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Schinzel-Giedion Syndrome
Schinzel Giedion Syndrome

Presentation

Of the 35 cases already reported in the literature, 31 presented hydronephrosis, which is considered an important clue in diagnosis. [scielo.br]

We also present a review of SGS cases, and first revise diagnostic criteria of SGS based on clinicalfindings and/or SETBP1 mutation worldwide. A revised diagnostic criteria and typing of SGS can be determined. [ncbi.nlm.nih.gov]

We present the first case of SGS developing scoliosis. The patient presented with scoliosis at the age of 8 years which rapidly progressed to severe thoraco-lumbar scoliosis. Survival beyond 2 years is rare in this syndrome. [hss.edu]

The majority of patients (76%) exhibit genital anomalies, which generally present themselves as underdeveloped genitals and a displaced aperture of the urethra. [krebs-praedisposition.de]

Entire Body System

  • Inguinal Hernia

    Swallowing difficulties Swallowing difficulty [ more ] 0002015 Ependymoma 0002888 Epileptic spasms 0011097 Gastrostomy tube feeding in infancy 0011471 Hepatoblastoma 0002884 Hypoplasia of the epiglottis 0005349 Hypospadias 0000047 Hypsarrhythmia 0002521 Inguinal [rarediseases.info.nih.gov]

Gastrointestinal

  • Failure to Thrive

    Synopsis failure to thrive postnatal growth deficiency widely patent fontanels and sutures metopic suture extends to nasal root coarse facies high forehead, protruding forehead midface hypoplasia facial hemangioma low-set ears shallow orbits proptosis [humpath.com]

    […] to thrive in infancy Faltering weight in infancy Weight faltering in infancy [ more ] 0001531 Generalized hypertrichosis 0004554 Hydronephrosis 0000126 Hypertelorism Wide-set eyes Widely spaced eyes [ more ] 0000316 Hypoplasia of the corpus callosum [rarediseases.info.nih.gov]

Musculoskeletal

  • Back Pain

    You should see a doctor as soon as changes in urinating or back pain occur. Moreover, abdominal pain, weariness, or fatigue should be noted and reported to a doctor as well. [krebs-praedisposition.de]

Ears

  • Hearing Impairment

    impairment; and sleeping apnea. [ivami.com]

    Other neurological problems can include severe feeding problems, seizures, or visual or hearing impairment. They may also experience short pauses in breathing during sleep (sleep apnea). [encyclopedia.pub]

    Other neurological problems can include severe feeding problems, seizures, or visual or hearing impairment. Affected individuals can also have abnormalities of organs such as the heart, kidneys, or genitals. [ghr.nlm.nih.gov]

    Visual and hearing impairment may occur as well. Imaging of the head can reveal various anomalies. Around half of the patients exhibit a failure to thrive. [krebs-praedisposition.de]

Skin

  • Hirsutism

    Characteristic features include: midface retraction, widely patent fontanelles, hirsutism, choanal stenosis, hypospadias with chordae, club feet and broad ribs. [ncbi.nlm.nih.gov]

    Hirsutism disappears and midface retraction becomes less evident with age; In contrast, bitemporal narrowing becomes more evident3. [scielo.br]

    Hirsutism disappears and midface retraction becomes less evident with age; In contrast, bitemporal narrowing becomes more evident 3. Radiological imaging of the kidney. [mediaeducation.club]

Face, Head & Neck

  • Hypertelorism

    Coarse facies characterized by midface retraction, bulging forehead, facial hemangiomas, short nose with anteverted nostrils, protruding large tongue, and hypertelorism. Patient usually dies during infancy. Synonym Midface-Retraction Syndrome. [accessanesthesiology.mhmedical.com]

    Postnatally, in keeping with a diagnosis of SGS, there were large fontanelles, ocular hypertelorism, a wide, broad forehead, midface retraction, a short, upturned nose, macroglossia, and a short neck. [ncbi.nlm.nih.gov]

    Signs related to this process generally include distinctive facial features such as retraction of the middle face, wide or bulky forehead, ocular hypertelorism, a short and upward nose and, a wide mouth with macroglossia; broader fontanel at birth; short [ivami.com]

    When polyhydramnios is observed, additional fetal findings such as overlapping fingers, hydrocephalus, hydronephrosis, and very characteristic facial appearance comprising high, prominent forehead, hypertelorism, and depressed nasal root may suggest Schinzel-Giedion [dukespace.lib.duke.edu]

  • Short Neck

    Postnatally, in keeping with a diagnosis of SGS, there were large fontanelles, ocular hypertelorism, a wide, broad forehead, midface retraction, a short, upturned nose, macroglossia, and a short neck. [ncbi.nlm.nih.gov]

    Signs related to this process generally include distinctive facial features such as retraction of the middle face, wide or bulky forehead, ocular hypertelorism, a short and upward nose and, a wide mouth with macroglossia; broader fontanel at birth; short [ivami.com]

    Precautions before anesthesia Assess for potential airway difficulty with presence of choanal stenosis, midface retraction, large tongue, and short neck. [accessanesthesiology.mhmedical.com]

    […] nose low nasal bridge anteverted nares macroglossia short neck atrial septal defect choanal stenosis hypoplastic first ribs broad ribs long clavicles short sternum hypoplastic nipples hypospadias short penis hypoplastic scrotum hypoplastic labia majora [humpath.com]

Urogenital

  • Cryptorchidism

    Midfacial retraction, frontal bossing, deep groove under the eyes, upturned nose, low-set ears, bilateral cryptorchidism, and generalized hypertrichosis were identified on admission. At the age of 7 months, epileptic spasms in series occurred. [ncbi.nlm.nih.gov]

    […] eruption of teeth, a narrow passage between the nose and throat (choanal stenosis), underdeveloped nipples, abnormal nails of the fingers and toes, extra fingers and/or toes, a clubfoot, a short penis, failure of the testicles to descent into the scrotum (cryptorchidism [rarediseases.org]

Workup

Serum

  • Karyotype Abnormal

    We report a male infant with Schinzel-Giedion syndrome, also showing the karyotypic abnormality 47,XXY. Agenesis of the corpus callosum and laryngeal stenosis were determined at autopsy. [ncbi.nlm.nih.gov]

Treatment

Treatment : How to Treat "schinzel-giedion syndrome"? There is no disease-specific treatment for Schinzel-Giedion syndrome. Treatment of affected patients remains largely supportive & unable to reverse the outcome of the disease. [signssymptoms.org]

Treatment - Schinzel Giedion syndrome Treatment is only supportive, and cannot affect the outcome of the disorder. [checkorphan.org]

Since this disease is quite severe, most treatment is focused on symptoms and relieving pain. [patientworthy.com]

Other treatment is symptomatic and supportive. [rarediseases.org]

CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]

Prognosis

(November 2021) Patients with this can have hydronephrosis, seizures, visual impairments, or alacrima.[5] Sleep apnea may also be present, Prognosis[edit] Most children with condition die before 2 years of age.[6]: 306  With it being estimated that 50% [en.wikipedia.org]

Prognosis - Schinzel Giedion syndrome Not supplied. Treatment - Schinzel Giedion syndrome Treatment is only supportive, and cannot affect the outcome of the disorder. [checkorphan.org]

Nonetheless, considerable overlap exists between the two syndromes in terms of clinical presentation, prognosis, and electroencephalographic signature. [semanticscholar.org]

While SETBP1 overexpression in myeloid malignancies links to poor prognosis, somatic mutations of SETBP1 were not previously identified in leukemias. [bloodjournal.org]

Severe developmental delay and poor prognosis is common to the previous reported cases.2 This report describes neurologic features and the clinical course associated with West syndrome in a female infant with Schinzel-Giedion syndrome. [docksci.com]

Etiology

The etiology has been traced to mutations in the SETBP1 gene. We report a Filipino patient with features suggestive of Schinzel-Giedion Syndrome and the first to be confirmed through molecular testing. PDF How to Cite 1. [actamedicaphilippina.upm.edu.ph]

They are typically distinguished from each other according to specific clinical and etiologic criteria. [semanticscholar.org]

(Gly870Ser) variant in the etiology of the syndrome. Moreover, although the cohort of SETBP1-patients reported in the literature is still small, our study reports for the first time the prevalence of the variant (about 27%, 7/26). [ijponline.biomedcentral.com]

Pathologic findings are variable and include brain stem nuclear aplasia, facial nerve aplasia, and facial muscle aplasia, consistent with a multifactorial etiology. [icd10data.com]

The etiology of Dubowitz syndrome has not been evidently elucidated. Two causal genes have been put forward in separate isolated cases and include NSUN2 and LIG4. [findzebra.com]

Epidemiology

Epidemiology[edit] The exact prevalence of Schinzel-Giedion syndrome is unknown. [en.wikipedia.org]

Genetic epidemiology and nonsyndromic structural birth defects: from candidate genes to epigenetics. JAMA pediatrics, 168(4), 371-377. Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, Correa A (2010). [centogene.com]

Pathophysiology

Pathophysiology Mutations in SETBP1 located on 18q12.3 and encodes SET binding protein 1. Mutations in this gene are also thought to result in increase in myeloid malignancies. [accessanesthesiology.mhmedical.com]

[…] thought to be a causative mechanism in Schinzel-Giedion syndrome.3 Further, several lines of recurrent evidence suggest that SETBP1 plays a role in leukemogenesis.12-14 Although SETBP1 is a causative gene to be identified molecularly, the underlying pathophysiology [docksci.com]

This deletion includes the MBD5 gene, which is implicated in the pathophysiology of seizures. Stereotyped behaviors are also present and these are similar to Rett syndrome or Angelman syndrome. [scielo.br]

Prevention

Prevention - Schinzel Giedion syndrome Not supplied. Diagnosis - Schinzel Giedion syndrome There is no genetic or blood test for SGS. [checkorphan.org]

Examples of supportive methods include the use of gastrostomy feeding tubes to prevent malnutrition, administering antibiotics to treat urinary tract infections, anti-seizure medications to reduce seizures, as well as other comforts aimed at managing [signssymptoms.org]

Anti-convulsant drugs such as carbamazepine, valproic acid, phenobarbital, clonazepam, ethusuximide, primidone, phenytoin, corticotropin, and corticosteroid drugs are being used to help prevent and control seizures associated with Epilepsy. [rarediseases.org]

Information on Guillain-Barre Syndrome as a medical condition with Guillain-Barre Syndrome information including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. [dsnib.co]

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