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Hirschsprung Disease Type D-Brachydactyly Syndrome

Presentation

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

These symptoms are rare, however, when there is no other condition present. Brachydactyly is an inherited condition, which makes genetics the main cause. [healthline.com]

Rarely, it presents later in childhood with symptoms of severe constipation and failure to thrive. [orpha.net]

Hand abnormalities were not present in any other family members, and the obligate heterozygous females were without gastrointestinal problems. [pediatrics.aappublications.org]

Presentation with early sudden neonatal death is rare but should be considered in the diagnostic work-up of sudden deaths in this age group. [link.springer.com]

Treatment

Management and treatment Treatment is surgical. It consists in resection of the aganglionic segment followed by anastomosis of the proximal bowel to the anal margin (''pullthrough''). [orpha.net]

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

It has been described in four males from one family (two brothers and two mater / 721222007 enanismo con braquidactilia, tipo Mseleni Mseleni joint disease SNOMEDCT-ES (trastorno) / 715470008 SNOMEDCT-ES (treatment) / 715470008 braquidactilia brachydactylia [wordscope.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]

Unless there is an accompanying disorder that produces symptoms, or the shortened digits impair the use of hands and feet, there is no treatment needed for brachydactyly. [healthline.com]

Prognosis

Prognosis Overall prognosis is good in most cases, despite issues with constipation and continence even following surgical correction. [orpha.net]

Etiology

Etiology Hirschsprung disease genes RET GDNF NTRN SOX10 EDNRB EDN3 ECE1 ZFHX1B phox2b TCF4 HSCR1: dominant mutations in the RET gene (MIM.164761) in 3% of isolated sporadic Hirschsprung’s disease HSCR2 at 13q22: recessive mutation in the EDNRB gene coding [humpath.com]

Etiology HSCR is a neurocristopathy and is due to a defect in the development of the enteric nervous system. It is characterized by the absence of neuronal ganglion cells (Cajal cells) (aganglionosis) in the terminal part of the intestine. [orpha.net]

Passarge E (1967a) The genetics of Hirschsprung’s disease: evidence for heterogeneous etiology and a study of sixty-three families. N Engl J Med 276: 138–143 PubMed Google Scholar 30. [link.springer.com]

Mice lacking ZFHX1B, the gene that codes for Smad-interacting protein-1, reveal a role for multiple neural crest cell defects in the etiology of Hirschsprung disease-mental retardation syndrome. Am J Hum Genet. 2003;72(2):465-70. [malattierare.regione.veneto.it]

Epidemiology

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Summary Epidemiology HSCR has an estimated annual incidence of 1/5,000 births. Short segment HSCR is more frequent in males. [orpha.net]

Clinical and genetic epidemiology of Bardet-Biedl syndrome in Newfoundland: a 22-year prospective, population-based, cohort study. Am J Med Genet A. 2005;132:352-60. Karmous-Benailly H, Martinovic J, Gubler MC, et al. [rarediseases.org]

Genetic epidemiology and nonsyndromic structural birth defects: from candidate genes to epigenetics. JAMA pediatrics, 168(4), 371-377. Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, Correa A (2010). [centogene.com]

Pathophysiology

Bardet-Biedl syndrome: Genetics, molecular pathophysiology, and disease management. Indian J Ophthalmol. 2016;64(9): 620-627. Hufnagel RB, Arno G, Hein ND, et al. [rarediseases.org]

The pathophysiology of Hirschsprung’s-associated enterocolitis: importance of histologic correlates. J Pediatr Surg. 1989;24:1271–7. PubMed CrossRef Google Scholar 32. Pini Prato A, Rossi V, Avanzini S, Mattioli G, Disma N, Jasonni V. [link.springer.com]

Prevention

The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]

Changes in either the EDNRB gene or the EDN3 gene disrupt the normal functioning of the endothelin receptor type B or the endothelin 3 protein, preventing them from transmitting signals important for the development of enteric nerves. [ghr.nlm.nih.gov]

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