Presentation
Unilateral hydronephrosis was present. [dev.docslide.net]
Either way, the presentation of non-syndromic intellectual disability as a mild presentation of a Congenital Disorder of Glycosylation brings up the old debate again whether patients with such a presentation should be systematically screened for underlying [epilepsygenetics.net]
Moreover, we present additional unreported clinical and neuro‐imaging findings and a novel mutation thus expanding the phenotypic and mutational spectrum of this rare disorder. [bionity.com]
Only one reported patient (patient 4 in 5 ) did not present with brachytelephalangy. [nature.com]
Same gene affected in similar patients WDR62 Diagnosing atypical presentations of known diseases Congenital chloride losing diarrhoea (AR) 19 Infantile failure to thrive, dehydration, hypokalaemia and metabolic acidosis. [academic.oup.com]
Entire Body System
- Disability
CONCLUSION: These data suggest that policies are needed to support disabled people with low household incomes. Lowering barriers in the dental care system may encourage people with disabilities to access timely and adequate dental services. [medworm.com]
The expressivity of the clinical features in HPMRS varies from severe syndromic forms with multiple organ malformations to mild nonsyndromic intellectual disability. [spiral.imperial.ac.uk]
Genetic investigations in intellectual disability. For many cases of intellectual disability (ID) of unknown origin, a genetic basis is assumed. [epilepsygenetics.net]
The possibility of IGD should be considered in patients with seizures and intellectual disability. The presence of hyperphosphatasia is strong evidence of IGD. [unboundmedicine.com]
- Broad Thumb
Helena dysplasia NPR2 Stapes ankylosis with broad thumb and toes (SABTS) NOG Steely hair disease ATP7A+del+dup Stickler sydrome COL2A1+del, COL11A1+del, COL11A2, COL9A1, COL9A2 Stickler syndrome, atypical COL2A1+del Stickler syndrome, vitreous type COL2A1 [uniklinik-freiburg.de]
Gastrointestinal
- Vomiting
Soon after birth, he presented with abdominal distension and vomiting. A rectal biopsy showed short-segment Hirschsprung disease which required colostomy and anal dilatations. Bilateral supernumerary nipples were noted. [dev.docslide.net]
Eyes
- Prolapse
Variable clinical stigmata include : cardiac anomalies, Dandy-Walker malformation, choanal atresia, small patellas, inguinal and umbilical hernia, rectal prolapse, suction and feeding difficulties, reduced fetal activity, intrauterine growth retardation [bredagenetics.com]
Face, Head & Neck
- Broad Nasal Bridge
Fig. 2) (d, e, f) The distinct pattern of facial anomalies present in a patient with PIGV mutation consisted of wide-set eyes, often with a large appearance, a short nose with a broad nasal bridge and tip, and a tented upper lip. [iofbonehealth.org]
nasal bridge, a long upper lip, an abnormally small lower jaw (hypoplastic mandible), and/or unusually large and/or “cup-shaped” ears. [rarediseases.org]
The distinct pattern of facial anomalies present in all patients consisted of wide-set eyes, often with a large appearance, a short nose with a broad nasal bridge and tip, and a tented upper lip ( Figures 2 and 4 ). [nature.com]
Facial dysmorphic features including hypertelorismwith elongated palpebral fissures, broad nasal bridge, and tented upper lip with downturnedcorners of themouthare common toall cases (Table I). [dev.docslide.net]
[…] palpebral fissures Broad nasal bridge Broad nasal tip Short nose Tented upper lip vermilion Large, fleshy ear lobes Cleft palate Brachytelephalangy + Serum total ALP (U/l) Upper reference limit in ALP test (U/l) Further anomalies 469 136 Broad finger [mafiadoc.com]
- Downturned Corners of the Mouth
Midface hypoplasia, prognathism, hypertelorism, long palpebral fissures, arched eyebrows, broad nasal bridge and tip, cleft palate (rare), short philtrum, downturned corners of the mouth, tented mouth, ventral septal defect (rare), feeding problems necessitating [iofbonehealth.org]
She had long palpebral fissures, a prominent nasal bridge, simple cupped ears with thickened helices, and a tented upper lip with downturned corners of the mouth (Fig. 1A). [dev.docslide.net]
Neurologic
- No Speech Development
[…] delay (in some patients), and no speech development (in most patients). [iofbonehealth.org]
In addition to eye abnormalities, affected individuals may also have neurological abnormalities including diminished muscle tone (hypotonia), delays in speech development, varying degrees of cognitive impairment, poor coordination and clumsiness, and [rarediseases.org]
Speech development, especially expressive language, was more affected than motor skills in the majority of patients (Table 1). Seizures are present in the majority of this cohort. [mafiadoc.com]
Clinical characteristics included moderate-to-severe delayed motor and speech development, seizures (focal, tonic-clonic), and twice elevated alkaline phosphatase. Five further patients were reported by Thompson et al., (2010). [fdna.health]
- Poor Coordination
In addition to eye abnormalities, affected individuals may also have neurological abnormalities including diminished muscle tone (hypotonia), delays in speech development, varying degrees of cognitive impairment, poor coordination and clumsiness, and [rarediseases.org]
Workup
Prior workup including laboratory studies, abdominal X-ray, upper gastrointestinal series with fluoroscopy, barium enema, and abdominal ultrasound were all within normal limits. [readbyqxmd.com]
We hope that a functional workup of these mutations with respect to their protein impairment of PIGV will enable a better prediction of the phenotypic outcome of the patients based on the genotype information. References 1. [nature.com]
Before enrollment, the patients had undergone an extensive diagnostic workup, including genomic profiling (performed with the use of the 250K Affymetrix SNP array) and targeted gene tests, with metabolic screening whenever indicated, but these evaluations [nejm.org]
Treatment
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Given the rarity of these diseases, the treatments outlined in the abstracts are not always evidence based. The information in the abstracts isnot intended to replace existing local, regional or country specific recommendations and guidelines. [orpha.net]
The therapies include rapid recognition of the condition, treatment of the reversible causes, ICD-reprogramming, a... CONCLUSION: These data suggest that policies are needed to support disabled people with low household incomes. [medworm.com]
Treatment with valproic acid and rufinamide resulted in partial control of seizures. Cluster seizures were treated with clonazepam. [dev.docslide.net]
Prognosis
The long-term prognosis of properly managed CCD is favorable. We present a case of complicated CCD with necrotizing enterocolitis. The child was born to nonconsanguineous parents of Lithuanian origin. [readbyqxmd.com]
[…] thought to have a genetic cause, 2 but the cause remains elusive in 55 to 60% of patients. 3,4 An understanding of the genetic cause of intellectual disability can benefit patients and their families, because a diagnosis may provide information on the prognosis [nejm.org]
Etiology
ELANE should be screened in patients with congenital neutropenia of no obvious etiology... [readbyqxmd.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Multiple novel candidate genes were also identified in this study, many of which are likely etiologic based on known biological function ( Table 4 and S1 File ). [journals.plos.org]
[…] patients had undergone an extensive diagnostic workup, including genomic profiling (performed with the use of the 250K Affymetrix SNP array) and targeted gene tests, with metabolic screening whenever indicated, but these evaluations had not led to an etiologic [nejm.org]
Epidemiology
Keywords: Mabry syndrome PGAP3 Hyperphosphatasia with Mental Retardation Intellectual Disability Noncoding Mutations Genetics & Heredity Genetics Clinical Sciences Publication Status: Published Appears in Collections: Faculty of Medicine Epidemiology, [spiral.imperial.ac.uk]
The epidemiology of mental retardation: challenges and opportunities in the new millennium. Ment Retard Dev Disabil Res Rev 2002 ;8: 117 - 134 2. Ropers HH. Genetics of early onset cognitive impairment. [nejm.org]
Prevention
CC BY-ND CC-BY-NC-ND Restrictive Licence : A licence preventing reuse of material unless certain restrictive conditions are satisfied. Note licence restrictions, and contact rights holder for permissions beyond the terms of the licence. [researchdata.ands.org.au]
This retention would prevent the loss of known, rare disease-causing mutations that are shared between unrelated samples in the study cohort. [journals.plos.org]
HSPB11) apoptotic cell death, role in prevention of IFT27 protein is ras-related, but the function is unknown IFT43 Cranioectodermal dysplasia 3 (CED3) IFT80 Asphyxiating thoracic dystrophy 2 (ATD2) (Jeune syndrome 2) IFT122 Cranioectodermal dysplasia [uniklinik-freiburg.de]