Presentation
AB - Patients with Mulibrey nanism (MUL) present with growth failure and multiple organ manifestations, and MUL is caused by mutations in TRIM37. [keio.pure.elsevier.com]
Hepatomegaly is yet another important presenting feature of Mulibrey Nanism. [epainassist.com]
If, however, only one mutant copy of the gene is inherited, the individual will be a carrier of the condition, but will not be present with any symptoms. [dovemed.com]
Progressive growth failure which begins prenatally is the primary presenting feature of Mulibrey nanism. [hellodoktor.com]
A 37-year-old female patient presented with symptoms of dyspnea on exertion and shortness of breath. She had severe growth failure and craniofacial dysmorphic feature. [jthc.tums.ac.ir]
Entire Body System
- Infertility
[…] literature does not yield specific information about whether males with the disorder have infertility. [rarediseases.info.nih.gov]
Although much progress has been made in unraveling the pathogenesis of infertility, the etiology of male factor infertility remains elusive. [academic.oup.com]
Specialty Rheumatology, medical genetics Symptoms Infertility[1] Causes Mutation of the TRIM37 gene[2] Diagnostic method Genetic testing[3] Treatment Growth hormone treatment, Regular pelvic exams[4] Mulibrey nanism ("MUscle-LIver-BRain-EYe nanism") is [en.wikipedia.org]
Individuals with Mulibrey nanism have also been reported to have mental retardation, tumors, and infertility. Three rare causes of dwarfism are included in the Finnish heritage: cartilage-hair hypoplasia, diastrophic dysplasia and Mulibrey nanism. [diki.pl]
Main features include progressive cardiopathy, characteristic dysmorphic features, insulin resistance, metabolic syndrome, increased risk for tumors and infertility due to gonadal failure. [oxfordmedicine.com]
- Feeding Difficulties
Feeding difficulties are a major clinical problem during infancy. [jmg.bmj.com]
Feeding difficulties are common in infants. Children are prone to respiratory problems. Characteristic features also include yellowish dots in the retinal mid peripheral region, a high-pitched voice and cutaneous naevi flammei. [orpha.net]
Individuals affected by 3-M syndrome have intrauterine growth retardation (IUGR) and postnatal growth retardation, worsened also by feeding difficulties during the first years of life. [ijponline.biomedcentral.com]
- Multiple Congenital Anomalies
ZWS causes multiple congenital anomalies dominated by a typical craniofacial dysmorphism, including a high forehead, a large anterior fontanelle, hypoplastic supraorbital ridges, broad nasal bridge, micrognathia, deformed ear lobes, and redundant nuchal [emedicine.medscape.com]
- Crying
Other symptoms include a high pitched cry. Most individuals with the syndrome will have what is known as a J-shaped sella turcica. This is a depression in a specific bone (the sphenoid bone) located at the base of the skull. [fdna.health]
- Male Hypogonadism
Male hypogonadism is a new central clinical characteristic of MUL. The Finnish MUL patients are genotypically very homogenous, and it is possible that different TRIM37 mutations do not lead to the same hypogonadal phenotype. [academic.oup.com]
Respiratoric
- High Pitched Voice
The patient had short stature and high-pitched voice with the same characteristic craniofacial features as his sibling. Psychomotor development was normal. The patient had a history of mild epistaxis over the past 2 years. [academic.oup.com]
References Gastrointestinal Hepatomegaly Growth Adult height ranges from 136 to 161 cm for males and from 126 to 151 cm for females Delayed puberty Hands and feet appear relatively large in relation to body Intrauterine growth deficiency Performance High-pitched [datagenno.com]
This disorder is characterized by severe growth delays in utero, short stature, distinctive facial features, constrictive pericarditis, low muscle tone, edema (swelling) in the arms and legs, enlarged heart and liver, high pitched voice, delayed puberty [sema4.com]
pitched voice * Hypodontia of second bicuspid * Growth retardation Causes - Mulibrey Nanism syndrome Not supplied. [checkorphan.org]
Individuals with Mulibrey Nanism often have underdevelopment of various endocrine glands, that leads to hormone deficiencies Very frequently present symptoms in 80-99% of the cases: Cachexia High pitched voice Intrauterine growth retardation J-shaped [dovemed.com]
Gastrointestinal
- Failure to Thrive
Syndrome Information Clinical Description Patients diagnosed with mulibrey nanism predominantly have prenatal growth retardation, failure to thrive, hepatomegaly and characteristic craniofacial features including scaphocephaly, triangular facies, broad [hopkinsmedicine.org]
Tristan’s mother, Jessie, told CNN, “They knew right off he was small with obviously severe failure to thrive.” Tristan’s condition continued to worsen, though, and doctors told his parents that he might not make it. [littlethings.com]
"They knew right off he was small with obviously severe failure to thrive," said his mother, Jessie Willmott. Early on, complications from the disorder became debilitating. [cnn.com]
[…] to Thrive Fairbank Disease - Multiple Epiphyseal Dysplasia Familial Dysautonomia Fanconi Anemia Fetal Alcohol Syndrome and Support Fetal Anti-Convulsant Syndrome Fetal Veapkote Syndrome / Fetal Balproate Acid Syndrome Froelich's Syndrome Gerneralized [magicfoundation.org]
Musculoskeletal
- Muscle Hypotonia
Additional clinical features include hepatomegaly, muscle hypotonia, J-shaped sella turcica, yellowish dots in the ocular fundi, hypoplasia of various endocrine glands, insulin resistance with type 2 diabetes, and an increased risk for Wilms tumor. [genecards.org]
- Large Feet
Symptoms - Mulibrey Nanism syndrome * Fetal growth retardation * Low birth weight * Short stature * Large hands * Large feet * Long head * J-shaped sella turcia * Triangular face * Frontal bossing * Small tongue * Decreased retinal pigmentation * Crowded [checkorphan.org]
- Muscular Atrophy
atrophy of Kennedy; 313200; AR Spinal muscular atrophy, distal, autosomal recessive, 4; 611067; PLEKHG5 Spinal muscular atrophy, distal, X-linked 3; 300489; ATP7A Spinal muscular atrophy, late-onset, Finkel type; 182980; VAPB Spinal muscular atrophy, [howlingpixel.com]
Face, Head & Neck
- Depressed Nasal Bridge
[…] failure Cardiac failure Cardiac failures Heart failure [ more ] 0001635 Dental crowding Crowded teeth Dental overcrowding Overcrowding of teeth [ more ] 0000678 Depressed nasal bridge Depressed bridge of nose Flat bridge of nose Flat nasal bridge Flat [rarediseases.info.nih.gov]
Characteristic features include polyhydramnios, macrosomia, characteristic facial dysmorphology (broad depressed nasal bridge, everted V-shape upper lip, low-set ears, deep-set eyes, and prominent forehead), renal dysplasia and nephroblastomatosis, and [clincancerres.aacrjournals.org]
Workup
Ultrasound
- Enlargement of the Liver
This disorder is characterized by severe growth delays in utero, short stature, distinctive facial features, constrictive pericarditis, low muscle tone, edema (swelling) in the arms and legs, enlarged heart and liver, high pitched voice, delayed puberty [sema4.com]
Enlargement of the liver (hepatomegaly) is another common symptom. [rarediseases.org]
Treatment
Hello Health Group does not provide medical advice, diagnosis or treatment. [hellodoktor.com]
The growth hormone treatment was safe and induced a good short-term effect, but the impact on the adult height remained modest. genetic disease fetal growth restriction growth failure growth hormone treatment insulin resistance Accepted December 12, 2006 [pediatrics.aappublications.org]
Specialty Rheumatology, medical genetics Symptoms Infertility[1] Causes Mutation of the TRIM37 gene[2] Diagnostic method Genetic testing[3] Treatment Growth hormone treatment, Regular pelvic exams[4] Mulibrey nanism ("MUscle-LIver-BRain-EYe nanism") is [en.wikipedia.org]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Prognosis
Our case series suggests that early diagnosis and total pericardiectomy before adherence of the pericardium might provide clinical benefit and better prognosis for MUL. [keio.pure.elsevier.com]
Early diagnosis is important because 50% of the patients develop congestive heart failure owing to constrictive pericarditis, and this condition plays a critical role in the final prognosis. [jthc.tums.ac.ir]
It has been suggested that constrictive pericarditis with restrictive cardiomyopathy, when present, plays a large part in the prognosis. [rarediseases.info.nih.gov]
Diagnosis - Mulibrey Nanism syndrome * Liver Health: Home Testing o Home Hepatitis Tests o Home Liver Tests Prognosis - Mulibrey Nanism syndrome Not supplied. Treatment - Mulibrey Nanism syndrome Not supplied. [checkorphan.org]
Etiology
Permitidos Inglés : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
Elsevier Health Sciences, 18 aug. 2013 - 979 pagini Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.ro]
Their etiology is not precisely century with the first clinical recognition of known, so we have included chapters that dis symptoms and patterns for diagnosis of car cuss many aspects of congenital cardiac mal diovascular diseases. [books.google.com]
Epidemiology
DWARFISM 1998-2005 Calificadores Permitidos Inglés : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.ro]
Summary Epidemiology The exact prevalence is unknown. Worldwide, around 150 cases have been reported. Most cases described are from Finland where a birth prevalence of 1/37,000 has been reported. [orpha.net]
Pathophysiology
The pulmonary pathophysiology has previously not been evaluated in any MUL cohort. [helda.helsinki.fi]
Myers RB, Spodick DH (1999) Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J 138:219–232 PubMed CrossRef Google Scholar 17. [link.springer.com]
The pathophysiology of the development of IRS and type 2 diabetes in these subjects or in the general population is mostly unknown ( 4 – 6 ). [diabetes.diabetesjournals.org]
Prevention
TRIM37 prevents formation of centriolar protein assemblies by regulating Centrobin. [repositoriosalud.es]
[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decs.bvs.br]
Prevention - Mulibrey Nanism syndrome Not supplied. Diagnosis - Mulibrey Nanism syndrome * Liver Health: Home Testing o Home Hepatitis Tests o Home Liver Tests Prognosis - Mulibrey Nanism syndrome Not supplied. [checkorphan.org]
How can Mulibrey Nanism be Prevented? Currently, Mulibrey Nanism may not be preventable, since it is a genetic disorder. [dovemed.com]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Noonan syndrome Noonan syndrome is a condition that affects many areas of the body. [icdlist.com]