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]
- Asymptomatic
Interestingly, residual SMARCAL1 mRNA levels in the patient's peripheral blood were lower compared with those observed in both asymptomatic brothers' carrying the same bi-allelic mutation, whereas the latter had levels similar to those found in heterozygous [mdanderson.elsevierpure.com]
Of 512 consecutive prospective donors, 14 (2.7%) continued to have asymptomatic, microscopic hematuria over 1 month. [scinapse.io]
The two affected siblings identified by family screening exhibited asymptomatic proteinuria. Microscopic hematuria was present in only one patient at disease onset. [journals.plos.org]
For asymptomatic carriers (mothers/sisters of affected males) we asked about symptoms related to exercise and checked serum CK level. Genomic DNA was extracted from peripheral blood samples using QIAamp DNA Blood Mini Kit (Qiagen). [healthdocbox.com]
- Anemia
Immunodeficiency Cartilage Hair Hypoplasia Like Syndrome cartilage-hair hypoplasia Cd4+ Lymphocyte Deficiency CD8 Deficiency, Familial Chondroitin-6-Sulfaturia, Defective Cellular Immunity, Nephrotic Syndrome COMBINED IMMUNODEFICIENCY AND MEGALOBLASTIC ANEMIA [rgd.mcw.edu]
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA 1; PNH1 Is also known as ;marchiafava-micheli disease; pnh Related symptoms: Muscle weakness Anemia Nevus Tics Dysphagia SOURCES: ORPHANET MONDO OMIM UMLS ICD10 More info about PAROXYSMAL NOCTURNAL HEMOGLOBINURIA 1; [mendelian.co]
Later, in January 2013, the patient developed progressive thrombocytopenia followed by lymphocytopenia and immune hemolytic anemia and frequent blood transfusions had to be administered. No organomegaly or lymphadenopathy was noted. [sjkdt.org]
Showing of 48 | Medical Terms Other Names Learn More: HPO ID 80%-99% of people have these symptoms Abnormal T cell morphology 0002843 Abnormality of epiphysis morphology Abnormal shape of end part of bone 0005930 Anemia Low number of red blood cells or [rarediseases.info.nih.gov]
[Nephrologist's behaviours and perceptions on sideropenic anemia's diagnosis and treatment for conservative phase nephropatic patient intolerant or not responding to oral iron therapy]. G Ital Nefrol. 2013 Nov-Dec;30(6). pii: gin/30.6.3. Review. [uniba.it]
Gastrointestinal
- Vomiting
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]
At 8 years of age, she developed symptoms of central nervous system (CNS) vascular impairment including recurrent headaches with nausea, vomiting, blurred vision, hallucinations, and dysosmia. [jmg.bmj.com]
Encephalomalacia Increased thyroid-stimulating hormone level Shallow acetabular fossae Encephalitis Coarse hair Glaucoma Pneumonia Developmental regression Hyperlordosis Proteinuria Osteopenia Hypothyroidism Dementia Recurrent infections Immunodeficiency Vomiting [mendelian.co]
- Nausea
At 8 years of age, she developed symptoms of central nervous system (CNS) vascular impairment including recurrent headaches with nausea, vomiting, blurred vision, hallucinations, and dysosmia. [jmg.bmj.com]
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]
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]
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]
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 Injury
Renal injury develops into end stage renal failure. Systematic References: 1. Boerkoel CF et al. (2002) Mutant chromatin remodeling protein SMARCAL1 causes Schimke immuno-osseous dysplasia. [^] 2. [moldiag.com]
Postconditioning is an effective strategy to reduce renal ischaemia/reperfusion injury. Nephrol Dial Transplant. 2008 May;23(5):1504-12. doi: 10.1093/ndt/gfm779. Epub 2008 Feb 19. [uniba.it]
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]
Each entry contains sections devoted to dermatologic features, associated clinical abnormalities, histopathology, biochemical and molecular information, treatment, mode of inheritance and recurrence risk, prenatal diagnosis, and information on differential [books.google.com]
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]