Presentation
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]
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]
The book highlights the etiopathogenesis and clinical presentation of oral diseases and focuses on a variety of diseases commonly encountered in clinical practice. [books.google.ro]
The lid fissures slant downward and epicanthal folds are with ptosis are generally present. Strabismus and nystagmus are characteristic features. [disorders.eyes.arizona.edu]
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]
Skin
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Hypoplastic Nails
F yes Morocco African - 0 - - HPMRS-1;GPIBD-2 These siblings share severe mental retardation, epilepsy, anterior displaced anus, and hypoplastic nails. Fetal pads were noted on all fingers and toes. [databases.lovd.nl]
Figure 3 Hand anomalies of patients with PIGV mutations. ( a ) Brachytelephalangy with missing and hypoplastic nails of fingers of patient 8. ( b ) Hand radiograph of patient 2 showing hypoplastic distal phalanges. ( c ) Broad hallux and hypoplastic toenails [nature.com]
Ears
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Normal Hearing
Normal hearing and heart evaluations. Normal Vitamin E and alpha-fetoprotein. PIGL PIGL 3 1 Philippe Campeau 00207525 Patient 2 PubMed: Altassan et al., 2018 Patient 1's younger brother M no - - 04y 0 - Anti-epileptic medications. [databases.lovd.nl]
Musculoskeletal
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Muscle Hypotonia
There is generalized muscle hypotonia, laxity and hyperextensibility of joints. Pes planus, genu recurvatum, habitual dislocation are common. Association with arthrogryposis and congenital dislocation of hip has been seen. [atulchoube.wordpress.com]
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Chest Deformity
No chest deformity or organomegaly. PIGL PIGL 2 1 Philippe Campeau Legend [databases.lovd.nl]
Face, Head & Neck
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Broad Nasal Bridge
These individuals bear a striking resemblance with a broad nasal bridge, long-appearing palpebral fissures, a broad nasal tip, a short nose, a long philtrum, a thin and wide upper lip, full cheeks, and large fleshy ear lobes. [iofbonehealth.org]
Facial features included hyperthelorism, wide palpebral fissures, broad nasal bridge, downturned corners of mouth. The prsented nail hypoplasia. [databases.lovd.nl]
nasal bridge and a rectangular face. [ipfs.io]
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Downturned Corners of the Mouth
Facial features included hyperthelorism, wide palpebral fissures, broad nasal bridge, downturned corners of mouth. The prsented nail hypoplasia. [databases.lovd.nl]
Neurologic
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Generalized Tonic-Clonic Seizure
Frequent generalized tonic-clonic seizures commenced at age 4 years. She had delayed psychomotor development and hypotonia, hypertelorism, a broad nasal bridge and tented upper lip. [databases.lovd.nl]
Workup
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]
Clinical Testing and Workup If indicated, further examinations and specialized imaging techniques are recommended to establish the extent of the disorder. [rarediseases.org]
Further efforts to define the correct place for whole exome genetic sequencing in the diagnostic workup of such patients is warranted. [frontiersin.org]
Treatment
Treatment Treatment Options: No treatment has been reported. [disorders.eyes.arizona.edu]
Standard Therapies Treatment The treatment of CSS is directed toward the specific features of each individual. [rarediseases.org]
It has been shown that the best treatment is prophylactic (such as intramedullary nailing) or supportive. There was no remarkable improvement from any form of medical treatment. These data are compared to those of other authors. [jamanetwork.com]
Based on these results, the scientists will be able to carry out further research on the disease and develop new options for its treatment. [sciencedaily.com]
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]
Prognosis
Diagnosis and Prognosis: The physical signs are subtle at birth so that diagnosis can be difficult to make in the newborn period. [disorders.eyes.arizona.edu]
Etiology
1 West Syndrome: A Review and Guide for Paediatricians. ( 29086890 ) D'Alonzo R....Esposito S. 2018 2 Cytotoxic edema at onset in West syndrome of unknown etiology: A longitudinal diffusion tensor imaging study. ( 29315514 ) Ogawa C....Natsume J. 2018 [malacards.org]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
[…] abnormalities by diverse groups such as international rare disease organizations, registries, clinical labs, biomedical resources, and clinical software tools and will thereby contribute toward nascent efforts at global data exchange for identifying disease etiologies [robinsongroup.github.io]
Rosalki SB, Foo Y (1983) Transient hyperphosphatasemia of infancy: Four new cases and a suggested etiology. Clin Chem 26:1109–1110 Google Scholar 12. Rosalki SB, Foo Y (1983) More on transient hyperphosphatasemia of infancy. [link.springer.com]
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.ro]
They see that child not just surviving, but excelling, due to the partnership… By guest blogger Tomasz Witkowski Looking at the latest epidemiological data, it could be argued that we are in the midst of a pandemic of mental illness, of dimensions never [medworm.com]
Pathophysiology
We recommend that any autopsy on newborn infants include a specific search for misalignment of pulmonary vessels to outline the pathophysiology and clinical significance of this disorder. [doi.org]
J Clin Endocrinol Metab 93:2084–2088 CrossRef PubMed Google Scholar Werner ER, Blau N, Thöny B (2011) Tetrahydrobiopterin: biochemistry and pathophysiology (review). [link.springer.com]
Prevention
Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]
As a result definitive diagnosis may be prevented or seriously delayed. [frontiersin.org]
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]
During infancy, treatment may also require measures to help prevent or aggressively treat respiratory infections. Early intervention may be important in ensuring that affected children reach their potential. [rarediseases.org]