Presentation
Anemia is present in 30% ... [accessanesthesiology.mhmedical.com]
He presented with apnic attacks due to In the present study, 16 cases of KCS were diagnosed and registered at the Al-Jahra Regional Laision Community Genetic Programme serving a 250,000 inbred population mostly of Bedouin ancestry (more than 80% consanguineous [updoc.site]
Present No Retrognathia Present No No Prominent forehead Present Present No Deep set eyes Present Present Mild Thin lips Present Present Present Depressed nasal bridge Present Present Present Beaked nasal tip Yes Yes Yes Low set ears(fig 1) Present Present [alliedacademies.org]
Di-George syndrome may present with hypoparathyrodism, growth retardation and abnormal facial features. [ncbi.nlm.nih.gov]
Entire Body System
- Proportionate Short Stature
OMIM : 57 Kenny-Caffey syndrome is characterized by severe proportionate short stature, cortical thickening and medullary stenosis of the tubular bones, delayed closure of the anterior fontanel, eye abnormalities, and transient hypocalcemia. [malacards.org]
short stature ; Recurrent bacterial infections ; Seizures ; Short foot ; Short palm ; Slender long bone ; Small hand ; Tetany ; Thin clavicles ; Thin ribs Associated Genes TBCE (Withdrawn symbols: HRD, KCS, KCS1, pac2 ) Mouse Orthologs Tbce (Withdrawn [mousephenotype.org]
Kenny–Caffey syndrome (KCS) is a rare dysmorphologic syndrome characterized by proportionate short stature, cortical thickening and medullary stenosis of tubular bones, delayed closure of anterior fontanelle, eye abnormalities, and hypoparathyroidism. [ingentaconnect.com]
Introduction Kenny–Caffey syndrome (KCS) (OMIM #244460, %127000) is a rare dysmorphologic syndrome characterized by severe proportionate short stature with adult heights of 121 to 149 cm, cortical thickening and medullary stenosis of tubular bones, delayed [asbmr.onlinelibrary.wiley.com]
- Recurrent Bacterial Infection
It is similar to hypoparathyroidism-retardation-dysmorphism syndrome, with the additional findings of osteosclerosis and recurrent bacterial infections. [medical-dictionary.thefreedictionary.com]
bacterial infections ; Seizures ; Short foot ; Short palm ; Slender long bone ; Small hand ; Tetany ; Thin clavicles ; Thin ribs Associated Genes TBCE (Withdrawn symbols: HRD, KCS, KCS1, pac2 ) Mouse Orthologs Tbce (Withdrawn symbols: 2610206D02Rik, [mousephenotype.org]
KCS1 is similar to HRD with the additional features of osteosclerosis and recurrent bacterial infections. Sequence similarities Belongs to the TBCE family. Contains 1 CAP-Gly domain. Contains 7 LRR (leucine-rich) repeats. Contains 1 LRRCT domain. [abcam.com]
A similar syndrome with the additional features of osteosclerosis and recurrent bacterial infections has been classified as autosomal recessive Kenny-Caffey syndrome (AR-KCS; OMIM 244460). [scienceopen.com]
- Intravenous Administration
The convulsion was controlled by intravenous administration of Ca gluconate and magnesium sulfate until he was 15 days old. At 4 years of age, he again had an episode of generalized convulsion because of hypocalcemia. [asbmr.onlinelibrary.wiley.com]
The convulsion was controlled by intravenous administration of Ca gluconate and magnesium sulfate until he was 15 days old. At four years of age, he again had an episode of generalized convulsion because of hypocalcaemia. [docslide.com.br]
Respiratoric
- Aspiration
A CT scan of the chest suggested changes compatible with chronic aspiration and no pulmonary fibrosis. [qims.amegroups.com]
- High Pitched Voice
pitched voice 0001620 Persistence of primary teeth Delayed loss of baby teeth Failure to lose baby teeth Retained baby teeth [ more ] 0006335 Percent of people who have these symptoms is not available through HPO Abnormality of the medullary cavity of [rarediseases.info.nih.gov]
Gastrointestinal
- Food Intolerance
He was repatriated but he gradually developed diarrhea and food intolerance with episodes of vomiting. This was associated with worsening respiratory function needing multiple hospital admissions for chest infections. [qims.amegroups.com]
Jaw & Teeth
- Microdontia
On examination she has severe growth retardation weight was 6 kg(<−3DS), normal mentality height 65 cm (<−3DS), dysmorphic face with microcephaly, deep-set eyes with hypermetropia, peaked nose, thin lips, micrognathia, low set ears, microdontia, enamel [abstracts.eurospe.org]
Oral features such as microdontia, hypodontia, malalignment of teeth, bone loss, and difficulty in mastication results in serious esthetic and functional handicap. [pubfacts.com]
Buccal view of a 15 year-old boy with KennyeCaffey syndrome type 2 (case 3),showing anterior cross-bite, and microdontia of permanent canines.and root morphology, oligodontia (except for one case). [docslide.fr]
KCS TYPE 1 • Up-Slanting Eyes • Extremely Thin Lips • Flat Nasal Bridge • Abnormally Small Head • Under – Developed Jaw Abnormal Teeth Development – MICRODONTIA, OLIGODONTIA, ETC. Abnormal and Under – developed Nails 11. [slideshare.net]
Skin
- Hypoplastic Nails
nails, persistent neutropenia, abnormal T-cell function, and neonatal liver disease.3 Ocular findings range from uncomplicated nanophthalmos with hypermetropia to extreme pseudopapilloedema, vascular tortuosity, and macular crowding. [kundoc.com]
An additional manifestation is an optic atrophy, tortuous retinal vessels, dental caries, enamel defects, and, occasionally, hypoplastic nails and neonatal liver disease. [1,2] with more severe growth retardation, intellectual disability, microcephaly [lupinepublishers.com]
Musculoskeletal
- Small Hand
hands and feet, hypocalcaemia, hypoparathyroidism, radiologic evidence of cortical thickening of long bones with medullary stenosis, and absent diploic space in the skull; many die in infancy with hypocalcemic convulsions. [medical-dictionary.thefreedictionary.com]
All patients had severe intrauterine growth retardation, short stature, small hands and feet, blue sclera, deep-set eyes, microcephaly, persistent hypocalcaemia and hypoparathyroidism. Medullary stenosis was detected in 2 patients. [unboundmedicine.com]
hands and feet, delayed mental and motor development, intellectual disability, dental anomalies, and dysmorphic features, including prominent forehead, small deep-set eyes, beaked nose, and micrognathia.Visit the Orphanet disease page for more resources [malacards.org]
hands * Small feet * Hypoparathyroidism Causes - Kenny-Caffey syndrome- Type 1 Not supplied. [checkorphan.org]
- Long Arm
Each chromosome has a short arm designated “p” and a long arm designated “q”. Chromosomes are further sub-divided into many bands that are numbered. For example, “chromosome 1q42” refers to band 42 on the long arm of chromosome 1. [rarediseases.org]
Neurologic
- Numbness of the Hand
Symptoms of hypoparathyroidism include weakness, muscle cramps; excessive nervousness; loss of memory; headaches, and abnormal sensations such as tingling, burning, and numbness of the hands. [rarediseases.org]
Workup
In the 3rd day of life, the patient underwent septic workup and was started on Ampicillin and Gentamycin as she developed Tachypnea with respiratory rate of 73 breath/min, respiratory distress, and desaturation to 90% on room air. [medcraveonline.com]
HP should be considered in the differential diagnosis of spondyloarthropathies and myopathies, and calcium may be included in the diagnostic workup of these patients. REFERENCES 1. Korkmaz C, Yasan S. [scielo.br]
HP should be considered in the differential diagnosis of spondyloarthropathies and myopathies, and calcium may be included in the diagnostic workup of these patients. 1 Korkmaz C, Yasan S. Hypoparathyroidism simulating ankylosing spondylitis. [clinics.org.br]
X-Ray
- Delayed Bone Age
Proportionate growth retardation (prenatal and postnatal) associated with delayed bone age is the most common feature. [accessanesthesiology.mhmedical.com]
The following are signs and symptoms of KCS: Common clinical features of KCS2 Premature ossification of the fontanels (soft spots) Macrocephaly (large head) Medullary stenosis of the long bones (see photos below) Delayed bone age Short or very short stature [forgottendiseases.org]
Radiological Cortical thickening and medullary stenosis of long bones Absent diploic space in calvaria Delayed bone age Biochemical Hypocalcemia Hypocalcemia with tetany Parathyroid hormone Low High Normal 1 1 1 2 1 1 2 2 1 2 2 1 1 1 1 2 1 1 1 2 1 1 1 [updoc.site]
74% 28/38 74%Delayed closure of anterior fontanel 4/24 17% 22/24 92% 26/48 54%Growth delayShort stature 23/24 96% 29/31 93% 52/55 94%Intrauterine growth retardation 20/24 83% 8/22 36% 28/46 61%Delayed bone age 13/20 65% 10/20 50% 23/40 57%Growth hormone [docslide.fr]
Serum
- Hypercapnia
High baseline PaCO2, with metabolic compensation was deemed acceptable for him (permissive hypercapnia). [qims.amegroups.com]
- Hyponatremia
Gastrointestinal involvement He was also noted to have hypoparathyroidism, hypothyroidism, hyponatremia with low cortisol response needing supplements of calcium, sodium and levothyroxine and hydrocortisone during periods of stress. [qims.amegroups.com]
Treatment
Kenny treatment Kenny treatment Kenny treatment Kenny treatment Kenny Vs Spenny Kenny Wayne Shepherd Kenny's method Kenny's treatment Kenny, Elizabeth Kenny, Enda Kenny, Frederic M Kenny, Frederic M. [medical-dictionary.thefreedictionary.com]
TREATMENT MANAGING AND PROVIDING RELIEF FROM THE SYMPTOMS SINCE THERE IS NO CURE FOR THIS SYNDROME. 16. [slideshare.net]
Treatment Treatment Options: Normalization of serum calcium and phosphorous levels would likely be beneficial but complete correction of all the findings is unlikely. Removal of congenital cataracts should be considered. [disorders.eyes.arizona.edu]
Make the best clinical decisions with an enhanced emphasis on evidence-based practice and expert opinions on treatment strategies. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. [books.google.de]
Prognosis
Prognosis - Kenny-Caffey syndrome- Type 1 Not supplied. Treatment - Kenny-Caffey syndrome- Type 1 Not supplied. Resources - Kenny-Caffey syndrome- Type 1 Not supplied. [checkorphan.org]
Etiology
Case report: A 3-year old Algerian girl was referred to pediatric endocrinology unit for etiological research of hypocalcemia. Her birth weight was 1370 g. [abstracts.eurospe.org]
However, because FAM111A function is poorly characterized, its roles in restricting viral replication and the etiology of KCS2 and OCS remain undefined. Read More [pubfacts.com]
ETIOLOGY • MUTATION OF TBCE AND FAM111A. Disarray in the cytoskeletal organization Impaired DNA Replication 7. AGE AND SEX DISTRIBUTION Occurs without any Racial, Ethnic or Gender Bias. Occurs at Birth or During Early Infancy. [slideshare.net]
Epidemiology
Relevant External Links for TBCE Genetic Association Database (GAD) TBCE Human Genome Epidemiology (HuGE) Navigator TBCE Atlas of Genetics and Cytogenetics in Oncology and Haematology: TBCE No data available for Genatlas for TBCE Gene Mutation of TBCE [genecards.org]
"Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research". J. Bone Miner. Res. 26 (10): 2317–37. doi : 10.1002/jbmr.483. PMC 3405491. [wikidoc.org]
Pathophysiology
Each chapter consists of a brief discussion of the relevant pathophysiology and moves into diagnosis and treatment, making liberal use of tables and algorithms. [books.google.de]
Pathophysiology The most striking biochemical finding is hypocalcemia, which is related to hypoparathyroidism in 46% of cases. The hypocalcemia is frequently associated with seizures or episodes of tetany. [accessanesthesiology.mhmedical.com]
"Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research". J. Bone Miner. Res. 26 (10): 2317–37. doi : 10.1002/jbmr.483. PMC 3405491. [wikidoc.org]
Prevention
Kenny-Caffey Syndrome Type 1 is a genetic condition, and therefore, there are no methods or guidelines available to prevent its occurrence. [dovemed.com]
PREVENTION • NO METHODS OR GUIDELINES AVAILABLE TO PREVENT ITS OCCURRENCE. • GENETIC TESTING OF THE EXPECTING PARENTS AND PRENATAL DIAGNOSIS. 18. [slideshare.net]