Presentation
The gene presents good penetrance and a considerable variance in its range of expressivity. [journals.lww.com]
The thumbs present lateral valgus deformity. The knees have a genu recurvatum defect. Abnormalities of the upper spinal cord may also occur and the association to laryngeal stenosis must be considered a significant anesthetic consideration. [accessanesthesiology.mhmedical.com]
Neonatal ICD-10: Q68.8 OMIM: 151200 UMLS: C1835450 MeSH: C537118 GARD: 88 MedDRA: - A summary on this disease is available in Deutsch (2009) Español (2009) Français (2009) Italiano (2009) Nederlands (2009) The documents contained in this web site are presented [orpha.net]
The clinical features are shared with both her father and her grandfather that present an overlapping duplication in the 8q22.1-q22.3 region. [thefreelibrary.com]
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]
Léri's pleonosteosis a hereditary syndrome of premature and excessive ossification, with short stature, limitation of movement, broadening and deformity of digits, and a face similar to that seen with down syndrome. ple·on·os·te·o·sis ( plē'on-os'tē-ō'sis [medical-dictionary.thefreedictionary.com]
Additional features may include chronic joint pain, short stature, bony overgrowths, spinal cord compression, scleroderma-like skin changes, and blepharophimosis. [malacards.org]
[…] metacarpal Shortened long bone of hand 0010049 Short metatarsal Short long bone of foot 0010743 Short palm 0004279 Short phalanx of finger Short finger bones 0009803 Short stature Decreased body height Small stature [ more ] 0004322 Short stepped shuffling [rarediseases.info.nih.gov]
- Pain
الصفحة 289 - Pain is an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage. [books.google.com]
Additional features may include chronic joint pain, short stature, bony overgrowths, spinal cord compression, scleroderma-like skin changes, and blepharophimosis. [malacards.org]
Some complain of pain in the legs. The diagnosis is made in the first decade of life on the basis of roentgenographic changes in the long bones. In the early stages symmetrical fusiform expansion occurs at the midshafts. [jamanetwork.com]
- Short Finger
[…] metacarpal Shortened long bone of hand 0010049 Short metatarsal Short long bone of foot 0010743 Short palm 0004279 Short phalanx of finger Short finger bones 0009803 Short stature Decreased body height Small stature [ more ] 0004322 Short stepped shuffling [rarediseases.info.nih.gov]
Liver, Gall & Pancreas
- Hepatomegaly
This paper describes six members of three generations of a family showing short stature, stiff joints, normal intelligence, and varying degrees of hyperopia, glaucoma, asthmatic bronchitis, and hepatomegaly. [jamanetwork.com]
Musculoskeletal
- Brachydactyly
Clinical aspects Short stature; mongoloid facies; brachydactyly; genu recurvatum; short, spade-like hands; broad thumbs in valgus position; thick palmar and forearm fasciae; shuffling, short-stepped gait; decreased joint mobility; and laryngeal stenosis [accessanesthesiology.mhmedical.com]
Many infants with this disorder have abnormally short and/or broad fingers (brachydactyly), giving the hands a “spade-shaped” appearance; the toes may also be affected. [rarediseases.org]
- Metatarsalgia
Clarke Medicine, Psychology Journal of hand surgery 1996 51 References Léri's pleonosteosis, carpal tunnel compression of the median nerves and Morton's metatarsalgia. R. Watson-Jones Medicine The Journal of bone and joint surgery. [semanticscholar.org]
The patient with pleonosteosis and bilateral median palsy had also bilateral Morton's metatarsalgia with large digital neuromata. 7. [online.boneandjoint.org.uk]
Overgrowth (hyperplasia) of fibrous tissue may, in some cases, cause compression of nerves of the feet and/or wrists, resulting in pain, tenderness, and/or other symptoms (e.g., Morton metatarsalgia and/or carpal tunnel syndrome). [rarediseases.org]
- Long Arm
[citation needed]The pathogenesis of this condition appears to be due to over expression of two genes - GDF6 and SDC2.[2] These genes are located on the long arm of chromosome 8(8q22.1). Diagnosis[edit] This section is empty. [en.wikipedia.org]
These genes are located on the long arm of chromosome 8 (8q22.1). Pathophysiology Etiology unknown. Primary pathology may be in the joint capsules rather than the bone itself. [accessanesthesiology.mhmedical.com]
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 11p13” refers to band 13 on the short arm of chromosome 11. [rarediseases.org]
- Short 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 11p13” refers to band 13 on the short arm of chromosome 11. [rarediseases.org]
- Joint Stiffness
MalaCards based summary : Chromosome 8q22.1 Duplication Syndrome, also known as leri pleonosteosis, is related to fibrodysplasia ossificans progressiva and scleroderma, familial progressive, and has symptoms including joint stiffness An important gene [malacards.org]
stiffness Stiff joint Stiff joints [ more ] 0001387 Lack of skin elasticity 0100679 Severe short stature Dwarfism Proportionate dwarfism Short stature, severe [ more ] 0003510 Thickened skin Thick skin 0001072 Upslanted palpebral fissure Upward slanting [rarediseases.info.nih.gov]
stiffness Very frequent [Orphanet] 322 / 7739 37 (HPO:0001167) Abnormality of finger Very frequent [Orphanet] 29 / 7739 38 (HPO:0004322) Short stature Very frequent [Orphanet] 1232 / 7739 39 (HPO:0001031) Subcutaneous lipoma Frequent [Orphanet] 112 / [mips.helmholtz-muenchen.de]
J Bone Joint Surg 31B: 560-571, 1949 1995/11/19 2011/01/31 2012/04/07 2012/05/12 2012/06/15 2014/04/19 2014/08/12 症状改訂 [syndromefinder.ncchd.go.jp]
Treatment
Grip Strength Evolution After Carpal Tunnel Release by Three Different Techniques 241 Results 242 Discussion 244 Conclusion 245 Median Nerve Compression Secondary to Fractures of the Distal Radius 247 References 251 Rehabilitation 253 Postoperative Treatment [books.google.com]
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Treatment may require the coordinated efforts of a team of specialists. [rarediseases.org]
Prognosis
Implications for classification and prognosis. J Clin Invest 1993; 92:479-485. Vrabec MP, et al. Ophthalmic observation in lecithin cholesterol acyltransferase deficiency. Arch Ophthalmol 1988; 106:225-229. [dentisty.org]
Etiology
Pathophysiology Etiology unknown. Primary pathology may be in the joint capsules rather than the bone itself. [accessanesthesiology.mhmedical.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Legg-Perthes Disease (Legg-Calve-Perthes Disease; Legg-Calve-Waldenstrom Syndrome; Coxa Plana; Legg Disease; Legg-Calve Disease) 715 General: Etiology not established; occurs in children between ages 3 and 12 years; more common in boys; unilateral involvement [dentisty.org]
More in general, the current understanding of the etiology of mental-physical comorbidity needs to be improved by theoretical models attempting to explain the trajectories of mental-physical comorbidity. https://doi.org/10.1155/2018/3871425 Conflicts [thefreelibrary.com]
More in general, the current understanding of the etiology of mental-physical comorbidity needs to be improved by theoretical models attempting to explain the trajectories of mental-physical comorbidity. [hindawi.com]
Epidemiology
5Department of Pediatrics, University of Lausanne, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland 6Department of Genetics, University of Lausanne, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland 7Arthritis Research UK Epidemiology [ard.bmj.com]
Siamouli, "Comorbid mental and somatic disorders: an epidemiological perspective," Current Opinion in Psychiatry, vol. 21, no. 4, pp. 417-421, 2008. [16] P. M. Visscher, M. A. Brown, M. I. McCarthy, and J. [thefreelibrary.com]
Meanwhile the epidemiological observation of a frequent co-occurrence of autoimmune disorders such as rheumatoid arthritis (RA) and depression has focused the attention on genetic background underlying these comorbidities [17–19]. [hindawi.com]
Pathophysiology
Pathophysiology Etiology unknown. Primary pathology may be in the joint capsules rather than the bone itself. [accessanesthesiology.mhmedical.com]
Protein C deficiency, thrombophilia, and hypofibrinolysis: pathophysiologic causes of Legg-Perthes disease. Pediatr Res 1994; 35[4 Part 1]:383-389. Legg AT. The cause of atrophy in joint disease. Am J Orthop Surg 1908-1909; 6:84-90. Lichter PR. [dentisty.org]
Prevention
الصفحة 87 - Pharmacopeia, or any supplement to them, (2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals... [books.google.com]
It is thus a chronic loss of joint motion due to structural changes in muscle, tendons, ligaments, or skin that prevents normal movement of joints. [rarediseases.oscar.ncsu.edu]
It is hoped that this new knowledge will lead to prevention and treatment of genetic and familial disorders in the future. Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. [rarediseases.org]