Presentation
In this paper, a rare case of the Rolland-Desbuquois type is presented. The case is unusual because although it was the milder form, the child died on the 10th day of life. [ncbi.nlm.nih.gov]
Perlecan is a large heparan sulfate proteoglycan present in all basement membranes and in some other tissues such as cartilage, and is implicated in cell growth and differentiation. [cags.org.ae]
This is a documented case of this type of short-limbed dwarfism presenting in a family of Hispanic-American ancestry. [dev.docslide.net]
She is author or co-author of more than 30 oral and poster presentations in international and national medical meetings, for the last 13 years. [hospitaldeguimaraes.min-saude.pt]
Musculoskeletal
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Bowing of The Long Bones
[…] of the long bones ; Broad long bones ; Camptodactyly ; Cleft palate ; Encephalocele ; Equinovarus deformity ; Flat face ; Glaucoma ; Hirsutism ; Hydrocephalus ; Joint contracture of the hand ; Lens luxation ; Limitation of joint mobility ; Malar flattening [mousephenotype.org]
Showing of 30 Percent of people who have these symptoms is not available through HPO Adducted thumb Inward turned thumb 0001181 Advanced ossification of carpal bones 0004233 Autosomal recessive inheritance 0000007 Bowing of the long bones Bowed long bones [rarediseases.info.nih.gov]
In addition to being bowed, the long tubular bones are short and broad, with marked metaphyseal flaring. [rrnursingschool.biz]
[…] of the long bones (camptomelia) and micromelia. [sonoworld.com]
[…] of the long bones Small face Low-set, posteriorly rotated ears Lumbar hyperlordosis Joint hyperflexibility Deeply set eye Bifid uvula Patent ductus arteriosus Disproportionate short-limb short stature Postaxial hand polydactyly Generalized hypotonia [mendelian.co]
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Short Trunk
European Journal Of Pediatrics. 155(12): 1040-1042, 1996 Dyssegmental dysplasia: short-trunk, short-limb dwarfism with anisospondyly. A case report. Journal of Bone and Joint Surgery. [eurekamag.com]
The patient delivered a still-born female weighing 867 g, with externally short trunk, neck, and limbs, and camptomelia (Figure 2). [dev.docslide.net]
Dyssegmental dysplasia: short-trunk, short limb dwarfism with anisospondyly. A case report. J Bone Joint Surg 1994; 76: 1551-6. 7.Hirasawa EA, Wilcox WR, Le AH, Silverman N, Gorindraj P, Hassell JR, et al. [jpma.org.pk]
trunk and long limbs) and a final short stature in adulthood. [mendelian.co]
They have short trunk and, in relationship to the spinal length, long extremities. The shortening of the spine in Morquio syndrome is primarily a result of platyspondyly. [musculoskeletalkey.com]
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Narrow Thorax
Abstract The dyssegmental dysplasia is a lethal form of neonatal short-limbed dwarfism in which unusual facies, short neck, narrow thorax, cleft palate, and reduced joint mobility are the characteristic commonly seen. [unboundmedicine.com]
An ultrasound study done at 24 weeks of gestation showed short limbs and a narrow thorax. The couple opted to continue the pregnancy this time and a male baby was born at 39 weeks of gestation with good apgars. [jpma.org.pk]
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Joint Limitation
Limited joint mobility Limited joint motion [ more ] 0001376 Malar flattening Zygomatic flattening 0000272 Metaphyseal widening Broad wide portion of long bone 0003016 Micrognathia Little lower jaw Small jaw Small lower jaw [ more ] 0000347 Micromelia [rarediseases.info.nih.gov]
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Muscle Weakness
Muscle stiffness, muscle weakness, and skeletal abnormalities may worsen gradually or remain essentially stable. Morbidity and mortality SJS type IA does not significantly shorten lifespan. [img.medscape.com]
Skin
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Hypertrichosis
The proband had hypertrichosis with short and bent limbs with reduced mobility. Svejcar (1983) found abnormal gel electrophoretic patterns of collagen peptides, pointing to a deficiency in alpha-1 chains. [cags.org.ae]
Hypertrichosis was found in both cases. The limbs were short and bent with reduced mobility. Maroteaux et al. (1996) described 2 patients with a disorder related to but probably distinct from dyssegmental dysplasia. [omim.org]
[…] chondrodysplasia GMS syndrome Geleophysic dysplasia Geroderma osteodysplastica Glaucoma-ectopia-microspherophakia-stiff joints-short stature syndrome Hennekam-Beemer syndrome Hereditary hypophosphatemic rickets with hypercalciuria Hoyeraal-Hreidarsson syndrome Hypertrichosis [se-atlas.de]
[…] palpebral fissure with normal eyelid development Unusual facies characterized by a puckered facial appearance Small muscle mass and joint deformities - Eg, coxa valga, irregularity of the capital femoral epiphyses, pectus carinatum ("pigeon breast") Hypertrichosis [img.medscape.com]
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Hirsutism
[…] sacrosciatic notches Neurologic Central Nervous System: hydrocephalus encephalocele (single case) Head And Neck Face: micrognathia flat face round face midface hypoplasia Head And Neck Eyes: glaucoma shallow orbits dislocated lens Skin Nails Hair Hair: hirsutism [malacards.org]
[…] genetic Phenotypes Adducted thumb ; Advanced ossification of carpal bones ; Autosomal recessive inheritance ; Bowing of the long bones ; Broad long bones ; Camptodactyly ; Cleft palate ; Encephalocele ; Equinovarus deformity ; Flat face ; Glaucoma ; Hirsutism [mousephenotype.org]
[…] bones Widened long bones [ more ] 0005622 Camptodactyly Permanent flexion of the finger or toe 0012385 Cleft palate Cleft roof of mouth 0000175 Encephalocele 0002084 Equinovarus deformity 0008110 Flat face Flat facial shape 0012368 Glaucoma 0000501 Hirsutism [rarediseases.info.nih.gov]
The baby also had significant hirsutism though there was no cleft palate (Figure 1 and 2). Cardiovascular, ophthalmological examination and renal ultrasounds were normal. Radiographs showed short and thick tubular bones with bulbous ends. [jpma.org.pk]
Face, Head & Neck
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Short Neck
It is characterized by irregular-sized vertebral bodies due to spinal segmental abnormalities and a distinct facial appearance, micrognathia, short neck, narrow chest, and cleft palate. [deepdyve.com]
Symptoms via clinical synopsis from OMIM: 58 Head And Neck Neck: short neck Head And Neck Mouth: cleft palate Chest External Features: narrow chest Skeletal Hands: camptodactyly adducted thumbs accelerated carpal bone maturation short, broad tubular bones [malacards.org]
Malar flattening ; Metaphyseal widening ; Micrognathia ; Micromelia ; Midface retrusion ; Narrow chest ; Narrow greater sacrosciatic notches ; Neonatal short-limb short stature ; Round face ; Severe short stature ; Shallow orbits ; Short long bone ; Short [mousephenotype.org]
neck Decreased length of neck 0000470 Short ribs 0000773 Showing of 30 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]
Abstract The dyssegmental dysplasia is a lethal form of neonatal short-limbed dwarfism in which unusual facies, short neck, narrow thorax, cleft palate, and reduced joint mobility are the characteristic commonly seen. [unboundmedicine.com]
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Round Face
face midface hypoplasia Head And Neck Eyes: glaucoma shallow orbits dislocated lens Skin Nails Hair Hair: hirsutism Skeletal Feet: equinovarus deformity short, broad tubular bones Growth Height: dwarfism, neonatal short-limbed Skeletal Spine: variable [malacards.org]
face ; Severe short stature ; Shallow orbits ; Short long bone ; Short neck ; Short ribs Associated Genes - Mouse Orthologs - Source OMIM:224400 (names, synonyms, disease associated genes), Orphanet (disease classes), HGNC, Ensembl, MGI (gene symbols [mousephenotype.org]
face Circular face Round facial appearance Round facial shape [ more ] 0000311 Severe short stature Dwarfism Proportionate dwarfism Short stature, severe [ more ] 0003510 Shallow orbits Decreased depth of eye sockets Shallow eye sockets [ more ] 0000586 [rarediseases.info.nih.gov]
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Pierre Robin Syndrome
The infant has malformations of the first visceral arch (Pierre-Robin-Syndrome) malformations of all extremities (Camptomicromelia) and severe malformations of the spine (Anisospondyly). [cags.org.ae]
Neurologic
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Polyneuropathy
[…] brachydactyly Mental retardation syndrome with preaxial brachydactyly Optic atrophy sensorineural hy per phalangism deafness and BLS 2 dysphalangism Immunodeficiency isolated hearing loss and polyneuropathy orodental anomalies polyneuropathy and deafness [yumpu.com]
Workup
[…] narrow the differential diagnosis of skeletal dysplasias so that appropriate confirmatory molecular tests can be selected, (2) to predict lethality; and (3) to identify the fetus with a skeletal dysplasia early enough in pregnancy so that the diagnostic workup [radiologykey.com]
(See Workup.) In affected patients with type I, problems with motor development frequently become evident during the first year of life. Usually, the characteristic dysmorphic features lead to an early diagnosis, no later than age 3 years. [img.medscape.com]
Treatment
Prognosis - Dyssegmental dysplasia- Rolland-Desbuquois type Prognosis of Rolland-Desbuquois syndrome: lethal disorder though many survive past infancy Treatment - Dyssegmental dysplasia- Rolland-Desbuquois type Not supplied. [checkorphan.org]
BAERT Preface In the past two deeades there have been extraordinary advanees in the treatment of eritically ill neonates, resulting in improvements in their survival and a signifieant deerease in morbid ity. [books.google.com]
You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]
Food and Drug Administration has chosen Wave Life Sciences’ planned phase 2/3 study of suvodirsen, its lead experimental therapy for the treatment of Duchenne muscular dystrophy, to break new ground. [globalgenes.org]
The information presented is not intended to replace medical advice or treatment from your own doctor or healthcare provider. [wellnessadvocate.com]
Prognosis
Prognosis - Dyssegmental dysplasia- Rolland-Desbuquois type Prognosis of Rolland-Desbuquois syndrome: lethal disorder though many survive past infancy Treatment - Dyssegmental dysplasia- Rolland-Desbuquois type Not supplied. [checkorphan.org]
Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia Okutani, Ryu; Arima, Yu; Oda, Yutaka 2014-12-01 00:00:00 1 Introduction Dyssegmental dysplasia is a rare, autosomal, recessive dwarfism with a poor prognosis. [deepdyve.com]
1 chains of type-I collagen PROGNOSIS: both subtypes lethal at an early age from pulmonary complications TREATMENT:conservative based on prognosis [orthopaedicsone.com]
In this paper we discuss the ultrasonographic diagnostic features, the prognosis, and the management of the Silverman type of dyssegmental dwarfism. [dev.docslide.net]
Prenatal diagnosis by ultrasonic examination in early pregnancy has been reported in DD. 9 Though both types of DD are autosomal recessive but they must be distinguished so that correct prognosis regarding survival can be offered. [jpma.org.pk]
Etiology
Although the etiology of the Rolland-Desbuquois form has not been explained, the cause of the Silverman-Handmaker type has been shown to be a lack of extracellular matrix perlecan. [cags.org.ae]
Wax JR, Cartin A, Litton C, Pinette MG, Lucas FL ;J Clin Ultrasound. 2016-11-03 The chorionic bump: Etiologic insights from two pathologic pregnancies. [doximity.com]
Etiology: Probably autosomal recessive. Patients of Hispanic origin are well represented in the Silverman-Handmaker variety. [sonoworld.com]
(See Etiology.) The first described cases of SJS were reported in 1962 by Oscar Schwartz and Robert S. [img.medscape.com]
Epidemiology
American Journal of Epidemiology 120(3): 487-488 Oira, S.; Maezawa, A., 1972: Gamma-GTP in cancer. Rinsho Byori. [wwe.geoscience.net]
MATERIALS AND METHODS The Orphanet Rare Disease Ontology (ORDO), derived from the Orphanet database ( www.orpha.net ), integrates information about rare (“orphan”) diseases, genes, epidemiology, and orphan drugs. 14, 15 ORDO defines semantic relationships [academic.oup.com]
EPIDEMIOLOGY Most skeletal dysplasias are uncommon, and often their exact incidence is unknown. [musculoskeletalkey.com]
References Epidemiology SJS types IA and IB are very rare in the United States, although the exact frequency of these disorders is not known. Stuve-Wiedemann syndrome is even rarer. [img.medscape.com]
Prevention
Prevention - Dyssegmental dysplasia- Rolland-Desbuquois type Not supplied. Diagnosis - Dyssegmental dysplasia- Rolland-Desbuquois type Not supplied. [checkorphan.org]
And are not intended to diagnose, treat, cure or prevent disease. The information presented is not intended to replace medical advice or treatment from your own doctor or healthcare provider. [wellnessadvocate.com]
Early treatment with surgical reduction of the tongue might often be required to prevent respiratory complications and to improve feeding. Anesthetic administration is difficult because of the airway obstruction caused by macroglossia. [jdapm.org]
Studies have shown that individuals who have more severe mutations (for example, premature stop codons or a substitution of a glycine) that prevent a pro-alpha 1 or a pro-alpha 2 chain from being formed typically have a milder form of OI (OI type I or [musculoskeletalkey.com]