Presentation
Facial dysmorphism is present at birth but becomes more evident later on. [orpha.net]
In this report, we present a unique presentation of a large anterior sacral meningocele in an adult female with known SGS, masquerading as a pelvis mass. [eposters.net]
In the present case discussed here, it was found to have polygenic mutational association where few novel genetic mutations were seen. Texto completo: Disponível Base de dados: IMSEAR Ano de publicação: 2020 Tipo de documento: Artigo [pesquisa.bvsalud.org]
Here, we present a 12-year male child with craniosynostosis along with Marfanoid features with skeletal and neurological abnormalities. It is a multiple anomaly syndrome that affects many parts of the body. [go.gale.com]
Entire Body System
- Short Finger
[…] stature, short fingers, ectopia lentis). [mayomedicallaboratories.com]
They have short fingers and suffer from stiff joints. However, they share ectopia lentis with MFS1. Like MFS1, WMS is caused by mutations in the FBN1 gene. [aerzteblatt.de]
Gastrointestinal
- Failure to Thrive
In an examination at age 10 months, failure to thrive and microcephaly were additional findings, and her weight was 5,850 g (<3rd percentile), height 65 cm, (<3rd percentile), and head circumference 36.5 cm (<3rd percentile). [karger.com]
Hirschsprung disease can eventually cause diarrhea, dehydration, and failure to grow and gain weight at the expected rate (failure to thrive). Short stature is common in MWS, although some people have normal stature. [rarediseases.org]
- Diarrhea
Hirschsprung disease can eventually cause diarrhea, dehydration, and failure to grow and gain weight at the expected rate (failure to thrive). Short stature is common in MWS, although some people have normal stature. [rarediseases.org]
Ears
- Low Set Ears
[…] result in those with Shprintzen-Goldberg Syndrome may include: – a long, narrow head – widely spaced eyes – wandering eye – outside corners of the eyes that point downward – high, narrow roof of the mouth – underdeveloped jaw bones – small lower jaw – low-set [marfan.co]
Facial features that result may include: A long, narrow head Widely spaced eyes Wandering eye Outside corners of the eyes that point downward High, narrow roof of the mouth Underdeveloped jaw bones Small lower jaw Low-set ears that are rotated backward [marfan.org]
Affected individuals may also have distinctive facial features, including a long, narrow head, hypertelorism, exophthalmos, palpebral fissures downward sloping, high, narrow palate, micrognathia and low - set ears that are turned back. [ivami.com]
Characteristic facial findings include craniosynostosis, long narrow head, hypertelorism, exophthalmos, downslanting palpebral fissures, low-set ears and high palate. [preventiongenetics.com]
Skin
- Sparse Hair
The Goldberg-Shprintzen syndrome is an autosomal recessive MCA-MR syndrome combining Hirschsprung disease, moderate mental retardation, microcephaly, polymicrogyria, facial dysmorphic features (hypertelorism, prominent nose, synophrys, sparse hair), cleft [humpath.com]
This may cause particular difficulties with expressive speech typical facial features: highly arched eyebrows; synophrys (eyebrows joined in the middle); hypertelorism (widely spaced eyes); large ears and nose; sparse hair Hirschsprung’s disease (failure [contact.org.uk]
Fig. 1 Facial dysmorphic features of the patient. a Sparse hair, metopic ridge, hypertelorism. b Downslanting palpebral fissures, thick philtrum, and tented upper lip. [karger.com]
[…] eyebrows, depressed nasal bridge, bulbous nose, full lips, sparse hair, arched eyebrows, long eyelashes, ptosis, downslanting palpebral fissures, prominent ears, thick earlobes, prominent nasal bridge, thick philtrum, everted lower lip, and pointed chin [en.wikipedia.org]
Musculoskeletal
- Dolichocephaly
The most frequently described craniofacial abnormalities in SGCS include dolichocephaly (abnormal head shape), a high, prominent forehead, ocular proptosis (bulging eyes), hypertelorism (wide spaced eyes), down slanting eyes, maxillary hypoplasia (small [cags.org.ae]
Dysmorphic craniofacial features like dolichocephaly, triangular forehead, ocular hypertelorism, micrognathia and retrognathia were noticed besides congenital umbilical hernia, empty scrotal sac, clinodactyly with long slender fingers, hyper-mobile joints [pesquisa.bvsalud.org]
The phenotype includes craniofacial dysmorphism (such as dolichocephaly/scaphocephaly, a prominent forehead, proptosis, hypertelorism, auricular anomalies, and microretrognathia), skeletal, skin, and eye abnormalities, valvular heart diseases, aortic [revespcardiol.org]
In addition to craniosynostosis, people with SGS are born with several key dysmorphic craniofacial features, such as dolichocephaly, low-set ears, micrognathia, a high-arched palate, craniosynostosis, maxillary hypoplasia, and postrotated ears [4, 5]. [hindawi.com]
- Small Hand
Additional dysmorphic features may include maxillary hypoplasia, hypodontia, high arched palate, short neck, small hands, brachydactyly, fifth finger clinodactyly, fetal finger pads and flatfoot. [orpha.net]
hand Disproportionately small hands 0200055 Sparse hair 0008070 Synophrys Monobrow Unibrow [ more ] 0000664 Tapered finger Tapered fingertips Tapering fingers [ more ] 0001182 Telecanthus Corners of eye widely separated 0000506 Thick eyebrow Bushy eyebrows [rarediseases.info.nih.gov]
We also noted maxillary hypoplasia, hypodontia, high-arched palate, short neck, small hands, brachydactyly, clinodactyly of the fifth fingers, fetal finger pads and flatfoot. Table 1. [academic.oup.com]
- Small Head
Goldberg-Shprintzen megacolon syndrome is a very rare genetic condition characterized by Hirschsprung disease, megacolon, small head, widely spaced eyes, cleft palate, short stature, and learning disability. [diseaseinfosearch.org]
Description Goldberg-Shprintzen megacolon syndrome (GOSHS) is a very rare genetic condition characterized by a swollen, irritated colon (megacolon); characteristic facial features; a small head, and intellectual disability. [rareguru.com]
[…] skull Decreased circumference of cranium Decreased size of skull Reduced head circumference Small head circumference [ more ] 0000252 Short stature Decreased body height Small stature [ more ] 0004322 Specific learning disability 0001328 30%-79% of people [rarediseases.info.nih.gov]
Later features may include small head size (microcephaly) and short stature. Chronic constipation may occur even in those who do not have Hirschsprung disease. [rarediseases.org]
- Muscle Hypotonia
hypotonia Ocular problems Risk for rupture of medium-sized arteries Respiratory compromise if kyphoscoliosis is severe By deficient activity of the enzyme Procollagen- lysine 2-oxoglutarate 5-dioxygenase 1 (PLOD1: lysyl hydroxylase 1) Diagnostic is: [medicinman.cz]
Eyes
- Blue Sclera
He had dense eyebrows with mild synophrys, a broad nasal bridge, low set ears, and large corneae (corneal diameter 14.5 mm) with blue sclerae. Hypotonia and slipping through on vertical suspension were present. [jmg.bmj.com]
sclerae Exotropia Craniosynostosis Cervical spine instability Talipes equinovarus Soft and velvety skin Translucent skin Easy bruising Generalized arterial tortuosity and aneurysms Dissection throughout the arterial tree Aortic aneurysms behave very [medicinman.cz]
On clinical examination, the globes of 11 (44%) patients showed a blue sclera and 7 (28%) patients had exotropia. One patient had a retinal detachment diagnosed on funduscopy and not detected on CT. Facial. [ajnr.org]
sclerae Whites of eyes are a bluish-gray color 0000592 Bulbous nose 0000414 Clinodactyly Permanent curving of the finger 0030084 Congenital onset Symptoms present at birth 0003577 Corneal erosion Damage to outer layer of the cornea of the eye 0200020 [rarediseases.info.nih.gov]
Breast
- Widely Spaced Nipples
[…] distance Wide-spaced nipples Widely spaced nipples Widely-spaced nipples [ more ] 0006610 Showing of 51 | Last updated: 2/1/2021 Cause Cause Goldberg-Shprintzen megacolon syndrome is caused by a genetic change (mutation ) in the KIAA1279gene .[3] Last [rarediseases.info.nih.gov]
At 2 weeks of age, she showed telecanthus (her ICD was 2.7 cm (>97th centile) and OCD 7 cm (75th-97th centile)), a prominent nasal bridge, tapering fingers, and widely spaced nipples. Involuntary movements of the head started from 3 months of age. [jmg.bmj.com]
Face, Head & Neck
- Hypertelorism
They all were characterized to have hypertelorism, downslanting palpebral fissures, and proptosis. [hindawi.com]
OLS > Orphanet Rare Disease Ontolog ORDO > Orphanet:66629 http://www.orpha.net/ORDO/Orphanet_66629 Goldberg-Shprintzen megacolon syndrome is a multiple malformation syndrome characterized by Hirschprung megacolon with microcephaly, hypertelorism, submucous [ebi.ac.uk]
The most frequently described craniofacial abnormalities in SGCS include dolichocephaly (abnormal head shape), a high, prominent forehead, ocular proptosis (bulging eyes), hypertelorism (wide spaced eyes), down slanting eyes, maxillary hypoplasia (small [cags.org.ae]
Hypotonia, microbrachycephaly, hypertelorism, and short philtrum were the most prominent dysmorphic features of the current case. [karger.com]
The Goldberg-Shprintzen syndrome is an autosomal recessive MCA-MR syndrome combining Hirschsprung disease, moderate mental retardation, microcephaly, polymicrogyria, facial dysmorphic features (hypertelorism, prominent nose, synophrys, sparse hair), cleft [humpath.com]
- Short Neck
Additional dysmorphic features may include maxillary hypoplasia, hypodontia, high arched palate, short neck, small hands, brachydactyly, fifth finger clinodactyly, fetal finger pads and flatfoot. [orpha.net]
A broad nasal bridge, low set ears, and a short neck were reported. Failure to pass meconium and vomiting were indications for referral to the Department of Paediatric Surgery. Long segment HSCR was diagnosed and an ileostomy was made. [jmg.bmj.com]
neck Decreased length of neck 0000470 Short philtrum 0000322 Small hand Disproportionately small hands 0200055 Sparse hair 0008070 Synophrys Monobrow Unibrow [ more ] 0000664 Tapered finger Tapered fingertips Tapering fingers [ more ] 0001182 Telecanthus [rarediseases.info.nih.gov]
- Narrow Face
Other common features include crowded teeth, a long and narrow face, dural ectasia, an abnormal curvature of the spine, and chest abnormalities. The features of Marfan syndrome can become apparent anytime between infancy and adulthood. [blueprintgenetics.com]
Neurologic
- Global Developmental Delay
Hypotonia, severe global developmental delay (with greatest impairment in expressive language skills) and moderate to severe intellectual disability are constant features. [orpha.net]
developmental delay 0001263 Highly arched eyebrow Arched eyebrows Broad, arched eyebrows High, rounded eyebrows High-arched eyebrows Thick, flared eyebrows [ more ] 0002553 Hypoplasia of the brainstem Small brainstem Underdeveloped brainstem [ more ] [rarediseases.info.nih.gov]
Global developmental delay was present with a full-scale Wechsler Adult Intelligence Scale Interpretation IQ of 57. [gimjournal.org]
Workup
Figure 2Molecular and cytogenetic workup. (a) GTG metaphase showing the marker in patient 3. [gimjournal.org]
Treatment
Management and treatment Multidisciplinary medical care and preventive actions, such as treatment of cardiac, ocular, urogenital and skeletal issues and Hirschsprung disease, are required. [orpha.net]
[…] thorough revision of the critically acclaimed bestseller offers original insights into the medical management of sixty common genetic syndromes seen in children and adults, and incorporates new research findings and the latest advances in diagnosis and treatment [books.google.com]
Prognosis
Prognosis Little information is available about the long-term outlook for individuals with Goldberg-Schprintzen megacolon syndrome. Quality of life and life expectancy depend on the presence and severity of birth defects. [orpha.net]
Outlook / Prognosis What’s the outlook with Shprintzen-Goldberg syndrome? The prognosis for people with Shprintzen-Goldberg syndrome depends on how severe the condition is. In mild cases, the condition may not affect life expectancy. [my.clevelandclinic.org]
Etiology
Synopsis microcephaly mental retardation Hirschsprung disease bilateral generalized polymicogyria Etiology The disease causing gene KIAA1279 has been identified in a large consanguineous family and encodes a protein of unknown function. germline mutations [humpath.com]
Etiology Disease is caused by bi-allelic mutations in KIF1BP (10q21.3-q22.1), encoding kinesin family member 1 binding protein. KIF1BP loss of function disrupts cytoskeletal homeostasis. [orpha.net]
[…] written for professionals and families Extensive updates, particularly in sections on diagnostic criteria and diagnostic testing, pathogenesis, and management A tried-and-tested, user-friendly format, with each chapter including information on incidence, etiology [books.google.com]
Epidemiology
Summary Epidemiology Worldwide prevalence is less than 1/1,000,000; to date 24 cases have been described in the scientific and medical literature. [orpha.net]
This is shown by the KIAA1279 gene's connection to both Hirschsprung disease and bilateral generalized polymicrogyria, characteristics of Goldberg-Shprintzen sydrome.[7] Epidemiology[edit] The prevalence of Goldberg-Shprintzen syndrome is scattered throughout [en.wikipedia.org]
Pathophysiology
Genetics of Marfan Syndrome: Background, Pathophysiology ... ; Jan 4, 2017 ... Shprintzen-Goldberg syndrome (SGS) has been found to be caused by a pathogenic variant in the SKI gene, which encodes a negative ... [xphxpywl.cf]
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Marfan syndrome (MFS) is an autosomal dominant genetic disorder affecting the connective tissue that occurs in approximately [mayomedicallaboratories.com]
Pathophysiology This congenital disorder is caused by a deletion (microdeletion) at the q11.2 band, which is located on the long arm (q) of chromosome 22 (see the images below). [emedicine.medscape.com]
We sought to clarify the pathophysiology of GOSHS by determining whether KBP was involved in the mitochondrial and cytoskeletal network of human fibroblasts and of a neuron-like cell line (human neuroblastoma SH-SY5Y). [academic.oup.com]
Prevention
The SKI mutation prevents the TGF-β signaling pathway from carrying out its many functions in these areas, and as a result these signs and symptoms are seen in those people with Shprintzen-Goldberg Syndrome. [marfan.co]
Prevention How can I prevent Shprintzen-Goldberg syndrome? There’s no way to prevent the gene mutation that leads to Shprintzen-Goldberg syndrome. Scientists don't yet understand what the other causes are. [my.clevelandclinic.org]
Management and treatment Multidisciplinary medical care and preventive actions, such as treatment of cardiac, ocular, urogenital and skeletal issues and Hirschsprung disease, are required. [orpha.net]