Presentation
Accelerated atherosclerosis has been a proposed cause for the neurologic complications but is not universally present. [n.neurology.org]
Individuals with the mild presentation typically survive into adulthood if renal complications are treated. [sema4genomics.com]
We present a novel mutation (NM_014140.3:c.2070+2insT) that results in defective SMARCAL1 mRNA splicing in a child with SIOD. [ncbi.nlm.nih.gov]
Leading experts from Latin America, Africa, Near and Middle East, Indian Subcontinent, Far East, Oceania and Australia present their expert insights into specific conditions, as well as progress and challenges in the development of the specialty. [books.google.com]
Entire Body System
- Short Stature
Short stature and cognitive deficits became evident several months later. At 4 1/2 years, she developed nephrotic syndrome and later malignant hypertension. [experts.umn.edu]
He was referred at the age of 5 years because of short stature and proteinuria. Herpes zoster had been diagnosed at 2 years. He had short stature with a short neck and trunk (fig 1) and normal development. His length was 79 cm [yumpu.com]
On brain MRI the high sig- tion and suffered from chronic nal lesions located in corpus cal- terized by spondyloepiphyseal dy- splasia with short stature, peculiar renal insufficiency. losum genu and frontal white facies, hyperpigmented macules, Brain [deepdyve.com]
Stature, and Immunodeficiency Tuftsin Deficiency WHIM syndrome X-Linked Immunodeficiency with Deficiency of 115,000 Dalton Surface Glycoprotein [rgd.mcw.edu]
short stature Disproportionate short-trunked dwarfism Disproportionate short-trunked short stature Short-trunked dwarfism [ more ] 0003521 Glomerulopathy 0100820 Hip dislocation Dislocated hips Dislocation of hip [ more ] 0002827 Hyperlordosis Prominent [rarediseases.info.nih.gov]
- Weakness
Genotype–phenotype correlation seems to be weak. Due to immunopathy, SIOD patients have a high risk of opportunistic infections. A few patients develop severe disseminated cutaneous papillomas. [docksci.com]
Several studies have demonstrated a weak genotype-phenotype correlation among such patients. [ncbi.nlm.nih.gov]
You may also have a larger head and weak muscle tone. Other genetic conditions, kidney disease, and problems with metabolism or hormones can also cause dwarfism. The conditions that cause dwarfism can also cause other health problems. [medlineplus.gov]
Schimke-immuno-osseous dysplasia: new mutation with weak genotype-phenotype correlation in siblings. Lücke T, Billing H, Sloan EA, Boerkoel CF, Franke D, Zimmering M, Ehrich JH, Das AM Am J Med Genet A 2005(2): 202-5 [ PubMed abstract ]. [structure.bmc.lu.se]
Swelling, back pain, severe migraines, nephrotic syndrome, extremely weak immune system and high blood pressure. [plumfund.com]
- Pallor
[…] the testis Cutaneous melanoma Poliosis Subcutaneous calcification Hemoglobinuria Abnormal hair whorl Neoplasm of the small intestine Gastrointestinal carcinoma Neoplasm of the oral cavity Pancytopenia Hemolytic anemia Aplasia/Hypoplasia of the testes Pallor [mendelian.co]
- Malaise
Computer Aided Detection System for Prediction of the Malaise during Hemodialysis. Comput Math Methods Med. 2016;2016:8748156. doi: 10.1155/2016/8748156. Epub 2016 Mar 6. PubMed PMID: 27042200; PubMed Central PMCID: PMC4799825. 9. [uniba.it]
Gastrointestinal
- Diarrhea
We report here on a 4-year-old male child who had all characteristic symptoms of SID, and, in addition, vomiting and prolonged diarrhea. [ncbi.nlm.nih.gov]
Camilleri M: Chronic diarrhea: a review on pathophysiology and management for the clinical gastroenterologist. Clin Gastroenterol Hepatol 2004;2:198–206. Schiller LR: Chronic diarrhea. Gastroenterology 2004;127:287–293. [karger.com]
TRIPEPTIDYL-PEPTIDASE II DEFICIENCY Facial Dysmorphism, Immunodeficiency, Livedo, and Short Stature familial cold autoinflammatory syndrome + familial nephrotic syndrome + Fanconi-like syndrome Feigenbaum Bergeron Richardson Syndrome Glucose-Stimulated Secretory Diarrhea [rgd.mcw.edu]
[…] level Shallow acetabular fossae Encephalitis Coarse hair Glaucoma Pneumonia Developmental regression Hyperlordosis Proteinuria Osteopenia Hypothyroidism Dementia Recurrent infections Immunodeficiency Vomiting Hip dislocation Abnormality of the dentition Diarrhea [mendelian.co]
- Abdominal Pain
Learn more Other less relevant matches: Low match PAROXYSMAL NOCTURNAL HEMOGLOBINURIA 1; PNH1 Paroxysmal nocturnal hemoglobinuria (PNH) is an uncommon acquired hemolytic anemia that often manifests with hemoglobinuria, abdominal pain, smooth muscle dystonias [mendelian.co]
Cardiovascular
- Hypertension
Additional clinical management guidelines are recommended as this study has shown that patients with SIOD may be at risk of pulmonary hypertension, combined immunodeficiency, subcortical ischaemic dementia and cardiac dysfunction. [jmg.bmj.com]
Portugal Key words: Schimke immuno-osseous dysplasia, CT, MRI paired consciousness associated months later, revealed persistent Introduction with focal motor seizures on the left internal carotid artery ob- Schimke immuno-osseous dy- right arm and hypertensive [deepdyve.com]
At 4 1/2 years, she developed nephrotic syndrome and later malignant hypertension. [ncbi.nlm.nih.gov]
Musculoskeletal
- Small Head
head size ( microcephaly ), a lack of sperm (azoospermia) in males, and irregular menstruation in females. [ghr.nlm.nih.gov]
head size (microcephaly), a lack of sperm (azoospermia) in males, and irregular menstruation in females. [medlineplus.gov]
Skin
- Hyperpigmentation
Other features frequently seen in people with this condition include an exaggerated curvature of the lower back ( lordosis ); darkened patches of skin (hyperpigmentation), typically on the chest and back; and a broad nasal bridge with a rounded tip of [ghr.nlm.nih.gov]
Other features frequently seen in people with this condition include an exaggerated curvature of the lower back (lordosis); darkened patches of skin (hyperpigmentation), typically on the chest and back; and a broad nasal bridge with a rounded tip of the [medlineplus.gov]
- Thin Skin
skin, mild ID, epilepsy + 46,XY del2q P264 >4.9 Mb dup9q P286 ~3,4 Mb 5. 8y Microcephaly, FD, short hands and feet, thin skin, mild ID + 46,XX del2q P264 >4.9 Mb dup9q P286 ~3.4 Mb 6. 9y Intrauterine growth retardation, microcephaly, FD, severe ID - [healthdocbox.com]
Psychiatrical
- Suggestibility
Conclusions: A regulatory role for the SMARCAL1 protein in the proliferation of chondrocytes, lymphocytes and spermatozoa, as well as in the development or maintenance of cardiomyocytes and in vascular homoeostasis, is suggested. [jmg.bmj.com]
The findings strongly suggest that our patient has a juvenile variant of Schimke immunoosseous dysplasia. [ncbi.nlm.nih.gov]
In situ localization of SMARCAL1 in human kidneys as well as analysis of its temporal expression during murine nephrogenesis and in the metanephric organ culture suggested a role in the early renal progenitor population and after renal maturation. [mdanderson.elsevierpure.com]
Face, Head & Neck
- Broad Nasal Bridge
The patients have a triangular face, broad nasal bridge, bulbous nose tip, small palpebral fissures, short neck, long upper lip, and low hairline. Dental abnormalities of affected patients have not been discussed in detail. [deepblue.lib.umich.edu]
The patients have intrauterine growth retardation, short stature with short neck and trunk, peculiar clinical phenotype: triangular face, broad nasal bridge, bulbous nasal tip, small palpebral fissures, long upper lip and low hairline. [scholars.duke.edu]
Other features frequently seen in people with this condition include an exaggerated curvature of the lower back ( lordosis ); darkened patches of skin (hyperpigmentation), typically on the chest and back; and a broad nasal bridge with a rounded tip of [ghr.nlm.nih.gov]
Other features frequently seen in people with this condition include an exaggerated curvature of the lower back (lordosis); darkened patches of skin (hyperpigmentation), typically on the chest and back; and a broad nasal bridge with a rounded tip of the [medlineplus.gov]
Neurologic
- Headache
Design/Methods: NA Results: We present a SIOD patient without evidence of atherosclerotic disease who suffered recurrent episodes of severe headache, hemiparesis of variable side, and aphasia, starting at five years of age. [n.neurology.org]
The cause of the headaches is still unknown but they tend to be more severe and refractory to anti-migraine medications that migraine-like headaches in the general population. [rarediseases.org]
Although her headaches improved initially with depakote therapy, the headaches subsequently worsened and are now treated with anti-migrainoids. [jmg.bmj.com]
Association of migraine-like headaches with Schimke immuno-osseous dysplasia. [structure.bmc.lu.se]
Less common signs and symptoms of Schimke immuno-osseous dysplasia include an accumulation of fatty deposits and scar-like tissue in the lining of the arteries ( atherosclerosis ), reduced blood flow to the brain (cerebral ischemia), migraine-like headaches [ghr.nlm.nih.gov]
- Stroke
Goldstein, Seizures and epilepsy after ischemic stroke. Stroke, 2004. 35(7): p. 1769-75. [journals.sbmu.ac.ir]
[…] life-threatening.[2] Other signs and symptoms may include:[2] Reduced thyroid function Protruding abdomen Patches of increased skin color (hyperpigmented macules) Progressive atherosclerosis beginning in early childhood Transient ischemic attacks or stroke [rarediseases.info.nih.gov]
ESRD, stroke, and CHF. Generally, the patients do not succumb to life-threatening infections secondary to immunodeficiency. References: Schimke Immunoosseous Dysplasia. University of Washington, Seattle. [allergynotes.blogspot.com]
Life expectancy is limited to childhood or early adolescence in most patients, due to stroke, severe opportunistic infections, bone marrow failure, complications of kidney failure, congestive heart failure, and unspecified lung disease. [cags.org.ae]
Approximately 50% of affected individuals have neurologic complications including migraines, transient neurological attacks, and strokes. [n.neurology.org]
Urogenital
- Kidney Failure
Life expectancy is limited to childhood or early adolescence in most patients, due to stroke, severe opportunistic infections, bone marrow failure, complications of kidney failure, congestive heart failure, and unspecified lung disease. [cags.org.ae]
Complications of the severe form of SIOD can include strokes, severe opportunistic infections, bone marrow failure, and kidney failure that can be life-threatening early in life. [diseaseinfosearch.org]
Key words Osteochondrodysplasia Cerebral ischaemia Immunologic deficiency syndrome Kidney failure Hypothyroidism Focal glomerulosclerosis This is a preview of subscription content, log in to check access. Preview Unable to display preview. [link.springer.com]
We do know he will have kidney failure in 5 to 10 years though and we have to be very aggressive treating his symptoms of any sickness as they come. [littlegiantsfoundation.blogspot.com]
Usually resulting in kidney failure, bone marrow transplant, hip replacements, stroke, chance of cancer, memory loss, skeletal dysplasia problems; until their small bodies will not be able to take it anymore. [plumfund.com]
- Renal Insufficiency
Querfeld MEDICAL GENETICS 53 Downloads 16 Citations Abstract Schimke immuno-osseous dysplasia is a multisystem disorder consisting of spondylo-epiphysial dysplasia, progressive renal insufficiency due to focal segmental glomerulosclerosis, and immunodeficiency [springerlink.com]
On brain MRI the high sig- tion and suffered from chronic nal lesions located in corpus cal- terized by spondyloepiphyseal dy- splasia with short stature, peculiar renal insufficiency. losum genu and frontal white facies, hyperpigmented macules, Brain [deepdyve.com]
Patients with the severe infantile form of SIOD are thought to be dystrophic at birth, develop early renal insufficiency and suffer from neurologic complications such as transient ischaemic attacks (TIA) or cerebral infarctions. [docksci.com]
insufficiency and specific phenotype. [meandrosmedicaljournal.org]
insufficiency Renal failure Renal failure in adulthood [ more ] 0000083 Shallow acetabular fossae 0003182 Spondyloepiphyseal dysplasia 0002655 Thoracic kyphosis 0002942 Transient ischemic attack Mini stroke 0002326 Waddling gait 'Waddling' gait Waddling [rarediseases.info.nih.gov]
Workup
However, the molecular genetic workup can be performed in two steps: MLPA, followed by sequencing of the coding regions and splice sites (Grimm et al 2012). [healthdocbox.com]
Treatment
The patient also suffers from progressive hip dysplasia leading to severe pain that requires continual treatment with buprenorphine. [docksci.com]
Treatment Treatment Treatment of Schimke immunoosseous dysplasia (SIOD) depends on the severity and individual symptoms in each person. [rarediseases.info.nih.gov]
Treatment - Schimke immunoosseous dysplasia These resources address the management of Schimke immuno-osseous dysplasia and may include treatment providers. * Gene Review: Schimke Immunoosseous DysplasiaThis link leads to a site outside Genetics Home Reference [checkorphan.org]
During the trip to California, which could last six months, Kruz will receive an experimental stem cell treatment as part of a clinical trial, a bone marrow transplant, and a kidney transplant. [patientworthy.com]
Cleft palate is also addressed, with details on etiology, phenotypes, treatment timing and approaches, and dental management. [books.google.it]
Prognosis
Prognosis - Schimke immunoosseous dysplasia Not supplied. [checkorphan.org]
Asymptomatic, microscopic hematuria is seen in 8-21% of the general population, has a good prognosis, and is generally not an indication for kidney biopsy. But whether it should preclude kidney donation is unclear. Methods. [scinapse.io]
Prognosis Schimke immunoosseous dysplasia (SIOD) varies in severity.[1] Those with an early-onset form generally have severe symptoms and an average lifespan of about 9 years. [rarediseases.info.nih.gov]
Our experience highlighted the importance of detailed clinical evaluation, appropriate genetic counseling and molecular testing, to provide timely treatment and more accurate prognosis. [bmcnephrol.biomedcentral.com]
Etiology
The representation of T-cell subsets in SIOD patients is further characterized by a high proportion of memory (CD45RA − CD45RO + ) T cells, however, the etiology of T-cell immunodeficiency has not been elucidated. [bloodjournal.org]
Cleft palate is also addressed, with details on etiology, phenotypes, treatment timing and approaches, and dental management. [books.google.it]
To the best of our knowledge, this is a hitherto new syndrome with most probably autosomal recessive inheritance and unknown etiology. [scinapse.io]
The aim of this study was to evaluate the ability of a combination of MLPA kits to establish the etiologic diagnosis in a group of patients with syndromic ID. [healthdocbox.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.com]
Relevant External Links for SMARCAL1 Genetic Association Database (GAD) SMARCAL1 Human Genome Epidemiology (HuGE) Navigator SMARCAL1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: SMARCAL1 No data available for Genatlas for SMARCAL1 Gene [genecards.org]
Epidemiology of end-stage renal disease in an interregional perspective: Registries of Puglia and Basilicata, southern Italy. J Nephrol. 2003 Nov-Dec;16(6):813-21. [uniba.it]
PLOS Biology, 9, e Lotter V., (1966), Epidemiology of autistic conditions in young children: Some characteristics of the parents and children, Social Psychiatry, Kuehn B.M., (2007), CDC: autism spectrum disorders common, Journal of the American Medical [healthdocbox.com]
Pathophysiology
SW/SNF2 related, matrix associated, actin dependent regulator of chromatin, subfamily a-like 1 SMARCAL 1 is the gene responsible for SIOD but the underlying pathophysiologic mechanism is unclear, therefore, there is limited therapeutic options. [unboundmedicine.com]
The underlying pathophysiology of SIOD remains unclear. [ncbi.nlm.nih.gov]
Nathan and Oski’s is the only comprehensive product on the market that relates pathophysiology in such depth to hematologic and oncologic diseases affecting children. [books.google.com]
Although the pathophysiology of SIOD is currently not well understood, the underlying immune dysfunction of these patients may contribute to development of these ocular conditions. [iovs.arvojournals.org]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
Although both were caries- and periodontal disease-free, special attention was focused on prevention, including dietary counselling, plaque control, oral hygiene instructions and the use of fluoridated toothpaste. [hal.inserm.fr]
Prevention - Schimke immunoosseous dysplasia Not supplied. Diagnosis - Schimke immunoosseous dysplasia SIOD is diagnosed on the basis of clinical findings. SMARCAL1 is the only gene known to be associated with SIOD. [checkorphan.org]
This new insight may provide a basis for novel preventative therapy in this rare disorder. Disclosure: Dr. Haffner has nothing to disclose. Dr. Rollins has nothing to disclose. Dr. Dowling has nothing to disclose. You May Also be Interested in [n.neurology.org]