Presentation
She presented with typical features of OFD1 which included thin wiry hairs, frontal bossing, depressed nasal bridge and alar hypolplasia [Figure 1]. Thin wiry hairs were also seen in the present case. [jisppd.com]
Present case had multiple clinical manifestations with more pronounced oral features with digital and few facial features. Some of these facial features may not be present or may be of different intensities. [ijdr.in]
Although both OFD I and OFD II may present with porencephaly, corpus callosum agenesis is not seen in OFD II. [ncbi.nlm.nih.gov]
Apparently, the type of intestinal polyposis present in this condition becomes. .. [nejm.org]
Entire Body System
- Falling
Why Our Returning Soldiers Are Falling Apart. Adderall and elavil Why Our Returning Soldiers Are Falling Apart. Verwante zoekopdrachten voor Adderall and elavil Risks of Taking Adderall. [ligatoulis36.soup.io]
This suggests that this syndrome may fall into a broad category of ciliary diseases. The ciliary organelles are present in many cellular types throughout the human body. [en.wikipedia.org]
[…] short trunk and normal limbs Respiratory complications (sleep apnea, endurance limitations, snoring) Cardiac valve abnormalities Dental abnormalities Pectus carinatum, kyphosis, scoliosis, genu valgum, hypermobile joints Waddling gait with frequent falls [centogene.com]
Overview Dysmorphology is the study of disordered development resulting in recognizable morphologic abnormalities that fall outside the range of normal human variation. [emedicine.medscape.com]
But the condition can quickly progress to shock, which is marked by falling blood pressure and body temperature, confusion, clotting abnormalities and bleeding into the skin. Blood poisoning is a medical emergency and can be fatal if left untreated. [mynutritionhouserewards.com]
- Surgical Procedure
MD, PhD * SCIENTIFIC PAPERS OF THE EUROPEAN SURGICAL ASSOCIATION Abstract Author Information Authors To evaluate a new surgical procedure, ileoneorectal anastomosis (INRA), in patients with ulcerative colitis (UC) and familial adenomatous polyposis (FAP [journals.lww.com]
This form of skin infection is difficult to treat with antibiotics alone and typically requires a surgical procedure to remove the involved sweat glands in order to stop the skin inflammation. [mynutritionhouserewards.com]
Patients must be informed about the surgical procedure, its complications and possible results (increase in the number of defecation, softening of fecal content, abdominal pain, incontinence).In general, defecation in every 15 days constitutes a surgical [ispub.com]
Are policy decisions on surgical procedures informed by robust economic evidence? A systematic review. International Journal of Technology Assessment in Health Care 2014;30(4):381-393. [york.ac.uk]
- Pallor
Clinical examination revealed mild pallor, bilateral polysyndactyly with duplicated thumbs on both hands and bilateral polysyndactyly of halluces [Figures 1 and 2], missing central incisors, broad nose, high arched palate, ocular hypertelorism and unusual [ncbi.nlm.nih.gov]
Clinical examination revealed mild pallor, bilateral polysyndactyly with duplicated thumbs on both hands and bilateral polysyndactyly of halluces [Figure 1] and [Figure 2], missing central incisors, broad nose, high arched palate, ocular hypertelorism [jomfp.in]
- Short Finger
High palate Elevated palate Increased palatal height [ more ] 0000218 Lobulated tongue Bumpy tongue 0000180 Pectus excavatum Funnel chest 0000767 Porencephalic cyst 0002132 Postaxial polydactyly 0100259 Short finger Stubby finger Stubby fingers [ more [rarediseases.info.nih.gov]
Liver, Gall & Pancreas
- Liver Fibrosis
(congenital liver fibrosis resulting from ductal plate malformation). [link.springer.com]
Jaw & Teeth
- Malocclusion
Prognathism with a prominent lower lip and dental malocclusion reinforce this appearance. Seizures beginning in early childhood may be difficult to control. Most patients have severe psychomotor retardation and never acquire speech. [disorders.eyes.arizona.edu]
Surgery of cleft palate, tongue nodules, additional teeth, accessory frenulae, and orthodontia for malocclusion. Routine treatment for patients with renal disease and seizures may also be necessary. [en.wikipedia.org]
[…] reconstructive surgery for clefts of the lip and/or palate, tongue nodules, and accessory frenulae; treatment as for isolated cleft palate, including speech therapy and assessment for and aggressive treatment of otitis media; orthodontic treatment for malocclusion [ijdr.in]
Dental abnormalities include missing teeth (most common), extra teeth, enamel dysplasia, and malocclusion. Facial features. Widely spaced eyes or telecanthus occurs in at least 33% of affected individuals. [ncbi.nlm.nih.gov]
The malocclusion of the 9 and 12 year old sisters are being currently managed at the Dept of Orthodontics and Dentofacial Orthopedics. [scialert.net]
Ears
- Low Set Ears
set ears [Figure 3] and tongue nodules [Figure 4]. [ncbi.nlm.nih.gov]
ears Low set ears Lowset ears [ more ] 0000369 Median cleft lip Central cleft upper lip 0000161 Microcephaly Abnormally small skull Decreased circumference of cranium Decreased size of skull Reduced head circumference Small head circumference [ more [rarediseases.info.nih.gov]
There were some unusual findings in the facies like presence of epicanthic folds and low set ears (figure 1). [ijcasereportsandimages.com]
Clinical examination revealed craniosynostosis, hypertelorism, unilateral micropthalmia, broad nasal bridge, low set ears, high arched palate (Fig-2), ankyloglossia, partial central cleft lip (Fig-2), lobulated tongue, pectus excavatum, pre-axial polysyndactyly [jpma.org.pk]
Musculoskeletal
- Short Arm
This gene is located on the short arm of the X chromosome (Xp22.3-22.2) and governs the production of (codes for) the protein OFD I [7, 8, 9]. [medresearch.in]
The malformations of arms and legs were reported by Shaw et al. where the case presented with disproportionately short lower legs and forearms. [4] King et al. presented a case which also exhibited deformity of the left leg, which was 2.5 cm shorter than [jisppd.com]
This gene is located on the short arm of the X chromosome (Xp22.3-22.2) and governs the production of (codes for) the protein OFD I. [socialstyrelsen.se]
The gene responsible for OFD type I syndrome was identified on the short arm of the X chromosome [ 13 ]. [doi.org]
The gene responsible for OFD type I syndrome was identified on the short arm of the X chromosome [13]. [ciliajournal.biomedcentral.com]
Skin
- Alopecia
The facial abnormalities most commonly include aplasia of the alar cartilage, ocular hypertelorism, strabismus and alopecia ( King and Sanares, 2002 ; Mihci et al ., 2007 ). [scialert.net]
The facial abnormalities includes ocular hypertelorism, aplasia of the alar cartilage, alopecia and strabismus. [1],[3] Oral-facial-digital syndrome has an estimated incidence of 1 in 50,000 to 250,000 newborns. [jisppd.com]
[…] progeria Hydranencephaly, Fowler type Hydrolethalus syndrome Hypermethioninemia due to adenosine kinase deficiency Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase Hyperphosphatasia with mental retardation syndrome Hypogonadism, alopecia [qlinics.com]
Alopecia, usually partial, is an occasional finding. Alopecia following the lines of Blaschko has been described [ Boente et al 1999 ]. Liver, pancreatic, and ovarian cysts may be observed, but only in those who have renal cysts as well. [ncbi.nlm.nih.gov]
Hypodontia Finger syndactyly Elevated hepatic transaminase Facial asymmetry Hamartoma Dystonia Multicystic kidney dysplasia Coarse hair Meningocele Median cleft lip Cone-shaped epiphysis Stage 5 chronic kidney disease Abnormality of the pancreas Ranula Alopecia [mendelian.co]
Psychiatrical
- Aggressive Behavior
Congenital onset Gastrointestinal hemorrhage Hyperreflexia Hepatomegaly Spasticity Depressivity Odontogenic neoplasm Lip pit Broad alveolar ridges Nephropathy Cholestasis Exocrine pancreatic insufficiency Chronic hepatic failure Abnormality of the foot Aggressive [mendelian.co]
Neurologic
- Confusion
II, Mohr syndrome [3] Type III, Sugarman syndrome Type IV, Baraitser-Burn syndrome [4] Type V, Thurston syndrome [5] Type VI, Varadi-Papp syndrome [6] Type VII, Whelan syndrome [7] Type VIII, Oral-facial-digital syndrome, Edwards type [8] (not to be confused [en.wikipedia.org]
CONCLUSION OFD type II Mohr's syndrome is rarer than OFD I and gets easily confused with, therefore distinctive features and clinico-radiological knowledge between these two is essential and be considered prior to its implications in genetic counseling [ncbi.nlm.nih.gov]
OFD type II Mohr's syndrome is rarer than OFD I and gets easily confused with, therefore distinctive features and clinico-radiological knowledge between these two is essential and be considered prior to its implications in genetic counseling of such patients [jomfp.in]
Oxycephaly Joint contracture of the hand Left ventricular hypertrophy Cutaneous finger syndactyly Delayed cranial suture closure Hyperglycemia Broad hallux Bicuspid aortic valve Accelerated skeletal maturation Broad thumb Postaxial foot polydactyly Confusion [mendelian.co]
But the condition can quickly progress to shock, which is marked by falling blood pressure and body temperature, confusion, clotting abnormalities and bleeding into the skin. Blood poisoning is a medical emergency and can be fatal if left untreated. [mynutritionhouserewards.com]
Urogenital
- Renal Insufficiency
Renal insufficiency, a frequent complication with age in oral-facial-digital syndrome type I. Clin Genet. 2010 Mar;77(3):258-65. doi: 10.1111/j.1399-0004.2009.01290.x. Epub 2009 Oct 8. Citation on PubMed Siebert JR. [medlineplus.gov]
Renal insufficiency, a frequent complication with age in oral-facial-digital syndrome type I. Clin Genet. 2010 Mar;77(3):258-65. doi: 10.1111/j.1399-0004.2009.01290.x. Epub 2009 Oct 8. Siebert JR. The oral-facial-digital syndromes. [ghr.nlm.nih.gov]
Renal insufficiency, a frequent complication with age in oral-facial-digital syndrome type I. Clin Genet. 2010;77(3):258–265. Google Scholar | Crossref | Medline Schonenberg, H. [journals.sagepub.com]
Other variable features include retinal dystrophy and renal anomalies ( Saraiva and Baraitser, 1992 ; Valente et al., 2005 ). [mendelian.co]
Renal insufficiency, a frequent complication with age in oral-facial-digital syndrome type I. [ncbi.nlm.nih.gov]
- Kidney Failure
Use sodium iodide cautiously with kidney failure. Avoid sodium iodide with gastrointestinal obstruction. Iodine is considered to be safe in recommended doses for pregnant or breastfeeding women. [mynutritionhouserewards.com]
Workup
Careful physical and genetic workups are, therefore, necessary. As the delineation of syndromes continues, the classification of this complex condition will evolve. [medlink.com]
Dilemmas in the interpretation of diagnostic accuracy studies on presurgical workup for epilepsy surgery. Epilepsia 2012;53(8):1294-302. Download from wiley Burton C, Richardson G, Sharpe M. [york.ac.uk]
Treatment
Treatment includes correction of craniofacial, digital abnormaliities surgically and counselling to cope with learning disabilities. [3] The treatment targets on improving the patient's confidence to live a near normal life. [eurorad.org]
Antenatal diagnosis and treatment of fetal goitrous hypothyroidism: case report and review of the literature. Ultrasound Obstet Gynecol 1995; 6:368-71 9. Hadi HA, Strickland RT. [books.google.de]
Treatment takes approximately four hours and most individuals require three treatments a week. [socialstyrelsen.se]
Figure 2 Figure 1: Algorithm in the diagnosis of constipation Treatment Conservative Treatment In constipation due to colonic inertia, the diets of patients are regulated. Simple laxatives and enema are used. Exercises conducted. [ispub.com]
Prognosis
La prognosi delle femmine affette è estremamente variabile e legata alla ampia gamma di anomalie associate. Anneren, G., Arvidson, B., Gustavson, K.-H., Jorulf, H., Carlsson, G. [med2000eco.it]
Prenatal ultrasound examination was very useful in the management, prognosis and detection of this case. The prenatal diagnosis is necessary for the detection of fetal abnormalities to all pregnancies and especially for the risk categories. 1. [medresearch.in]
Marie Beylot-Barry, Béatrice Vergier, Marc Maynadié, Christine Bodemer, Olivier Hermine, Martine Bagot, Nicole Brousse, Sylvie Fraitag Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare condition usually considered to have a favourable prognosis [medicaljournals.se]
The cost-effectiveness of different chemotherapy strategies for patients with poor prognosis advanced colorectal cancer (MRC FOCUS). Value in Health 2012;15(1):22-31. Martin R, Muûls M, de Pruex L, Wagner U. [york.ac.uk]
The case of linguistics: a prognosis. British Journal of Disorders of Communication, 7, 3-16. Crystal, D. (1981). Clinical linguistics. Vienna & New York: Springer. Crystal, D. (1984). Linguistic encounters with language handicap. Oxford: Blackwell. [speech-language-therapy.com]
Etiology
Etiology Treacher Collins syndrome is inherited as an autosomal dominant trait with variable expressivity and high penetrance. A recessive form has also been described. [emedicine.medscape.com]
An etiologic evaluation of children with short stature in Gorgan (Northeast Iran), 2005. J. Medical Sci., 7: 1206-1209. CrossRef | Direct Link | Motlagh, M.G., G.R.J. Khaniki and H. Adiban, 2007. [scialert.net]
Human papilloma virus (HPV) is not implicated in the etiology of Warthin’s tumor of the parotid gland. Acta Otolaryngol 133: 972-976 (2013) Teymoortash A, Bohne F, Jonsdottir T, Hoch S, Eivazi B, Roessler M, Werner JA, Mandic R. [jawerner.de]
Etiology Various factors cause constipation in adults and in children. There may be pain due pelvic floor tension during defecation. Usually this condition is thought to be the predisposing factor of childhood. [ispub.com]
Epidemiology
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.it]
Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme – The International Classification of Diseases is the international standard diagnostic tool for epidemiology, health management and clinical purposes. [wikivisually.com]
Aylsworth, Classification, Epidemiology, and Genetics of Orofacial Clefts, Clinics in Plastic Surgery, 10.1016/j.cps.2013.12.003, 41, 2, (149-163), (2014). [doi.org]
Cardinal signs, epidemiology, associated features, differential diagnosis, expressivity, genetic councelling and treatment. Eur J Orthod 2004;26:17-24. 5. Shprintzen RJ, Goldberg RB, Sidoti EJ. [jorr.org]
Epidemiology Constipation is seen in young and middle aged adults with a 3:1 ratio of women to men, whereas with same distribution older ages. [ispub.com]
Pathophysiology
Chronic idiopathic Constipation: Pathophysiology and Treatment. J Clinic Gastroenterology 1996;22(3):190-196 3. Ozturk R, Rao SSC. [ispub.com]
Prevention
This is the case report of a 13 year old patient with OFDS type I who reported to the Department of Pedodontics and Preventive Dentistry, with the complaint of discolored upper front teeth. [jisppd.com]
Pagina 234 - Centers for Disease Control and Prevention: 1994 Revised Classification System for Human Immunodeficiency Virus Infection in Children Less Than 13 Years of Age, MMWR, 43, 1-19, No. [books.google.it]
Tea tree oil : Tea tree oil is purported to have antiseptic properties, and has been used traditionally to prevent and treat infections. [mynutritionhouserewards.com]
Regular appointments with an ear-nose-throat specialist are recommended to prevent persistent ear problems. [socialstyrelsen.se]
Mutations in the OFD1 gene prevent cells from making enough functional OFD1 protein, which disrupts the normal development of these structures. [ghr.nlm.nih.gov]