Presentation
Clinical presentation Patients present with pain and paresthesia along the dorsum of the distal forearm... [radiopaedia.org]
Genetics suspected PKS given his presentation and negative workup to that point. [onlinelibrary.wiley.com]
In conclusion, the present case strengthens the importance of prenatal chromosome analysis for heart defects, particularly for cases with combined heart defects. [synapse.koreamed.org]
Case presentation We present a rare case of Killian-Pallister syndrome with severe form of the disease associated with isolated growth hormone deficiency and low-rate mosaicism on buccal smear. [molecularcytogenetics.biomedcentral.com]
We present a case of PKS diagnosed by array CGH using DNA directly extracted from a buccal swab, where the array profile from peripheral blood DNA was normal. [annlabmed.org]
Entire Body System
- Epilepsy
Understanding Seizures Seizure Triggers Types of Seizures Epilepsy Syndromes Childhood Absence Epilepsy Childhood Epilepsy Centrotemporal Spikes (Benign Rolandic Epilepsy) Dravet Syndrome Early Myoclonic Encephalopathy (EME) Epilepsy Eyelid Myoclonia [epilepsy.com]
What is a ‘childhood epilepsy syndrome’? If your child is diagnosed with an epilepsy syndrome, it means that their epilepsy has some specific signs and symptoms. [epilepsysociety.org.uk]
Despite the EEG findings, his episodes were highly suspicious of epilepsy and levetiracetam was initiated. [onlinelibrary.wiley.com]
Epilepsy Foundation. (2012). Retrieved from http://www.epilepsyfoundation.org/aboutepilepsy/syndromes/hypothalamichamartoma/Symptoms.cfm. Web. RightDiagnosis. (2012). Pallister-Hall Syndrome. [wintermutedsun.wordpress.com]
This study investigates epileptic and non-epileptic events to better define the occurrence and nature of seizure and epilepsy patterns seen in individuals with PKS. [chop.edu]
- Pallister-Hall Syndrome
Call Us: +61 2 9295 8359 Follow Us: Pallister-Hall Syndrome (PHS) Contact: Pallister-Hall Syndrome (PHS) Support Hub Tel: George W. [geneticalliance.org.au]
Prevention - Pallister-Hall syndrome Not supplied. Diagnosis - Pallister-Hall syndrome Both clinical examination and family history are used to diagnose Pallister-Hall syndrome. [checkorphan.org]
Pallister–Hall syndrome at NLM Genetics Home Reference External links [ edit ] GeneReviews/NCBI/NIH/UW entry on Pallister–Hall Syndrome Genetics Home Reference [en.wikipedia.org]
syndrome. ( 27339091 ) Kraus M...Diu M 2016 38 The early history of Pallister-Hall syndrome-Buried treasure of a sort. ( 26768579 ) Hall JG 2016 39 Urogenital development in Pallister-Hall syndrome is disrupted in a cell-lineage-specific manner by constitutive [malacards.org]
The severity of Pallister-Hall syndrome can be mild to severe, however only a small percentage of people have serious complications. Pallister-Hall syndrome is caused by a mutation in the GLI3 gene. [diseaseinfosearch.org]
- Swelling
Pain and stiffness in the joints with mild swelling may occur in some patients, even in those without rheumatoid arthritis or lupus. [rheumatology.org]
Symptoms vary and are caused by generalized brain swelling secondary to trauma. They may appear immediately after the shaking and usually reach a peak within 4-6 hours. [aans.org]
Kidney problems include: having a single kidney double ureters (the tubes leading from the kidneys to the bladder) hydroneprosis, or swelling cysts Gastrointestinal problems commonly affect infants with this condition. [healthline.com]
Pain, heat, and swelling are usually not located at the site of injury and there may be no clear damage. Central sensitisation is seen as a main cause for developing CRPS. [8] [9] Figure 1. [physio-pedia.com]
- Pathologist
These professionals might include paediatricians, psychologists, physiotherapists, speech pathologists, occupational therapists and special education teachers. It’s good to see yourself as working in partnership with your child’s professionals. [raisingchildren.net.au]
The term was coined after the pathologist Edith Potter, who in 1946 described the facial characteristics of infants with bilateral renal agenesis. [1] From her research, she was able to deduce the sequence of events that lead to these features. [emedicine.medscape.com]
- Dysmorphic Face
The typical dysmorphic face is reminiscent of PKS; a flat face with full cheeks, prominent forehead with high hairline, hypertelorism, short palpebral fissures, short nose with a broad and flat nasal bridge and anteverted nares, long philtrum, thin upper [mdpi.com]
Respiratoric
- Delayed Speech Development
They include the following: Other medical problems and traits in PKS Developmental delays (cognitive and motor skills) Floppiness (low muscle tone; aka hypotonia) Delayed speech development or no speech Abnormal skin pigmentation (see photos) Repetitive [forgottendiseases.org]
Skin
- Angiomatosis
PMID 1308364 Meningeal angiomatosis, arhinencephaly, agenesis of the corpus callosum and large hamartoma of the brain, with neoplasia, in an infant having bilateral nasal proboscis. GITLIN G, BEHAR AJ Acta anatomica. 1960 ; 41 : 56-79. [atlasgeneticsoncology.org]
Eyes
- Antimongoloid Slant
2019-08-05 16:13 Antimongoloid palpebral fissure in children. Antimongoloid eye slant: Antimongoloid eye slant is listed as an alternate name or description for symptom:. Antimongoloid palpebral fissure in children. [exildau.ga]
Face, Head & Neck
- Hypertelorism
Hypertelorism MedGen UID: 9373 •Concept ID: C0020534 • Finding Although hypertelorism means an excessive distance between any paired organs (e.g., the nipples), the use of the word has come to be confined to ocular hypertelorism. [ncbi.nlm.nih.gov]
Clinical presentation There is a large clinical spectrum: CNS agenesis of the corpus callosum hypertelorism coloboma seizures 4 craniofacial c... [radiopaedia.org]
[…] multiple congenital anomalies/dysmorphic syndrome characterized by moderate to severe intellectual disability, neurologic signs and symptoms (such as seizures, spasticity, strabismus), characteristic dysmorphic facial features (including broad forehead, hypertelorism [orpha.net]
Facial dysmorphism included hypertelorism, a broad forehead, a broad and flat nasal bridge, and a full square tip of the nose. She had thin, blond hair. [findzebra.com]
Swabs Billing ICD Codes: 225 Benign neoplasm of brain and other parts of nervous system Excludes: hemangioma (228.02) neurofibromatosis (237.7) peripheral, sympathetic, and parasympathetic nerves and ganglia (215.0-215.9) retrobulbar (224.1) 376.41 Hypertelorism [genedx.com]
- Prominent Occiput
Symptoms INHERITANCE: Autosomal recessive GROWTH: [Other]; Postnatal growth retardation HEAD AND NECK: [Head]; Macrocephaly; Large anterior fontanel; Prominent occiput; [Face]; Prominent forehead; Short philtrum ; Hypoplastic midface; [Ears]; Malformed [findzebra.com]
Urogenital
- Cryptorchidism
Cutaneous syndactyly, webbed short neck, cryptorchidism, hearing loss, palatal defects, strabismus and congenital heart defects are less common findings. [ojrd.biomedcentral.com]
Cryptorchidism seems to be quite common in male patients. [accessanesthesiology.mhmedical.com]
{725906006, SNOMED-CT } Intellectual disability Wolff type (disorder) {763745005, SNOMED-CT } Intellectual disability, cataract, calcified pinna, myopathy syndrome (disorder) {726709001, SNOMED-CT } Intellectual disability, craniofacial dysmorphism, cryptorchidism [phinvads.cdc.gov]
Other genitourinary abnormalities described in addition to microphallus and cryptorchidism are renal hypoplasia or agenesis and renal ectopia. [ajnr.org]
McDonough syndrome 0 *Abnormalities, Multiple *Cryptorchidism *Heart Defects, Congenital *Kyphosis *Intellectual Disability *Facies Rectus Abdominis/abnormalities. [reference.md]
- Microphallus
Other genitourinary abnormalities described in addition to microphallus and cryptorchidism are renal hypoplasia or agenesis and renal ectopia. [ajnr.org]
The infant had had multiple oral frenula, postaxial hexadactyly of left hand and foot, cutaneous syndactyly, microphallus, and imperforate anus. [docksci.com]
Neurologic
- Seizure
Tonic-clonic seizures Atypical absence seizures Atonic seizures Focal aware or impaired awareness seizures (previously called partial seizures) Tonic seizures, mainly in sleep, may appear in later childhood Non-convulsive status epilepticus where the [epilepsy.com]
Children may have very few seizures and most become seizure-free by the age of 16. [epilepsysociety.org.uk]
Seizures [ edit ] As noted above, the hypothalamic hamartoma can cause seizures. The most common types of seizures that occur are known as gelastic epilepsy. The term gelastic originates from the Greek word " gelos which means "laughter". [en.wikipedia.org]
According to the Epilepsy Foundation, the first seizures that present are often of the type known as gelastic (giggles) or dacrystic (crying). My nephew still has giggle fits that are actually seizures. [wintermutedsun.wordpress.com]
Seizure MedGen UID: 20693 •Concept ID: C0036572 • Sign or Symptom A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal [ncbi.nlm.nih.gov]
- Ataxia
(Friedreich ataxia, spinocerebellar ataxias, ataxia telangiectasia, essential tremor, spastic paraplegia, other) Autism / Asperger syndrome Bardet-Biedl syndrome Basal cell carcinoma (Gorlin syndrome) Batten disease (neuronal ceroid lipofuscinosis) Beckwith-Wiedemann [kumc.edu]
Telangiectasia Ataxia, Friedreich's Ataxia, Hereditary Ataxia, Marie's Atrial Septal Defects Atrioventricular Septal Defect Attention Deficit Hyperactivity Disorder Autism Back to top. [medschool.umaryland.edu]
Type II Autoimmune Polyglandular Syndrome Type 1 Autoinflammation with Infantile Enterocolitis Autosomal Dominant Hereditary Ataxia Autosomal Dominant Hyper IgE Syndrome Autosomal Dominant Polycystic Kidney Disease Autosomal Dominant Porencephaly Type [pastebin.com]
Friedreich's Ataxia, Hereditary, Autosomal Dominant Ataxia Telangiectasia Ataxia with Vitamin E Deficiency Atransferrinemia Atrial Septal Defects Atrioventricular Septal Defect Attention Deficit Hyperactivity Disorder Atypical Hemolytic Uremic Syndrome [arrayit.com]
- Cerebellar Ataxia
Posterior column ataxia with retinitis pigmentosa Posterior urethral valves Posterior valve urethra Postorgasmic illness syndrome Postural orthostatic tachycardia syndrome Potassium aggravated myotonia Potato nose Potocki-Lupski syndrome Potocki-Shaffer [personalizedcause.com]
Telangiectasia Ataxia, Friedreich's Ataxia, Hereditary Ataxia, Marie's Atrial Septal Defects Atrioventricular Septal Defect Attention Deficit Hyperactivity Disorder Autism Back to top. [medschool.umaryland.edu]
ataxia (formerly) - See Autosomal dominant cerebellar ataxia Pierre Robin sequence Pierre Robin sequence - congenital heart defect - talipes - See TARP syndrome Pierre Robin sequence with pectus excavatum and rib and scapular anomalies Pierre Robin sequence-congenital [herenciageneticayenfermedad.blogspot.com]
Agenesis Cerebellar Degeneration, Subacute Cerebral Creatine Deficiency Syndromes Cerebral Palsy Cerebro Oculo Facio Skeletal Syndrome Cerebrocostomandibular Syndrome Cerebrotendinous Xanthomatosis Cervical Dystonia Cervical Teratoma Chanarin-Dorfman [pastebin.com]
Workup
His erythrocyte sedimentation rate was 65 mm/h; C-reactive protein level, 14 mg/L; ferritin, 555 ng/mL; but findings were negative on an autoimmune workup (including serum protein electrophoresis [SPEP] and the anti–cyclic citrullinated peptide antibody [jamanetwork.com]
Genetics suspected PKS given his presentation and negative workup to that point. [onlinelibrary.wiley.com]
Subsequent endocrinologic workup at 2 years old revealed normal serum T4, thyrotropin, cortisol, and corticotropin levels. [ajnr.org]
Workup for the presence of a hypercoagulable state was negative, and the patient was anticoagulated with enoxaparin. He was discharged home to complete a 6-week course of antibiotics and anticoagulation. [intjem.biomedcentral.com]
(See Workup .) Treatment for Sjögren syndrome is largely based on symptoms (eg, lotion for dry skin, artificial tears for dry eyes). [emedicine.medscape.com]
Treatment
What are the side effects of Pallister W Syndrome treatments? The side effects of the treatment depend on two factors: the medication you are taking and the treatment you are undergoing. [lybrate.com]
With treatment, the condition can normally be completely cured. For some people, their condition settles down without needing treatment. [nhs.uk]
Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]
(level of evidence 3A) ↑ LEE, B., et al., Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes. Pain Treatment Service, 2002. [physio-pedia.com]
Prognosis
Prognosis - Pallister-Hall syndrome Because of the broad range and severity of Pallister-Hall signs and symptoms, the prognosis varies widely from case to case. [checkorphan.org]
It is generally observed that the child’s mobility is affected, in most cases The prognosis depends on the severity of the signs and symptoms. [dovemed.com]
[…] be an error in the skin cells that is not present in other tissues that came from other germ layers Surveillance, management, and treatment options [ edit ] There is no specific therapy for individuals with Pallister-Killian Syndrome Because of poor prognosis [en.wikibooks.org]
However, due to the variability in disease manifestation, coordination of a multisubspecialty team of providers is often necessary for diagnosis and surveillance of disease.[20] Prognosis Prognosis varies depending on disease severity. [eyewiki.aao.org]
Prognosis The prognosis for an individual with PHS and no known family history of PHS is based on the malformations present in the individual. [atlasgeneticsoncology.org]
Etiology
We aim to use the power of modern molecular genetics and clinical research to delineate the range of severity, natural history, molecular etiology, and pathophysiology of a number of congenital anomaly syndromes. [clinicaltrials.gov]
[…] appetite dysregulation in euglycemic women with hyperinsulinemia be titled Syndrome W and suggest that the highly statistically significant relationship of hyperinsulinemia with the characteristic features are evidence of a causal role for insulin in its etiology [jhu.pure.elsevier.com]
[…] written for professionals and families Extensive updates, particularly in sections on diagnostic criteria and diagnostic testing, pathogenesis, and management A tried-and-tested, user-friendly format, with each chapter including information on incidence, etiology [books.google.de]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Epidemiology
8 October 2020 developed interim guidance of epidemiological and laboratory surveillance of influenza and SARS-CoV-2... [who.int]
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.de]
Epidemiology White cord syndrome is rare with onl... [radiopaedia.org]
Clinical and epidemiological description of aortic dissection in Turner's syndrome. Cardiol Young 2006; 16:430-436 [Google Scholar] 30. Lim MS, Straus SE, Dale JK, et al. Pathological findings in human autoimmune lymphoproliferative syndrome. [ajronline.org]
Epidemiology and Clinical Relevance of Toxic Shock Syndrome in US Children. Pediatr Infect Dis J. 2018 Mar 27. [Medline]. Brogan TV, Nizet V, Waldhausen JH, Rubens CE, Clarke WR. [emedicine.medscape.com]
Pathophysiology
We aim to use the power of modern molecular genetics and clinical research to delineate the range of severity, natural history, molecular etiology, and pathophysiology of a number of congenital anomaly syndromes. [clinicaltrials.gov]
Discussion Epidemiology and pathophysiology In all major case series and reviews, Lemierre’s syndrome is primarily an affliction of previously healthy children, adolescents and young adults [ 2, 8 – 17 ]. [intjem.biomedcentral.com]
Sleep, plasticity and the pathophysiology of Neurodevelopmental disorders: The potential roles of protein synthesis and other cellular processes. [frontiersin.org]
Pathophysiology Prior to 16 weeks' gestations, the amount of amniotic fluid is dependent on the transmembrane flow. After that, fetal urine production is the predominant mechanism that determines the amniotic fluid volume. [emedicine.medscape.com]
Prevention
Prevention Managing clinical symptoms is critical for patients with Pallister-Hall Syndrome (Kuo et al. 1999. PubMed ID: 10588106). [preventiongenetics.com]
If you develop this condition, you will need to be monitored by your doctor to help prevent serious health problems such as heart attack and stroke. Preventing metabolic syndrome is certainly possible. [healthline.com]
Prevention A lifelong commitment to a healthy lifestyle may prevent the conditions that cause metabolic syndrome. [mayoclinic.org]
Preventing further episodes Techniques and treatments that can help prevent episodes include: Lifestyle changes – if your episodes are triggered by things such as strenuous exercise or alcohol, avoiding these may help. [nhs.uk]