Presentation
Oral features occurred in 53 (98%) cases; macrodontia was present in 49 (96%) cases." [kbgfoundation.com]
The present case represents the seventh instance of report of this condition which for the first time presented as an isolated occurrence rather that a familial presentation. [ijdentistry.com]
The aim of our present examinations was to assess ... 618 Higher cortical disorders: an unusual presentation of an arteriovenous malformation. von Overbeeke J J - - 1987 The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital [biomedsearch.com]
Of special value is the thorax and various conditions that exhibit that sign. presentation of variability of the condition with age. [books.google.com]
Two novel RAD21 mutations in patients with mild Cornelia de Lange syndrome-like presentation and report of the first familial case. Gene. 2013 Dec 27. [Epub ahead of print]. [disorders.eyes.arizona.edu]
Entire Body System
- Dysostosis
I Acrocephalosyndactylies, Type III Acrocephalosyndactyly, Type V Acrocephalosyndactylies, Type II Acrocephalosyndactylies, Type III Acrocephalosyndactylies, Acrocephaly-Skull Asymmetry-Mild Syndactyly, Craniofacial-Skeletal-Dermatologic Dysplasia, Dysostosis [xpertdox.com]
Meyerson M D - - 1987 Nager acrofacial dysostosis is a rare syndrome of unknown etiology combining mandibular and thumb/radial hypoplasia. [biomedsearch.com]
Miller (postaxial acrofacial dysostosis) syndrome: The characteristic features are postaxial limb deficiency, cup-shaped ears and malar hypoplasia. [oandplibrary.org]
Hypertelorism Anemia Low-set ears Hepatomegaly Feeding difficulties Intellectual disability, severe Malar flattening Motor delay Portal hypertension Underdeveloped nasal alae Micrognathia Renal insufficiency Telecanthus Craniosynostosis Craniofacial dysostosis [mendelian.co]
A syndrome of peripheral dysostosis, nasal hypoplasia, and mental retardation. Am J Dis Child. 1971, 121: 195-203. [ojrd.biomedcentral.com]
Skin
- Alopecia
[…] conductive deafness Early infantile autism Ebola hemorrhagic fever Ebstein's anomaly Eccentrochondrodysplasia Eccrine acrospiroma Eclampsia Ecp syndrome Ectodermal dysplasia absent dermatoglyphics Ectodermal dysplasia adrenal cyst Ectodermal dysplasia alopecia [bioreference.net]
Premature graying 1) Mucopolysaccharidosis I-H (Hurler) 2) Fucosidosis syndromes ( I, II, Ill) 1) Maroteaux-Lamy syndrome 1) Hypertrichosis universalis congenita 1) Brachman de Lange syndrome 2) Q+ 1) Cartilage hair hypoplasia 2) Monilethrix 1) Progeria 2) Alopecia [docslide.com.br]
Ectodermal dysplasia alopecia preaxial polydactyly[?] Ectodermal dysplasia anhidrotic[?] Ectodermal dysplasia arthrogryposis diabetes mellitus[?] Ectodermal dysplasia Bartalos type[?] Ectodermal dysplasia Berlin type[?] [encyclopedia.kids.net.au]
Systemic Features: Scalp alopecia and sparse body hair is common in spite of the trichomegaly of the eyebrows and eyelashes. Frontal bossing has been noted in some patients. [disorders.eyes.arizona.edu]
- Hypertrichosis
Cornelia de Lange Syndrome Clinical Characteristics Ocular Features: Many patients have few ocular findings beyond the usual synophyrs, a highly arched brow with hypertrichosis, and long eyelashes. Synophrys is often prominent. [disorders.eyes.arizona.edu]
[…] eye-brows, may extend to upper eyelids Medial flare Absence of outer half of eyebrows Loss of median portion of eyebrows Colour Premature graying 1) Mucopolysaccharidosis I-H (Hurler) 2) Fucosidosis syndromes ( I, II, Ill) 1) Maroteaux-Lamy syndrome 1) Hypertrichosis [docslide.com.br]
Radiological survey may help with uncertain diagnosis in mild cases. [ 12 ] Cutaneous abnormalities Hypertrichosis may include long eyelashes, hirsutism on the back, and hypoplastic nipples and umbilicus. [patient.info]
Clinical characteristics of these individuals include short stature, beaked nose, anti-mongoloid slant of eyes, heavy/high arched eyebrows, microcephaly, broad thumbs and hallux which are often angulated, hyper-extensive joints, small tilted pelvis, hypertrichosis [faoj.org]
Patient 3 had no evidence of hypertrichosis, although his deletion spanned MAP2K6, the gene hypothesized to underlie this phenotype [45]. [journals.plos.org]
Eyes
- Lacrimation
Piebaldism needs to be distinguished from the progressive, rarely congenital disease vitiligo and from Waardenburg syndrome, which features the white forelock as well as displacement of the inner canthi and lacrimal puncta, prominent nasal root and medial [pediatricsconsultant360.com]
Lacrimoauriculodentodigital syndrome 0 *Syndactyly *Abnormalities, Multiple *Lacrimal Apparatus Diseases *Tooth Abnormalities *Hearing Loss. [reference.md]
Proptosis Oxycephaly Micropenis Obesity Macrocephaly Aganglionic megacolon Dilatation Posteriorly rotated ears Low-set, posteriorly rotated ears Retrognathia Failure to thrive Short nose CNS hypomyelination Abnormality of vision Microcolon Decreased lacrimation [mendelian.co]
The characteristic features of this condition are absence of lacrimal puncta/canaliculi leading to epiphora and chronic eye infections, cup-shaped or malformed ears with sensoneural or conductive deafness, abnormalities of the teeth and radial ray defects [oandplibrary.org]
Face, Head & Neck
- Thick Lips
lips, a wide mouth, a small lower jaw ( micrognathia ), and large ear lobes. [portal.bsc.gwu.edu]
Treatment
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]
Treatment Treatment Options: No treatment has been reported. [disorders.eyes.arizona.edu]
Endodontic treatment Endodontic treatment along with lateral apical closure was planned for maxillary right central incisor. [contempclindent.org]
Treatment - Eyebrows duplication of- with stretchable skin and syndactyly Not supplied. Resources - Eyebrows duplication of- with stretchable skin and syndactyly Not supplied. [checkorphan.org]
Language: Deficits vary with cognitive level, hearing status, and degree/timing of surgical treatment. Oral Motor: Highly arched high palate, irregular dentition, and malocclusion, with forward posture of the tongue. [quizlet.com]
Prognosis
Diagnosis - Eyebrows duplication of- with stretchable skin and syndactyly Home medical testing related to Eyebrows duplication of, with stretchable skin and syndactyly: * Vision & Eye Health: Home Testing: o Home Eye Tests o Home Vision Tests Prognosis [checkorphan.org]
Guidelines detailing recommendations for evaluation and management of individuals diagnosed with CdLS have been published. [ 16 ] Prognosis [ 17 ] Most early deaths are in severely affected babies and occur in the first two years of life. [patient.info]
Finding the genetic etiology of a syndrome and its association to the phenotype is paramount to better health care, provision of tailored therapy, presymptomatic screening, accurate prognosis, recurrence risk evaluation and in some cases prenatal testing [diva-portal.org]
Cornelia de lange syndrome: Clinical features, common complications and long term prognosis. Curr Pediatr 1996;6:69-73. 4. Van Allen MI, Filippi G, Siegel-Bartelt J, Yong SL, McGillivray B, Zuker RM, et al. [contempclindent.org]
Etiology
The empiric recurrence risk of having a second child with autism (ie, having a sibling with autism) in cases where the underlying etiology is unknown is about 3%-5%. [mhmedical.com]
In conclusion, four different genetic aberrations involved in the etiology of ID and their corresponding phenotypes and candidate genes have been characterized. [diva-portal.org]
This suggested that a defect in telomere maintenance could be involved in the etiology of this disease. [journals.plos.org]
Meyerson M D - - 1987 Nager acrofacial dysostosis is a rare syndrome of unknown etiology combining mandibular and thumb/radial hypoplasia. [biomedsearch.com]
Other less frequently used synonyms are Brachman-De Lange Syndrome and typus degenerativus amstelodamensis. [6], [7], [8] Etiology The genetic and molecular bases of these lesions are not clear. [contempclindent.org]
Epidemiology
The basic problem appears to be the effect of the genetic mutation on cohesin, a protein which controls faithful chromosome segregation during mitotic and meiotic cell cycles. [ 4 ] Epidemiology [ 5 ] Data from the database of the European Surveillance [patient.info]
[…] optic disc pallor is more frequent in patients with the FGFR2 Pro253Arg mutation. [4] Patients with FGR2 Ser252Trp mutations have a significantly greater prevalence of visual impairment compared with patients with the FGFR2 Pro253Arg mutation. [4, 5] Epidemiology [emedicine.medscape.com]
Hence, PAPPA can be a possible marker in the prenatal diagnosis of Cornelia-de Lange syndrome. [12] Epidemiology Incidence of this entity is variable, ranging from 1 : 30 000 to 1 : 50000 in different population groups. [13] There is no racial predilection [contempclindent.org]
Limb reduction defects in Emilia Romagna, Italy: epidemiological and genetic study in 173,109 consecutive births. J. Med. Genet., 27, 353-357. Donnai, D., Hughes, H. E., Winter, R. M. (1987). Postaxial acrofacial dysostosis (Miller) syndrome. J. [oandplibrary.org]
Johnson LG, Madeleine MM, Newcomer LM, Schwartz SM, Daling JR (2004) Anal cancer incidence and survival: the surveillance, epidemiology, and end results experience, 1973–2000. Cancer 101: 281–288. View Article Google Scholar 40. [journals.plos.org]
Pathophysiology
Pathophysiology During early infancy (< 3 mo), the coronal suture area is prematurely closed. A bony condensation line beginning at the cranial base and extending upward with a characteristic posterior convexity represents this occurrence. [emedicine.medscape.com]
Prevention
Prevention - Eyebrows duplication of- with stretchable skin and syndactyly Not supplied. [checkorphan.org]
Calcium sulfate was found to induce tissue repair when it was used for filling large surgical cavities because invagination of the epithelium, which prevents bone formation, is avoided. [contempclindent.org]
Affected individuals may require early intervention to prevent and/or monitor respiratory and feeding difficulties. Special education programs, vocational training, speech, and/or behavioral therapy may also be recommended. [rarediseases.org]
To prevent unsuitable chamber resuspension after centrifugation, always resuspend the pellet in the extant convertible (after supernatant slaughter) before adding any chic mean (the hang of Note 10). 1. [warmbutter.com]
Pardo B, Marcand S (2005) Rap1 prevents telomere fusions by nonhomologous end joining. EMBO J 24: 3117–3127. View Article Google Scholar 23. [journals.plos.org]