Presentation
Upper canine and molars were still descending down toward occlusion and a supernumerary tooth (paramolar) was present in maxilla on the left side [Figure 9]. [journals.lww.com]
The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Most patients present in infancy or early childhood with poor growth and interstitial lung disease, which may lead to death. Some may also have liver, skeletal, and renal abnormalities, and most have intracranial calcifications on brain imaging. [ncbi.nlm.nih.gov]
Coarctation and/or hypoplasia of the thoracic aorta along with aortic valve anomalies are sometimes present. Intracranial and intraspinal lipomas are present in over 60% of individuals. [disorders.eyes.arizona.edu]
Entire Body System
- Short Stature
Short stature Decreased body height, Height less than 3rd percentile, Small stature, Stature below 3rd percentile [more] A height below that which is expected according to age and gender norms. [rarediseases.oscar.ncsu.edu]
Hemolytic anemia Global developmental delay Seizures Hearing impairment Short stature Obesity Breast cancer [enigmagenomics.com]
# Description HPO Frequency HPO Source Accession 1 delayed skeletal maturation 32 HP:0002750 2 microcephaly 32 HP:0000252 3 short stature 32 HP:0004322 4 headache 32 HP:0002315 UMLS symptoms related to Rajab Syndrome: headache Drugs & Therapeutics for [malacards.org]
Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms). [ncbi.nlm.nih.gov]
Physical examination showed enuresis and short stature (1·66 m) but was otherwise normal. A cerebral CT scan to exclude traumatic brain injury showed extensive brain calcifications in the basal ganglia and frontal lobes (figure). [thelancet.com]
- Underweight
Birth parameters are noted below when available, but none of the affected children were thought to be unusually small or underweight as neonates. [ncbi.nlm.nih.gov]
Birthparameters are noted below when available, but none of the affected130 AMERICAN JOURNAL OF MEDICAL GENETICS PART Achildren were thought to be unusually small or underweight asneonates.Family 1Patient 1, the eldest affected, was a female with family [docslide.com.br]
Birth parameters are noted below when available, but none of the affected 130 AMERICAN JOURNAL OF MEDICAL GENETICS PART A children were thought to be unusually small or underweight as neonates. [docslide.net]
- Malingering
PMID 19353631 DOI: 10.1002/ajmg.a.32813 0.64 2009 Gripp KW, Hopkins E, Vinkler C, Lev D, Malinger G, Lerman-Sagie T, Dobyns WB. [neurotree.org]
Jaw & Teeth
- Poor Oral Hygiene
Oral cavity [Figure 8] appeared to have several missing, decayed, and tilted teeth with overall poor oral hygiene and high-arched palate. [journals.lww.com]
Workup
X-Ray
- Delayed Bone Age
[…] or GeneCards Suite gene sharing: # Related Disease Score Top Affiliating Genes 1 microcephaly 10.3 Symptoms & Phenotypes for Rajab Syndrome Symptoms via clinical synopsis from OMIM: 57 Head And Neck Head: microcephaly Skeletal: delayed bone age thin [malacards.org]
+ + + + + + + + Poor muscle mass + + + + + + + + Learning difficulties + + + + + NA + − Reduced exercise tolerance + + + + + + + + Headaches + + + + + NA + − Bone Fractures − − − + − − − − Thin cortex bone + + + + + NA + + Delayed bone age + + + + + [ncbi.nlm.nih.gov]
NA Bone fractures Thin cortex bone NA Delayed bone age NA Anemia NA 132 AMERICAN JOURNAL OF MEDICAL GENETICS PART ACerebrospinal fluid examination did not indicate meningitis. [docslide.com.br]
NA Bone fractures Thin cortex bone NA Delayed bone age NA Anemia NA 132 AMERICAN JOURNAL OF MEDICAL GENETICS PART A Cerebrospinal fluid examination did not indicate meningitis. [docslide.net]
EEG
- Hypsarrhythmia
There are no reports of hypsarrhythmia in the literature, despite observations of epileptic spasms with typical ictal EEG correlation (15). [frontiersin.org]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Treatment Treatment Options: No treatment is available. [disorders.eyes.arizona.edu]
There is no definite treatment policy for ESS in children. The primary ESS with endocrine dysfunction is managed with hormonal supplementation depending on the type of hormone deficiency. [pediatricneurosciences.com]
The available treatment is directed symptomatic control. If parkinsonian features develop, there is generally poor response to levodopa therapy. [en.wikipedia.org]
Prognosis
[from OMIM] Prognosis Clin Genet 2019 Nov;96(5):468-472. Epub 2019 Aug 6 doi: 10.1111/cge.13614. [ncbi.nlm.nih.gov]
Case reports have suggested that haloperidol or lithium carbonate may help with psychotic symptoms.[24] One case report described an improvement with the use of a bisphosphonate.[25] Prognosis[edit] The prognosis for any individual with PFBC is variable [en.wikipedia.org]
[…] chorionic gonadotropin and/ or testosterone therapy during infancy has been suggested to improve penile length and testicular volume in male children. [10] With normal intelligence in most cases, and adequate sexual functioning and reproduction, [2] the prognosis [jpgmonline.com]
Parfrey PS (2000) Cardiac disease in dialysis patients: diagnosis, burden of disease, prognosis, risk factors and management. Nephrol Dial Transplant 15 Suppl 5: 58-68. 48. [aimspress.com]
It is important to differentiate PCH 2 from dyskinetic CP, not only for the prognosis of the patients, but also for prenatal diagnosis in future pregnancies. [frontiersin.org]
Etiology
Etiology Brain calcification, Rajab type is associated with a genetic locus on chromosome 2. Genetic counseling Transmission is autosomal recessive. The documents contained in this web site are presented for information purposes only. [orpha.net]
The condition is predominantly found to be autosomal-dominant. [1] The etiology of Fahr's disease is very complex and still remains unknown. However, calcium deposits are the major elements responsible for the radiological appearance of the disease. [neurologyindia.com]
We report a patient with Seckel ... 547 Toward a genetic etiology of CHARGE syndrome: I. A systematic scan for ... [biomedsearch.com]
Familial IBGC commonly shows anautosomal dominant pattern of inheritance, but its etiology isunknown [Oliveira et al., 2007]. [documents.tips]
Epidemiology
Summary Epidemiology The syndrome has been described in eight children from two interrelated families. Etiology Brain calcification, Rajab type is associated with a genetic locus on chromosome 2. [orpha.net]
In addition, through the genetic epidemiological analysis of genetic microcephaly syndromes in Tunisia, we will be able to benefit the affected individuals and their families by developing improved genetic diagnosis and counseling. [grantome.com]
Foley RN, Parfrey PS, Sarnak MJ (1998) Clinical epidemiology of cardiovascular disease in chronic renal disease. Am J Kidney Dis 32: S112-119. 5. [aimspress.com]
Infantile hydrocephalus: A review of epidemiology, classification and causes European Journal of Medical Genetics. 57: 359-368. [neurotree.org]
Pathophysiology
Originally described in 1951, its pathophysiology remained a mystery for over 45 years. [ncl.ac.uk]
Insulin dysregulation and changes in insulin action have been of concern in the pathophysiology and clinical symptomatology of PD. [7] Therefore, we propose that for patients with Fahr's disease, genetic factors play a key role in the development of BGCs [neurologyindia.com]
Agarwal R (2005) Hypertension in chronic kidney disease and dialysis: pathophysiology and management. Cardiol Clin 23: 237-248. 8. [aimspress.com]
Prevention
At RJBS Ltd we also make sure that all members of staff have a variety of training courses, for example Equality, Diversity & Inclusion, Person Centred Care, Privacy & Confidentiality, Safeguarding, Infection Prevention & Control, Dementia Moving & Handling [rjbs-ltd.com]
Remember there are preventive behavioral steps and medicines that can help manage headaches. [familydiagnosis.com]
In secondary ES, the adhesion in sella following surgery, radiation, and infection prevent intrasellar herniation of suprasellar structure. [11] In our case, the patient had no history of previous operation or prolonged infection and was diagnosed to [pediatricneurosciences.com]
Treatment Treatment Options: The use of calcium channel blockers may have some benefit in preventing severe hemiplegic migraine. [disorders.eyes.arizona.edu]
Prevention of Primary Manifestations Dietary restriction of total fat intake may prevent hypertriglyceridemia (see Treatment of Manifestations ). [ncbi.nlm.nih.gov]