Presentation
In some of the cases congenital heart disease was present. [ncbi.nlm.nih.gov]
[…] if the condition was present at the time of inpatient admission. [icd.codes]
Entire Body System
- Epilepsy
The Epilepsy Foundation is solely responsible for the content. [epilepsy.com]
CHROMOSOMAL ABNORMALITIES Although many chromosomal abnormalities may be associated with epilepsy, some are important to recognize either because they have distinct seizure and EEG features or they are frequently seen in epilepsy populations. [epilepsydiagnosis.org]
Description Ring chromosome 14 syndrome is characterized by early-onset epilepsy, developmental delay with mental retardation and poor speech, microcephaly, and dysmorphic facial features. [omim.org]
- Weakness
[…] lobules [ more ] 0009748 Long philtrum 0000343 Low-set ears Low set ears Lowset ears [ more ] 0000369 Micrognathia Little lower jaw Small jaw Small lower jaw [ more ] 0000347 Microphthalmia Abnormally small eyeball 0000568 Muscular hypotonia Low or weak [rarediseases.info.nih.gov]
Four forms of this syndrome are recognized: 6-40 repetitions = weak form 41-60 repetitions = middle form 61-200 repetitions = strong form >200 repetitions = full mutation, influencing the phenotype Since it is an X linked mutation men are more affected [embryology.ch]
- Pallor
Physical examination showed pallor, rare petechiae and no palpable lymph nodes. Laboratory analysis revealed a hemoglobin concentration of 5.5 g/dl, platelet count of 25 x 10 3 /µl and leukocyte count of 19.58 x 10 3 /µl. [scielo.br]
- Lymphedema
Typically the seizures are resistant to treatment with anti-epileptic drugs.Other symptoms may include: [1] [5] Microcephaly Lymphedema Facial abnormalities Immune deficiencies Abnormalities of retina Slow growth Short stature Cause The syndrome is caused [checkrare.com]
Gastrointestinal
- Failure to Thrive
They showed a phenotype consistent with the “ring syndrome” with failure to thrive, minor dysmporphic features and no major anomalies. [tp.amegroups.com]
Cardiovascular
- Heart Disease
In some of the cases congenital heart disease was present. [ncbi.nlm.nih.gov]
Congenital heart disease and genitourinary anomalies were reported in some cases. [orpha.net]
Congenital heart disease, hydronephrosis or renal hypoplasia was present in some of the cases.Visit the Orphanet disease page for more resources. [malacards.org]
Musculoskeletal
- Small Head
Symptoms * Small head * Low-set ears * Widely spaced eyes * Strabismus * Stubby nose * Long philtrum * Funnel chest * Clinodactyly * Transverse palmar creases * Increased number of whirls on dermal ridges * Heart defects * Undescended testes * Small penis [checkorphan.org]
Such abnormalities may include an abnormally small head (microcephaly) with a high, broad forehead; a round, slightly flattened face; prominent cheekbones; and/or low-set, misshapen ears that may appear rotated toward the back of the head (posteriorly [rarediseases.org]
Eyes
- Strabismus
Their common features were mental and growth retardation, low birth weight, microcephaly, stubby nose, hypertelorism, strabismus, wide set nipples, single transverse palmar creases, undescended testes, and hypoplastic scrotum. [ncbi.nlm.nih.gov]
The main features are low birth weight, microcephaly, stubby nose with a prominent nasal bridge, hypertelorism, strabismus, wide-set nipples, single transverse palmar creases, and clinodactyly. Boys have undescended testes and hypoplastic scrotum. [malacards.org]
Symptoms * Small head * Low-set ears * Widely spaced eyes * Strabismus * Stubby nose * Long philtrum * Funnel chest * Clinodactyly * Transverse palmar creases * Increased number of whirls on dermal ridges * Heart defects * Undescended testes * Small penis [checkorphan.org]
- Esotropia
dermal hypopigmentation regions, semi-flexed legs, Dandy-Walker variant cist, esotropia and mild optic nerve dysplasia at right, ostepenia, ulna shortening, bent legs, hypotonia, neuro-psycho-motor delay and intellectual deficiency. [biomedsearch.com]
Face, Head & Neck
- Hypertelorism
Affiliated tissues include heart and testes, and related phenotypes are hypertelorism and low-set ears [malacards.org]
Their common features were mental and growth retardation, low birth weight, microcephaly, stubby nose, hypertelorism, strabismus, wide set nipples, single transverse palmar creases, undescended testes, and hypoplastic scrotum. [ncbi.nlm.nih.gov]
Neurologic
- Seizure
Because the majority of children have infrequent seizures, many do not take any seizure medicines for this type of epilepsy. Medication may be prescribed if a child has daytime seizures or frequent seizures. [epilepsy.com]
Seizures are of early onset and seizures with focal autonomic seizures features are common (which may result in cardiac arrhythmia and apnoea). [epilepsydiagnosis.org]
Eight patients had severe and prolonged seizures resulting in status epilepticus. About half had seizures during sleep or while falling asleep. Most seizures were drug-resistant. [omim.org]
Nevertheless, in all cases, the rings are associated with seizures. Our goal is to determine the molecular etiology of the seizures associated with the ring chromosome 14 syndrome. [ring14.org]
- Convulsions
Partial epilepsy complicated by convulsive and nonconvulsive episodes of status epilepticus in a patient with ring chromosome 14 syn-drome. Epileptic Disord. 2010; 12(3): 222-227. 18. Ono T, Okuma M, Hamada T, Motohashi N, Moriyama K. [content.sciendo.com]
Partial epilepsy complicated by convulsive and nonconvulsive episodes of status epilepticus in a patient with ring chromosome 14 syn-drome. Epileptic Disord. 2010; 12(3): 222-227.10.1684/epd.2010.032420643614Search in Google Scholar 18. [sciendo.com]
The second child had prolonged convulsions and when assessed at 39 months was found to be at an 18 month development level. [tp.amegroups.com]
- Focal Seizure
Epileptic spasms, atypical absences and focal seizures may also occur. [epilepsydiagnosis.org]
Urogenital
- Cryptorchidism
Clinical features included development retardation, short stature, mild mental retardation and cryptorchidism. He had a history of photohypersensitivity. [eurekamag.com]
During this process, cropenis, cryptorchidism, hypertelorism, epicanthic some of the genetic materials may be lost and fold, microgenathia and small hands (7). Other cause the clinical manifestations. [docksci.com]
Clinical Data Patient I. 10 year-old boy, intra uterine growth retardation (IUGR), short stature, triangular face, long and smooth philtrum, retrognathia, large ears, hypoplastic scrotum, cryptorchidism, crossed renal ectopia, moderate development delay [biomedsearch.com]
In approximately half of affected males, one or both of the testes may fail to descend into the scrotum (cryptorchidism). [rarediseases.org]
- Amenorrhea
[…] in seven out of 27 cells, and in two out of 27 cells the RC appeared to be doubled; and parents' karyotypes unavailable (12) 5 years/F––Growth delay–PMDDWilms tumor46,XX,r(11)(p15.5q25)Present case report5 years/FPrecocious puberty, severe hirsutism amenorrhea [edmcasereports.com]
Workup
Clinical Report A 40-year old Italian woman came to our attention during the ART workup. She was phenotypically normal, no developmental delay, learning problems, or intellectual disability. [tandfonline.com]
Treatment
and in some cases, due to treatment also. [dovemed.com]
This era was followed by improved environmental factors which operate to produce methods of medical treatment, introduction congenital cardiac malformations. [books.google.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]
Treatment - Chromosome 10 ring Not supplied. Resources - Chromosome 10 ring Not supplied. [checkorphan.org]
Management and Treatment Since seizures with RC20 syndrome are typically difficult to treat, seizure control is very important. Every case is different and complex. [epilepsy.com]
Prognosis
Typically, the prognosis may be only assessed on a case-by-case basis. [dovemed.com]
Prognosis - Chromosome 10 ring Not supplied. Treatment - Chromosome 10 ring Not supplied. Resources - Chromosome 10 ring Not supplied. [checkorphan.org]
In multivariate analysis, marker chromosomes independently predicted poor prognosis in the AML96 trial ≤60 years. [bloodjournal.org]
Interestingly, leukemia with translocations involving MLL shows poor prognosis. [scielo.br]
Etiology
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]
Our goal is to determine the molecular etiology of the seizures associated with the ring chromosome 14 syndrome. [ring14.org]
(Etiology) Ring Chromosome 10 Syndrome is caused by an abnormal chromosome known as a ring chromosome 10 or r(10). [dovemed.com]
Expression analyses identify MLL as a prominent target of 11q23 amplification and support an etiologic role for MLL gain of function in myeloid malignancies. Blood. 2004;103(1):229-35.,2323. Sárová I, Brezinová J, Zemanová Z, et al. [scielo.br]
Karyotype assessment is important to consider in all epilepsies where the etiology is uncertain as dysmorphic features may be subtle or not apparent. Karyotype examination should be extended to 50-100 mitoses to exclude mosaicism. [epilepsydiagnosis.org]
Epidemiology
Management In terms of the management of ring chromosome 14 syndrome, anticonvulsive medication for seizures, as well as, proper therapy to help prevent respiratory infections in the affected individual are management measures that can be taken. [7] Epidemiology [checkrare.com]
In accordance with its purpose as a scientific research platform, the GAZEL cohort is permanently open to epidemiologic research teams. [re3data.org]
Epidemiological, case control and meta-analysis studies have correlated obesity with poor prognosis for AML.3131. Wenzell CM, Gallagher EM, Earl M, et al. [scielo.br]
Pathophysiology
Expression and regulation of the metalloproteinase ADAM-8 during human neutrophil pathophysiological activation and its catalytic activity on L-selectin shedding. J Immunol. 2007;178:8053–63. [molecularcytogenetics.biomedcentral.com]
Expression and regulation of the metalloproteinase ADAM-8 during human neutrophil pathophysiological activation and its catalytic activity on L-selectin shedding. J Immunol. 2007;178:8053-63. 31. [cyberleninka.org]
Prevention
Prevention - Chromosome 10 ring Not supplied. [checkorphan.org]
How can Ring Chromosome 10 Syndrome be Prevented? Ring Chromosome 10 Syndrome may not be preventable since many of these genetic disorders are diagnosed at or following the birth of the child. [dovemed.com]
[…] karyotyping ; [8] while once born, one can do the following to ascertain a diagnosis of the condition: [7] MRI EEG Management In terms of the management of ring chromosome 14 syndrome, anticonvulsive medication for seizures, as well as, proper therapy to help prevent [checkrare.com]
Risk Factors and Preventive Measures Most chromosomal disorders are random events for which there are no preventive measures. [thisability.org]
Physicians may recommend preventive measures for affected infants and children who may be prone to repeated respiratory infections. [rarediseases.org]