Presentation
Anemia is present in 30% ... [accessanesthesiology.mhmedical.com]
Other traits with variable presentation in the syndrome are hypoplasic nails and neonatal liver disease. The presence of microorchidism has also been reported. [eurorad.org]
We present the first case of craniosynostosis in the setting of KCS2 and provide a comprehensive analysis of the associated craniofacial findings to date. [typeset.io]
Di-George syndrome may present with hypoparathyrodism, growth retardation and abnormal facial features. [ncbi.nlm.nih.gov]
Entire Body System
- Proportionate Short Stature
Homepage Rare diseases Search Search for a rare disease Disease definition A rare primary bone dysplasia syndrome characterized by growth retardation with proportionate short stature, cortical thickening and medullary stenosis of the long bones, delayed [orpha.net]
GH therapy was commenced at a dose of 4.9 mg/m2/week for her short stature and low height velocity of 5cms/year. [typeset.io]
It is characterized by proportionate short stature along with hypoparathyroidism, cortical thickening, medullary stenosis of tubular long bones, delayed closure of anterior fontanel and eye abnormalities.2–4 Here, we present a case of 9-year-old girl [x-mol.com]
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]
- Recurrent Bacterial Infection
Inheritance may be autosomal dominant or autosomal recessive, with more severe growth retardation, small hands and feet, intellectual disability, microcephaly and recurrent bacterial infections being observed in the latter. [orpha.net]
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; Short foot ; Short palm ; Slender long bone ; Small hand ; Tetany ; Thin clavicles ; Thin ribs Associated Genes TBCE (Withdrawn symbols: HRD, KCS, KCS1, pac2 ) Mouse Orthologs Tbce (Withdrawn symbols: 2610206D02Rik, [mousephenotype.org]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]
- Enuresis
The patient is under the care of a pulmonologist due to bronchial asthma which is controlled without pharmacological substances and a nephrologist due to nocturnal enuresis that was treated for some time with desmopressin without much improvement. [termedia.pl]
- Dentist
The boy is under constant care of a dentist having deciduous teeth removed because of vast dental caries, and corrective braces. Examination of the genitals showed lack of puberty features. [termedia.pl]
Jaw & Teeth
- Small Teeth
teeth, caries - partial deafness - a case of associated Mounier-Kuhn syndrome (= tracheobronchomegaly with communicating paratracheal cysts) (see this term) Anesthetic implications: risk of difficult intubation, avoid hyperventilation (tetany) References [sites.uclouvain.be]
Skin
- Sparse Eyebrows
The changes in the eyes include microphthalmia, hyperopia, pseudopapilledema, vascular tortuosity, macular clouding, corneal and retinal calcifications and sparse eyebrows and eyelashes. [eurorad.org]
- Nail Deformity
There was no family history of short stature, macrocephaly, skeletal and nail deformities or hypoparathyroidism. [ijpeonline.biomedcentral.com]
Ears
- Otalgia
Camurati-Englemann disease is characterized by symmetrical hyperostosis of the long bones and the skull base, often with progressive audiological signs such as progressive deafness and otalgia, myopathies and neurological disturbances.6 In Hardcastle [eurorad.org]
Musculoskeletal
- Small Hand
This condition is characterized by hypoparathyroidism with hypocalcemia, marked growth retardation, craniofacial anomalies, absent diploic space in the skull, cortical thickening of long bones with medullary stenosis, and small hands and feet. [ NCI ] [ebi.ac.uk]
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. [apps.who.int]
Neurologic
- Numbness of the Hand
Symptoms often include weakness, muscle cramps, excessive nervousness, loss of memory, headaches, and abnormal sensations such as tingling and numbness of the hands.[12][1] People affected by KCS1 have most of the above-mentioned abnormalities and symptoms [en.wikipedia.org]
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]
- Hyperesthesia
Other symptoms resulting from electrolyte imbalances are: muscle tremors, stridor, long exhalation, hyperesthesia, feeding problems in babies, and vomiting due to pyloric spasm. [termedia.pl]
Urogenital
- Nocturnal Enuresis
The patient is under the care of a pulmonologist due to bronchial asthma which is controlled without pharmacological substances and a nephrologist due to nocturnal enuresis that was treated for some time with desmopressin without much improvement. [termedia.pl]
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]
Radiographic evaluation revealed short metacarpal bones and delayed bone age. Sequencing analysis showed a missense variant in FAM111A (R569H), unidentified in her parents. [typeset.io]
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]
In 60% of patients, delayed bone age is observed which was confirmed in the case of our patient on the basis of wrist X-ray. Cortical thickening and medullary stenosis of long bones are equally frequent (Fig. 5). [termedia.pl]
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 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]
Blood tests can detect episodes of low levels of calcium in the blood (hypocalcemia).[11][1] Management or Treatment[edit] Treatment may be required to control hypocalcemia and to correct the ocular refraction anomalies.[1] Common methods of controlling [en.wikipedia.org]
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]
Prognosis may be variable. The primary outcome of Kenny-Caffey syndrome is short stature. Mental abilities are rarely affected. Mortality of 33% has been reported, because of psychomotor delay and intercurrent infections. [eurorad.org]
Etiology
Hypoparathyroidism is a rare endocrine disorder of calcium homeostasis .The etiology of hypoparathyroidism in children is diverse, most of which have a genetic basis.1,2 Kenny–Caffey syndrome 2 (KCS 2) is one of the uncommon causes of hypoparathyroidism [x-mol.com]
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]
An increased understanding of the genetic etiology and improved genetic testing has provided an opportunity to expand the molecular diagnosis of hypoparathyroidism [2]. [ijpeonline.biomedcentral.com]
Epidemiology
[edit] Because there have only been 60 reported cases of Kenny-Caffey Syndrome in medical literature, there are not enough cases to make the generalizations required to develop an epidemiological understanding of this disease. [en.wikipedia.org]
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
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]
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]
"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
Al-Malik Medicine International journal of paediatric dentistry 2004 It was concluded that patients with Sanjad-Sakati syndrome have special dental needs; early diagnosis of the affected children is therefore important in order to commence preventive [semanticscholar.org]
Kenny-Caffey Syndrome Type 1 is a genetic condition, and therefore, there are no methods or guidelines available to prevent its occurrence. [dovemed.com]