Presentation
[…] branchial arches. [1], [2] In approximately 5 to 15% of the cases, mild mental retardation may also be present. [jfmpc.com]
All ears with microtia (20 ears) had hearing loss: four (20%) presented conductive hearing loss; six (30%) presented mixed hearing loss; eight (40%) presented sensorioneural hearing loss. [nature.com]
Our patient did not present with these findings. [casereports.bmj.com]
Some tissue(s) of the eye may fail to close, presenting as a notch (coloboma) of varying size. In about one-third of cases, the patient presents with a cyst on the eye (dermoids cyst). [rarediseases.org]
Our present patient presented with minimal facial features, but with profound limb defects of preaxial radial ray-thumb aplasia entity. Autosomal recessive pattern of inheritance was suggested in connection with parental consanguinity. [casesjournal.biomedcentral.com]
Entire Body System
- Short Stature
59 32 hallmark (90%) Very frequent (99-80%) HP:0010038 22 malar flattening 32 HP:0000272 23 short stature 32 HP:0004322 24 downslanted palpebral fissures 32 HP:0000494 25 elbow dislocation 32 HP:0003042 26 genu varum 32 HP:0002970 27 split hand 32 HP [malacards.org]
short stature, facial dysmorphism, and skeletal anomalies with or without cardiac anomalies. [mendelian.co]
Congenital radio-ulnar synostosis Radio-ulnar synostosis, short stature, microcephaly, scoliosis, and mental retardation Congenital thrombocytopenia and radio-ulnar synostosis: a new familial syndrome Radio-ulnar synostosis in Williams syndrome Mutations [documentslide.com]
2nd metacarpal ; Short humerus ; Short stature ; Shoulder dislocation ; Split hand ; Stenosis of the external auditory canal ; Ulnar bowing Associated Genes - Mouse Orthologs - Source OMIM:171480 (names, synonyms, disease associated genes), Orphanet [mousephenotype.org]
- Multiple Congenital Anomalies
Difficulties of classification and terminology of syndromes of multiple congenital anomalies. Amer. J. Dis. Child. 1974; 128: 424 PubMed Google Scholar Webster H.deF Development of peripheral myelinated and unmyelinated nerve fibers. in: Dyck P.J. [jns-journal.com]
Mucolipidosis II, III Multiple congenital anomalies(major organ birth defects) Multiple Pterygium syndrome Muscuiar Dystrophy Myasthenia Gravis - Congenital Myelocystocele Myopathy - Congenital Myotonic Dystrophy Nager (Acrofacial Dysostosis) syndrome [es.slideshare.net]
Goldenhar's syndrome associated with multiple congenital anomalies. J Trop Paediatr 2005;51:377-9. 8. Taksande A, Vilhekar KY, Jain M. Atypical presentation of Goldenhar syndrome. J MGIMS 2006;11:45-52. 9. Trivedi HL, Murade S, Harne S, Aarbhave V. [jisppd.com]
In 40-50% of cases, ARM occurs within the context of defined genetic syndromes or complex multiple congenital anomalies, such as VATER/VACTERL (vertebral defects [V], ARMs [A], cardiac defects [C], tracheoesophageal fistula with or without esophageal [read.qxmd.com]
- Pain
On the distribution of pain arising from deep somatic structures with charts of segmental pain areas. Clin. Sci. 1939; 4: 35 Google Scholar Landing B. Syndromes of congenital heart disease with tracheo-bronchial anomalies. Amer. J. [jns-journal.com]
The pain from my mandibular surgery for extending my jaw and difficulty with eating was very hard too. They would turn the screw to extend by jaw bone and that was very painful. [casereports.bmj.com]
STL 2 ASH Telomeric duplication 17q Ichthyosis lamellar 3 THS type 2 Stickler syndrome Stickler syndrome beaded vitreous Asymmetric septal hy per trophy Distal duplication 19q type 3 Lamellar ichthyosis painful Ophthalmoplegia type beaded vitreous type [yumpu.com]
[…] pseudorheumatoid dysplasia, progressive, with hypoplastic toes|spondyloepiphyseal dysplasia with precocious osteoarthritis|czech dysplasia, metatarsal type Related symptoms: Hearing impairment Scoliosis Sensorineural hearing impairment Cleft palate Pain [mendelian.co]
- Asymptomatic
His follow-up was asymptomatic and well balanced in the sagittal and coronal planes at 6 months following operation. Systemic involvement was clinically and radiographically assessed. [karger.com]
CI 1.91-3.16) 520 |a CONCLUSIONS: A great need exists to develop strategies for promoting receipt of Pap smear screening services that specifically target severely disadvantaged women with HIV, particularly younger, lower income women and those in an asymptomatic [pubpharm.de]
Deafness Stoll alembik finck syndrome Absence of septum pellucidum Trisomy 1pter Koone Rizzo Elias syndrome DFNA17 Stoll geraudel chauvin syndrome mental retardation and Nonsyndromic hereditary Aspartylglucosaminidase deficiency Distal trisomy 1p36 asymptomatic [yumpu.com]
Cardiovascular
- Heart Disease
Articles addres dysmorphology, syndromes in the infant, skeletal dysplasias, limb malformations, craniofacial anomolies, GI/liver disease, disorders of sexual develoment, brain defects, inborn errors of metabolism, and congenital heart disease. [books.google.com]
+ Radial hypoplasia may be seen with certain congenital heart diseases; renal anomalies; esophageal, duodenal, or anal atresia; rib anomalies; Klippel-Feil S.; kyphoscoliosis; and hypoplasia or spina bifida of the lumbosacral spine. [gamuts.isradiology.org]
Ears
- Hearing Impairment
In addition, hearing impairment and mild psychomotor delay have also been reported. [mendelian.co]
impairment ; Congenital earlobe sinuses ; Downslanted palpebral fissures ; Elbow dislocation ; Fibular hypoplasia ; Genu varum ; Lateral clavicle hook ; Long clavicles ; Long philtrum ; Malar flattening ; Mesomelic arm shortening ; Microtia ; Midface [mousephenotype.org]
impairment 59 32 hallmark (90%) Very frequent (99-80%) HP:0000405 6 deep philtrum 59 32 hallmark (90%) Very frequent (99-80%) HP:0002002 7 abnormality of dental morphology 59 32 frequent (33%) Frequent (79-30%) HP:0006482 8 stenosis of the external auditory [malacards.org]
A study was taken up to understand the prevalence of this syndrome in children below the age of 14 years with hearing loss. Out of 1073 children with hearing impairment, Goldenhar syndrome was observed only in 1 (0.09%) case. [bioline.org.br]
Musculoskeletal
- Joint Dislocation
[…] hand SOURCES: OMIM MENDELIAN More info about SYMPHALANGISM, PROXIMAL, 1A; SYM1A Low match CHONDRODYSPLASIA WITH JOINT DISLOCATIONS, GPAPP TYPE Chondrodysplasia with joint dislocations, gPAPP type is a rare, genetic, primary bone dysplasia characterized [mendelian.co]
AD Cleft lip/palate Rapadilino syndrome 266280 AR Patellar hypoplasia, joint dislocations, infantile diarrhea, short stature Richieri-Costa-Pereira syndrome 268305 AR Robin sequence, cleft mandible, hallux hypoplasia, may have ulnar, tibial, fibular hypoplasia [docksci.com]
- Thumb Hypoplasia
Isolated thumb hypoplasia or triphalangeal thumb is the mildest manifestation of a radial ray (preaxial) deficiency. [docksci.com]
Taking into account the literature cases, agenesis of the thumb and hypoplasia and/or agenesis of the ratio were most common, whereas trifalangeal thumb, preaxial polydactyly, and thumb hypoplasia were rarely observed. [nature.com]
hypoplasia, sacral bone defect, cryptorchidism)... [read.qxmd.com]
- Short Humerus
2nd metacarpal ; Short humerus ; Short stature ; Shoulder dislocation ; Split hand ; Stenosis of the external auditory canal ; Ulnar bowing Associated Genes - Mouse Orthologs - Source OMIM:171480 (names, synonyms, disease associated genes), Orphanet [mousephenotype.org]
humerus 59 32 hallmark (90%) Very frequent (99-80%) HP:0005792 19 upper limb phocomelia 59 32 hallmark (90%) Very frequent (99-80%) HP:0009813 20 asymmetric radial dysplasia 59 32 hallmark (90%) Very frequent (99-80%) HP:0006420 21 short 2nd metacarpal [malacards.org]
- Severe Short Stature
LERI-WEILL DYSCHONDROSTEOSIS; LWD Is also known as dyschondrosteosis|dco Related symptoms: Short stature Hearing impairment Scoliosis High palate Severe short stature SOURCES: OMIM MENDELIAN More info about LERI-WEILL DYSCHONDROSTEOSIS; LWD Low match [mendelian.co]
Workup
Rhythm
- Sinus Arrhythmia
MalaCards integrated aliases for Phocomelia-Ectrodactyly, Ear Malformation, Deafness, and Sinus Arrhythmia: Name: Phocomelia-Ectrodactyly, Ear Malformation, Deafness, and Sinus Arrhythmia 57 Phocomelia-Ectrodactyly-Deafness-Sinus Arrhythmia Syndrome 59 [malacards.org]
Preferred Name Stoll Levy Francfort syndrome Synonyms Phocomelia-ectrodactyly, ear malformation, deafness, and sinus arrhythmia ID http://purl.bioontology.org/ontology/MESH/C537498 altLabel Phocomelia-ectrodactyly, ear malformation, deafness, and sinus [purl.bioontology.org]
[…] maxillary hypoplasia) and sinus arrhythmia. [monarchinitiative.org]
Name Phocomelia-Ectrodactyly, Ear Malformation, Deafness, And Sinus Arrhythmia Synonyms FACIOAURICULORADIAL DYSPLASIA Classification bone, developmental, genetic, otorhinolaryngological Phenotypes Absent radius ; Anterior vertebral fusion ; Aplasia/Hypoplasia [mousephenotype.org]
The sinus arrhythmia consisted of variable P-P intervals in the electrocardiogram without relationship to respiration. They found no report of this precise combination. [omim.org]
Treatment
Treatment of the condition varies according to the severity. Ophthalmic treatment aimed first because of amblyogenic risk. Craniofacial surgery in view of severe micrognathia systemic treatment may be related to cardiac, renal and CNS malformations. [ijpediatrics.com]
Every child’s condition is different, so treatment is determined on a case-by-case basis. [chop.edu]
Our specialists work together to ensure a comprehensive approach to treatment. [childrensdayton.org]
Known for Goldenhar Syndrome | Cardiovascular Malformations | Epibulbar Dermoid | Patent Ductus Arteriosus Treatment Strategy In Goldenhar Syndrome [ PUBLICATION ]. [keyopinionleaders.com]
Standard Therapies Treatment The treatment of OAVS is directed toward the specific symptoms that are apparent in each individual. [rarediseases.org]
Prognosis
If you have questions about how your child’s condition and any related health issues may affect your child’s prognosis or long-term goals, talk to your child’s healthcare provider. [chop.edu]
Consequently, this ameliorates the visual prognosis of Goldenhar patients. Another frequent ocular lesion is unilateral coloboma of the upper lid. [hindawi.com]
These individuals typically have a normal lifespan, though the prognosis varies depending on the severity of the systemic associations. 1. Goldenhar M. [jisppd.com]
[…] presented with mild signs and no systemic anomaly the prognosis is thus good. [medcraveonline.com]
Etiology
Primary Etiologies of Deaf-Blindness – Alphabetically Rarelink. Pohjoismainen linkkikokoelma ja yhteydenpitomahdollisuudet harvinaisia sairauksia sairastaville [kuurosokeat.fi]
The etiology of this disease still remains unclear and occurs as sporadic. This report presents goldenhar syndrome in a 12-year-old male patient. [go.gale.com]
Maternal diabetes, Rubella, and influenza have also been suggested as possible etiological factors. [14],[15] In our case, the etiology appears unclear and there was no history of maternal drug intake, any febrile illness during pregnancy. [jisppd.com]
Several genes have been implicated in cases of syndromic OA/TOF, but no single specific chromosomal and monogenic defect has been confirmed as a main etiological factor. [read.qxmd.com]
Case report and etiologic considerations. Am J Ophthalmol. 1971 Sep;72(3):618–621. [PubMed] [Google Scholar] Proto F, Scullica L. Contributo allo studio della ereditarietà dei dermoidi epibulbari. [ncbi.nlm.nih.gov]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.de]
Papanicolaou Test |6 D065006 |a *statistics & numerical data |6 Q000706 653 2 |a Population Surveillance |6 D011159 653 2 |a Prevalence |6 D015995 653 2 |a Retrospective Studies |6 D012189 653 2 |a Socioeconomic Factors |6 D012959 653 2 |a Taiwan |6 D013624 |a epidemiology [pubpharm.de]
Pathophysiology
Different pathophysiological mechanisms have been proposed .Oculo auriculo vertebral syndrome which includes reduction in blood flow resulting in focal haemorrhage in the first and second branchial arches. [ijpediatrics.com]
The parents of one out of every 28 babies receive the frightening news that their baby has a birth defect There More information Genetic and Developmental Diseases Genetic and Developmental Diseases Course Pathophysiology Unit VII Pathology Across the [docplayer.net]
Prevention
Access through your library Copyright: COPYRIGHT 2009 Indian Society of Pedodontics and Preventive Dentistry Source Citation Gale Document Number: GALE|A208077430 [go.gale.com]
Congenital hypothyroidism is a condition in which the mental retardation is potentially preventable when diagnosed early and treated effectively. [indianpediatrics.net]
CASE REPORT Year : 2009 | Volume : 27 | Issue : 2 | Page : 121-124 Craniofacial features in Goldenhar syndrome 1 Department of Pedodontics and Preventive Dentistry, Vishnu Dental College and Hospital, Bhimavaram - 534202, Andhra Pradesh, India 2 Department [jisppd.com]
Prevalence |6 D015995 653 2 |a Retrospective Studies |6 D012189 653 2 |a Socioeconomic Factors |6 D012959 653 2 |a Taiwan |6 D013624 |a epidemiology |6 Q000453 653 2 |a Uterine Cervical Neoplasms |6 D002583 |a *diagnosis |6 Q000175 |a ethnology |6 Q000208 |a prevention [pubpharm.de]
[…] suggests multifactorial pathogenesis of Goldenhar syndrome and highlights the importance of knowledge of possible associations of vitelliform maculopathy with Goldenhar syndrome, to allow for early diagnosis and treatment of these disorders, and thus to prevent [hindawi.com]