Presentation
With this goal in mind, the editors have taken great care to ensure that the presentation of complex clinical information is at once scientifically accurate, patient oriented, and accessible to readers without a medical background. [books.google.com]
Abnormalities of extracellular matrix may be present. b. [entokey.com]
It must be noted that arthrogryposis as a physical sign is present in many other conditions as well. Amyoplasia is the most common type of arthrogryposis. [boneandspine.com]
Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery [icd10data.com]
Entire Body System
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Galactorrhea
Amenorrhea - hyperprolactinemia syndrome 閉經溢乳綜合征 Galactorrhea amenorrhea syndrome 閉經綜合征 [dict.site]
Skin
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Hirsutism
Cornelia de Lange syndrome (CdLS) is a congenital developmental disorder characterized by distinctive craniofacial features, growth retardation, cognitive impairment, limb defects, hirsutism, and multisystem involvement. [2so.shibboleth.us]
Eyes
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Strabismus
[…] reports on Mietens' syndrome which is characterized by mental retardation, growth failure, flexion contracture of the elbows, dislocation of the radius, abnormally short ulna and radius, bilateral corneal opacity, horizontal and rotational nystagmus, strabismus [link.springer.com]
Mietens Syndrome (Mietens-Weber Syndrome) General: Etiology unknown; unclassifiable familial condition. 616d39g Ocular: Bilateral corneal opacities; horizontal and rotational nystagmus; strabismus; bushy eyebrows; ptosis. [esanatos.com]
[…] reported four out of six siblings from a consanguineous couple with growth failure, dislocation of the head of the radii, bilateral flexion contracture of the elbows, short ulnae and radii, bilateral corneal opacities, horizontal and rotational nystagmus, strabismus [ncbi.nlm.nih.gov]
[…] or GeneCards Suite gene sharing: # Related Disease Score Top Affiliating Genes 1 weber syndrome 10.1 Symptoms & Phenotypes for Mental Retardation Syndrome, Mietens-Weber Type Symptoms via clinical synopsis from OMIM: 57 Head And Neck Eyes: nystagmus strabismus [malacards.org]
Musculoskeletal
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Flexion Contracture
A 5-year-old boy with Mietens' syndrome had bilateral microsclerocornea, hypoplastic nose, bilaterally absent radii, elbow flexion contractures, absent left fibula, growth retardation, and normal intelligence. [ncbi.nlm.nih.gov]
Summary This paper reports on Mietens' syndrome which is characterized by mental retardation, growth failure, flexion contracture of the elbows, dislocation of the radius, abnormally short ulna and radius, bilateral corneal opacity, horizontal and rotational [link.springer.com]
A syndrome characterized by corneal opacity, nystagmus, flexion contracture of the elbows, growth failure and mental retardation. J Pediatr 1966; 69:624. Waring GO, Rodrigues MM. [esanatos.com]
Skeletal Feet: pes planus valgus Neurologic Central Nervous System: mental retardation, mild, some patients (iq 70-80) Skeletal Limbs: dislocated radial head elbow flexion contractures short forearms shortened radii and ulnae absent proximal radial epiphyses [malacards.org]
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Hip Dislocation
dislocation 59 32 occasional (7.5%) Occasional (29-5%) HP:0002827 17 clinodactyly of the 5th finger 59 32 frequent (33%) Frequent (79-30%) HP:0004209 18 elbow dislocation 59 32 hallmark (90%) Very frequent (99-80%) HP:0003042 19 severe short stature [malacards.org]
Unilateral hip dislocation requires reduction but in bilateral affliction, the reduction is not done. Upper Limb Upper extremities deformities require passive stretching and splinting Soft-tissue releases may also be needed. [boneandspine.com]
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Joint Stiffness
stiffness 59 32 hallmark (90%) Very frequent (99-80%) HP:0001387 9 short nose 59 32 hallmark (90%) Very frequent (99-80%) HP:0003196 10 microcephaly 59 32 occasional (7.5%) Occasional (29-5%) HP:0000252 11 strabismus 59 32 hallmark (90%) Very frequent [malacards.org]
stiffness, high-pitched voice syndrome Skull congenital deformities Smith Fineman Myers syndrome Sonoda syndrome Speech delay Spherophakia Steinfeld syndrome Stenosis of precerebral artery Summitt syndrome TARP syndrome Temtamy syndrome Tongue absent [icdlist.com]
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Coxa Valga
valga 59 32 occasional (7.5%) Occasional (29-5%) HP:0002673 13 metatarsus adductus 59 32 occasional (7.5%) Occasional (29-5%) HP:0001840 14 specific learning disability 59 32 hallmark (90%) Very frequent (99-80%) HP:0001328 15 aphasia 59 32 hallmark [malacards.org]
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Short Forearm
Skeletal Feet: pes planus valgus Neurologic Central Nervous System: mental retardation, mild, some patients (iq 70-80) Skeletal Limbs: dislocated radial head elbow flexion contractures short forearms shortened radii and ulnae absent proximal radial epiphyses [malacards.org]
Face, Head & Neck
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High Forehead
forehead 59 32 frequent (33%) Frequent (79-30%) HP:0000348 21 sclerocornea 59 32 occasional (7.5%) Occasional (29-5%) HP:0000647 22 microcornea 59 32 occasional (7.5%) Occasional (29-5%) HP:0000482 23 coxa vara 59 32 occasional (7.5%) Occasional (29- [malacards.org]
The phenotype was remarkably similar and consisted of a round face with full cheeks, a high forehead, ptosis, cornea opacities, an underdeveloped alae, a short philtrum, a cupid's bow of the upper lip, down-turned corners of the mouth, micrognathia, low-set [2so.shibboleth.us]
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Narrow Nose
nose 32 HP:0000460 37 dislocated radial head 32 HP:0003083 38 abnormality of the fibula 59 Occasional (29-5%) 39 elbow flexion contracture 32 HP:0002987 40 forearm undergrowth 32 HP:0009821 41 absent proximal radial epiphyses 32 HP:0005093 42 abnormality [malacards.org]
Urogenital
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Amenorrhea
Amenorrhea - hyperprolactinemia syndrome 閉經溢乳綜合征 Galactorrhea amenorrhea syndrome 閉經綜合征 [dict.site]
Neurologic
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Nystagmus
The finding of congenital nystagmus and radii dislocation in a patient with mental retardation is probably nonrandom and is highly suggestive of Mietens-Weber syndrome. [ncbi.nlm.nih.gov]
A syndrome characterized by corneal opacity, nystagmus, flexion contracture of the elbows, growth failure and mental retardation. J Pediatr 1966; 69:624. Waring GO, Rodrigues MM. [esanatos.com]
This paper reports on Mietens' syndrome which is characterized by mental retardation, growth failure, flexion contracture of the elbows, dislocation of the radius, abnormally short ulna and radius, bilateral corneal opacity, horizontal and rotational nystagmus [link.springer.com]
MalaCards integrated aliases for Mental Retardation Syndrome, Mietens-Weber Type: Name: Mental Retardation Syndrome, Mietens-Weber Type 57 Intellectual Disability, Mietens-Weber Type 53 59 Mietens-Weber Syndrome 57 53 Mietens Syndrome 53 59 Corneal Opacity, Nystagmus [malacards.org]
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Aphasia
80%) HP:0000486 12 coxa valga 59 32 occasional (7.5%) Occasional (29-5%) HP:0002673 13 metatarsus adductus 59 32 occasional (7.5%) Occasional (29-5%) HP:0001840 14 specific learning disability 59 32 hallmark (90%) Very frequent (99-80%) HP:0001328 15 aphasia [malacards.org]
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Dysphasia
Mietens-Weber Type: 59 32 (show all 42) # Description HPO Frequency Orphanet Frequency HPO Source Accession 1 nystagmus 59 32 hallmark (90%) Very frequent (99-80%) HP:0000639 2 intellectual disability 59 32 hallmark (90%) Very frequent (99-80%) HP:0001249 3 dysphasia [malacards.org]
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Echolalia
59 32 occasional (7.5%) Occasional (29-5%) HP:0001883 27 hypoplasia of the radius 59 32 hallmark (90%) Very frequent (99-80%) HP:0002984 28 avascular necrosis of the capital femoral epiphysis 59 32 occasional (7.5%) Occasional (29-5%) HP:0005743 29 echolalia [malacards.org]
Workup
Serum
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Hyperprolactinemia
Amenorrhea - hyperprolactinemia syndrome 閉經溢乳綜合征 Galactorrhea amenorrhea syndrome 閉經綜合征 [dict.site]
Treatment
Treatment The treatment of SWS is directed toward the specific symptoms that are apparent in each individual. Treatment may require the coordinated efforts of a team of specialists. [rarediseases.org]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
Treatment Arthrogryposis cannot be cured. The treatment goals are ambulation and self-care. Lower limb alignment for ambulation and upper limb alignment for self-care is done. [boneandspine.com]
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]
Pulmonary Arterial Hypertension (PAH): Emerging Treatment Options June 14, 2018 by Roxana Sulica, MD, Associate Professor, Department of Medicine and Director, Pulmonary Hypertension at NYU Langone in New York City discusses some of the emerging tretment [checkrare.com]
Prognosis
Prognosis Ventilator dependence in the neonatal period is associated with a poor prognosis. Prognosis also depends on natural history and the patient’s response to therapy. [boneandspine.com]
The phenotype and prognosis associated with these new genes have been scarcely described and their role in the Spanish population is unknown. [2so.shibboleth.us]
Etiology
Mietens Syndrome (Mietens-Weber Syndrome) General: Etiology unknown; unclassifiable familial condition. 616d39g Ocular: Bilateral corneal opacities; horizontal and rotational nystagmus; strabismus; bushy eyebrows; ptosis. [esanatos.com]
Wilms tumor (WT), the most common cancer of the kidney in infants and children, has a complex etiology that is still poorly understood. [2so.shibboleth.us]
Epidemiology
53 Mietens Syndrome 53 59 Corneal Opacity, Nystagmus, Flexion Contracture of the Elbows, Growth Failure, and Mental Retardation 53 Mental Retardation Syndrome, Mietens Weber Type 53 Mental Retardation Mietens Weber Type 73 Characteristics: Orphanet epidemiological [malacards.org]
Summary Epidemiology To date, only nine cases have been reported. Clinical description Ocular findings are striking. Dysmorphic features are not characteristic except for a small pinched nose and a depressed nasal root. [orpha.net]
Pathophysiology
Pathophysiology of Arthrogryposis Decreased fetal movements or fetal akinesis has been suggested to be the major contributory cause. The decrease in activity could be due to fetal abnormalities or maternal disorders like. [boneandspine.com]
Prevention
Preventive (prophylactic) treatment of migraines and headaches may be recommended and may include medications such as propranolol or verapamil. [rarediseases.org]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]