic type 2 FLG Dermatopathia pigmentosa reticularis KRT14 Diaphyseal medullary stenosis with malignant fibrous histiocytoma MTAP Diarrhea [centogene.com]
Eyes
- Strabismus
DA5D is characterized by ocular involvement usually in the form of ptosis and incomitant strabismus, but extraocular manifestations have also been reported. [ncbi.nlm.nih.gov]
Read more about Cranial Dysinnervation Disorders with Strabismus and Arthrogryposis [disorders.eyes.arizona.edu]
View the complete list with 104 more genes Specificity 1 % Genes 100 % Congenital Fibrosis of Extraocular Muscles (Ocular Motility Disorder) or Strabismus Syndromes Sequencing Panel with CNV Detection. [mendelian.co]
- Visual Impairment
impairment Impaired vision Loss of eyesight Poor vision [ more ] 0000505 5%-29% of people have these symptoms Hypermetropia Farsightedness Long-sightedness [ more ] 0000540 Scoliosis Abnormal curving of the spine 0002650 Percent of people who have these [rarediseases.info.nih.gov]
Ears
- Hearing Impairment
Impairment, Cleft Lip/Palate, And/Or Mental Retardation COB1 120433 Genetic Test Registry Combined Oxidative Phosphorylation Deficiency 1 Hepatoencephalopathy, Early Fatal Progressive COXPD1 609060 Genetic Test Registry Combined Oxidative Phosphorylation [ukgtn.nhs.uk]
impairment, elliptocytosis, and nephrocalcinosis 300990 300195 X-linked recessive AMN 14q32.32 Megaloblastic anemia-1, Norwegian type 261100 605799 Autosomal recessive AMPD1 1p13.2 Myopathy due to myoadenylate deaminase deficiency 615511 102770 Autosomal [mnglabs.com]
Skin
- Macula
A pigmentary retinopathy and folds in the macula with an abnormal ERG has been reported. Subnormal vision has been reported in some patients. [disorders.eyes.arizona.edu]
Musculoskeletal
- Myopathy
(SCN4A) Allelic: Myotubular myopathy, XL (MTM1) Allelic: Nail-patella syndrome (LMX1B) Allelic: Nemaline myopathy 1, AD/AR (TPM3) Allelic: Nemaline myopathy 10 (LMOD3) Allelic: Nemaline myopathy 3, AD/AR (ACTA1) Allelic: Nemaline myopathy 4, AD (TPM2 [amedes-genetics.de]
With External Ophthalmoplegia, Myopathy, Congenital, With Fiber-Type Disproportion, Centronuclear Myopathy, Congenital Multicore Myopathy With External Ophthalmoplegia, Congenital Myopathy With Myasthenic-Like Onset AD,AR 97.63 733 of 746 SCN4A Congenital [igenomix.es]
"Leiomodin-3 dysfunction results in thin filament disorganization and nemaline myopathy." [perkins.org.au]
Anders Oldfors, Hereditary myosin myopathies, Neuromuscular Disorders, 17, 5, (355), (2007). [doi.org]
actin, congenital, with cores 161800 102610 Autosomal dominant; Autosomal recessive ACTA1 1q42.13 Myopathy, actin, congenital, with excess of thin myofilaments 161800 102610 Autosomal dominant; Autosomal recessive ACTA1 1q42.13 Nemaline myopathy 3, [mnglabs.com]
- Hip Dislocation
DA type 5D is a subtype of DA type 5 inherited as autosomal recessive disorder, clinically characterized by congenital distal joint contractures, knee extension contractures, congenital hip dislocation, club foot, ptosis and other eye findings, furrowed [accounts.public.ce.basespace.illumina.com]
Affected individuals frequently have a bulbous nose, furrowed tongue, micro/retrognathia, a short neck, congenital hip dislocation, club feet, scoliosis and short stature. [orpha.net]
- Joint Dislocation
When investigating the involvement of other joints, hip dislocation and subluxation was observed in 14 cases (28%), and joint hypermobility with hyperflexion were present in two cases. [jped.elsevier.es]
[…] laxity, type 1, with or without fractures B3GALT6 Spondyloepimetaphyseal dysplasia, MATN3 related MATN3 Spondyloepiphyseal dysplasia with congenital joint dislocations CHST3 Spondylometaepiphyseal dysplasia, short limb-hand type DDR2 Steatocystoma multiplex [centogene.com]
Molecular genetics of congenital multiple large joint dislocation. In C. A. Wise & J. J. Rios (Eds.), Molecular genetics of pediatric orthopaedic disorders. (pp. 39-55). New York: Springer. Jacobsen, J. [otago.ac.nz]
Dislocations, Gpapp Type Gpapp Deficiency 614078 Genetic Test Registry Chondrodysplasia, Blomstrand Type BOCD 215045 Genetic Test Registry Chondrodysplasia, Grebe Type Achondrogenesis, Brazilian Achondrogenesis, Type Ii, Formerly Acromesomelic Dysplasia [ukgtn.nhs.uk]
- Spine Stiffness
Systemic Features: Patients are often short in stature with pectus excavatum, spine stiffness, highly arched palate, and club feet. Limited forearm rotation and wrist extension may be present. [disorders.eyes.arizona.edu]
Face, Head & Neck
- Bulbous Nose
Affected individuals frequently have a bulbous nose, furrowed tongue, micro/retrognathia, a short neck, congenital hip dislocation, club feet, scoliosis and short stature. [orpha.net]
Bulbous nose MedGen UID: 66013 •Concept ID: C0240543 • Finding Increased volume and globular shape of the anteroinferior aspect of the nose. Short neck MedGen UID: 99267 •Concept ID: C0521525 • Finding Diminished length of the neck. [ncbi.nlm.nih.gov]
Facial findings include ptosis, which can be unilateral or more severe on one side, micrognathia, arched eye-brows, a bulbous nose that is upturned, and an over-all rounded face. [preventiongenetics.com]
Certain facial features are linked to this condition, including unilateral ptosis, bulbous nose, and micrognathia [3]. [karger.com]
- Short Neck
Affected individuals frequently have a bulbous nose, furrowed tongue, micro/retrognathia, a short neck, congenital hip dislocation, club feet, scoliosis and short stature. [orpha.net]
(a) Unilateral ptosis, strabismus, and short neck. (b) Severe right camptotactyly. (c) Left convex scoliosis. Figure 1. Patient 1. (a) Unilateral ptosis, strabismus, and short neck. (b) Severe right camptotactyly. (c) Left convex scoliosis. [mdpi.com]
Short neck MedGen UID: 99267 •Concept ID: C0521525 • Finding Diminished length of the neck. [ncbi.nlm.nih.gov]
- Round Face
Round face MedGen UID: 116087 •Concept ID: C0239479 • Finding The facial appearance is more circular than usual as viewed from the front. [ncbi.nlm.nih.gov]
Facial findings include ptosis, which can be unilateral or more severe on one side, micrognathia, arched eye-brows, a bulbous nose that is upturned, and an over-all rounded face. [preventiongenetics.com]
Neurologic
- Akinesia
Research projects Foetal Akinesia Gina and Professor Laing identified that there was an unmet need for disease gene discovery in a group of patients with very severe neuromuscular diseases that present in utero with abnormal movements ( foetal akinesia [perkins.org.au]
Neurogenetic fetal akinesia and arthrogryposis: genetics, expanding genotype-phenotypes and functional genomics. Journal of medical genetics, jmedgenet-2020-106901. [igenomix.es]
In a larger cohort of 38 families with fetal akinesia, arthrogryposis, or severe congenital myopathy, one family was found to harbor ECEL1 pathogenic variants (Todd. 2015. PubMed ID: 26578207). [preventiongenetics.com]
[…] deformation sequence 1 (MUSK) Fetal akinesia deformation sequence 2 (RAPSN) Fetal akinesia deformation sequence 3 (DOK7) Fetal akinesia deformation sequence 4 (NUP88) Gaucher disease, perinatal lethal (GBA) Glycogen storage disease IV (GBE1) Hyperekplexia [amedes-genetics.de]
Failure to identify antenatal multiple congenital contractures and fetal akinesia—proposal of guidelines to improve diagnosis. Prenat Diagn 2013; 33(1): 61–74 Article PubMed Google Scholar 30. [link.springer.com]
Workup
The radiological workup reveals an ossifying mass within the supinator muscle with a peripheral fat density, suggesting an parosteal ossifying lipoma (see image) and we proceed with a surgical resection. [sgh-sghr-kongresse.ch]
Treatment
Pedigree: Autosomal dominant Autosomal recessive Treatment Treatment Options: There is no treatment for this condition. [disorders.eyes.arizona.edu]
If left without any treatment, CIN can evolve into invasive cervical cancer (1). Cervix conization showed to be not only a diagnostic technique, but also one of the most useful technique for CIN treatment (2,3). [medichub.ro]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice. [uniprot.org]
Prognosis
References High expression of the novel endothelin-converting enzyme genes, Nbla03145/ECEL1alpha and beta, is associated with favorable prognosis in human neuroblastomas. Kawamoto, T., Ohira, M., Hamano, S., Hori, T., Nakagawara, A. Int. J. [wikigenes.org]
PMID: 24782201 Prognosis Alesi V, Sessini F, Genovese S, Calvieri G, Sallicandro E, Ciocca L, Mingoia M, Novelli A, Moi P Int J Mol Sci 2021 Feb 20;22(4) doi: 10.3390/ijms22042106. [ncbi.nlm.nih.gov]
Etiology
Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. [books.google.com]
Arthrogryposis in children: Etiological assessments and preparation of a protocol for etiological investigations. Archives de Pédiatrie. 2018;25:322-26. Sucuoglu H, Ornek NI, Caglar C. [medigraphic.com]
Arthrogryposis (multiple congenital contractures): diagnostic approach to etiology, classification, genetics, and general principles. [passeidireto.com]
Epidemiology
Arthrogryposis multiplexa congenital: an epidemiologic study of nearly 9 million births in 24 EUROCAT registers. Eur J Obstet Gynecol Reprod Biol. 2011; 159:347-50. Cassidy SB, Allanson JE. Arthrogryposis; Management of Genetics Syndromes. [medigraphic.com]
Eur J Med Genet. 2014;57(8):464–472. 2) Hoff, Jana Midelfart; Loane Maria et al: Arthrogryposis multiplex congenital: an epidemiologic study of nearly 9 million births in 24 EUROCAT registers; European Journal of Obstetrics and Gynecology and Reproductive [passeidireto.com]
[…] advocacy organizations in the field of rare diseases Rare Disease Day 2018 was a success IRDiRC released its roadmap for 2018 Addressing challenges in the diagnosis and treatment of rare genetic diseases Spotlight on the second edition of “Rare Diseases Epidemiology [irdirc.org]
Pathophysiology
"Pathophysiological concepts in the congenital myopathies: blurring the boundaries, sharpening the focus." Brain 138(Pt 2): 246-268. [ IF 10.2 ] [NCBI PubMed Entry] Yuen, M., S. A. Sandaradura, J. J. Dowling, A. S. Kostyukova, N. Moroz, K. G. [perkins.org.au]
Prevention
This helps avoid repeated freeze-thaw cycles, as well as prevent loss of virus. To maintain accurate titer, aliquot in at least 20ul per tube. [vectorbiolabs.com]
$690.00 Institutional Price $690.00 Self-pay Price $690.00 Billing Info https://www.preventiongenetics.com/Billing/General/StandardBillingPolicy.php CPT Code 81479 Medicaid States Wisconsin New York Approved ABN Required Laboratory PreventionGenetics (Prevention [genetests.org]
Furthermore, DLK inhibition also prevents the spinal cord microgliosis that results from nerve injury and arises distant from the injury site. [acdbio.com]
Protein coding - H7C3M0 - 5' truncation in transcript evidence prevents annotation of the start of the CDS. CDS 5' incomplete Transcript Support Level 3, when transcripts are supported by a single EST only. [ensembl.org]
[…] participants to network and to discuss emerging safety issues and trends, progress of aviation safety research, and to be updated on the latest research developments on key topics such as: - Reduction of Runway excursion; - Total aviation system risk prevention [ec.europa.eu]