Presentation
Features nearly 2,500 illustrations - 2,350 in full color - which depict each abnormality or condition as they present in practice. Presents practical information on autopsy techniques and protocols. [books.google.de]
Committee: Janet Williams, CGC (Chair); Janice Byrne, MD; Jeffrey Botkin, MD, MPH *Heather Hussey Patient Responses to 16 Testing in Familial Melanoma: A Grounded Theory Analysis [2007 NSGC platform presentation; 2008 NSGC poster presentation]. [genetics.utah.edu]
When she was five years old, she was attended at Belém's Pronto-Socorro Municipal presenting vesicles all over her body. [scielo.iec.gov.br]
Entire Body System
- Feeding Difficulties
[…] to thrive) Refer to gastroenterologist for feeding difficulties, gastroesophageal reflux, failure to thrive, vomiting, and constipation Nutrition assessment by dietician For feeding difficulties: Refer for feeding therapy Refer to ENT specialist for evaluation [ncbi.nlm.nih.gov]
High mortality rate (one third of the patients die with in the first year of age), feeding difficulties, muscular hypotonia, seizures (80% of cases), tendency to infections, psychomotor retardation, kyphosis, scoliosis, dentition delay and precocious [scielo.iec.gov.br]
[…] palate Clitoral hypoplasia Strabismus Hypoplastic labia minora Brachycephaly Arrhythmia Congenital onset Optic atrophy Short philtrum Flat face Pain Depressed nasal bridge Contractures of the joints of the lower limbs Osteopenia Camptodactyly of finger Feeding [mendelian.co]
Feeding difficulties at birth and a need for surgical revision of the mouth, which are nearly universal features of children with FSS, are not observed in SHS. The chin is more triangular in individuals affected with SHS. [ojrd.biomedcentral.com]
- Weight Loss
Tooth loss. Taking calcium and vitamin D by mouth appears to help prevent tooth loss in older people. Weight loss. [webmd.com]
loss Retinopathy Peripheral axonal neuropathy Apraxia Glycosuria Generalized tonic-clonic seizures Ketonuria Ventriculomegaly Hypovolemia Abnormality of the upper urinary tract Neurodevelopmental delay Renal tubular dysfunction Labial hypoplasia Malar [mendelian.co]
Freeman-Sheldon syndrome (whistling face syndrome) and cranio-vertebral junction malformation producing dysphagia and weight loss. Pediatr Neurosurg. 1996;24:272-4. Zampino G, Conti G, Balducci F, et al. [rarediseases.org]
Perinatal history Polyhydramnios, often severe Increased birth weight as a result of edema (not true macrosomia) Weight loss resulting from resolution of edema and failure to thrive Severe postnatal feeding difficulties Short stature Craniofacial appearance [ncbi.nlm.nih.gov]
- Pathologist
All clinicians and scientists interested in birth defects, including pediatricians, geneticists, genetic counselors, obstetricians, and pediatric pathologists, will find this book to be an invaluable source of information. [books.google.de]
Balandin, S. (2002): «Communication and older people with lifelong disability: a role for speech pathologists?», Advances in Speech-Language Pathology, 4 (2): 109-117. Bara, B. G.; Bucciarelli, M. y L. [um.es]
Treatment may require the coordinated efforts of a team of specialists including pediatricians, orthopedic surgeons, dental specialists, speech pathologists, physicians who specialize in the diagnosis and treatment of disorders of the muscles, and other [rarediseases.org]
- Weight Gain
There is a marked growth retardation with poor weight gain during infancy, often replaced by being overweight in later childhood. Global mental deficiency is characteristic with an average IQ between 35 and 50. [ommbid.mhmedical.com]
The combination of GERD and swallowing difficulties contribute to lack of weight gain and respiratory complications like choking and aspiration pneumonia. [ncbi.nlm.nih.gov]
Cardiovascular
- Heart Disease
Heart disease. Most research shows that there is no association between calcium supplementation and the risk of heart disease in healthy people. Fractures. [webmd.com]
The contribution of de novo and rare inherited copy number changes to congenital heart disease in an unselected sample of children with conotruncal defects or hypoplastic left heart disease. [bmj.com]
Congenital heart disease is common in Noonan syndrome but has not been a consistent finding in Legius syndrome. Autosomal dominant café au lait spots (OMIM 114030 ). [ncbi.nlm.nih.gov]
Hearing Loss, and Neurodegeneration congenital central hypoventilation syndrome CONGENITAL CONTRACTURES OF THE LIMBS AND FACE, HYPOTONIA, AND DEVELOPMENTAL DELAY Congenital Emphysema, with Deafness, Penoscrotal Web, and Mental Retardation CONGENITAL HEART [rgd.mcw.edu]
[…] polydactyly heart disease Amino aciduria with mental deficiency, dwarfism, muscular dystrophy, osteoporosis and acidosis Refsum disease Spastic paraplegia 25 Camptodactyly-ichthyosis syndrome BRCA1 hereditary breast and ovarian cancer syndrome Multicentric [checkrare.com]
Musculoskeletal
- Arthritis
18576317 Arthritis and rheumatism, 2008 July : 2147-52 Borozdin W, Graham JM Jr, Böhm D, Bamshad MJ, Spranger S, Burke L, Leipoldt M, Kohlhase J Multigene deletions on chromosome 20q13.13-q13.2 including SALL4 result in an expanded phenotype of Okihiro [seattlechildrens.org]
[…] less relevant matches: Low match MULTICENTRIC CARPOTARSAL OSTEOLYSIS SYNDROME; MCTO Multicentric carpotarsal osteolysis syndrome is a rare skeletal disorder, usually presenting in early childhood with a clinical picture mimicking juvenile rheumatoid arthritis [mendelian.co]
Website: http://www.mhaus.org March of Dimes 1275 Mamaroneck Avenue White Plains, NY 10605 Phone: (914) 997-4488 Email: [email protected] or [email protected] Website: http://www.marchofdimes.org and nacersano.org NIH/National Institute of Arthritis [rarediseases.org]
Guillemin F, Aussedat R, Guerci A, Lederlin P, Trechot P, Pourel J "Fatal agranulocytosis in sulfasalazine treated rheumatoid arthritis." J Rheumatol 16 (1989): 1166-7 Betkowski AS, Lubin A "Sulfamethoxazole-related antiplatelet antibody." [drugs.com]
[…] hypertrophic osteoarthropathy + primary immunodeficiency disease + Primrose Syndrome Propofol Infusion Syndrome Proud Syndrome prune belly syndrome + Pseudo-Zellweger Syndrome Pseudoaminopterin Syndrome pseudobulbar palsy + Pseudotrisomy 13 Syndrome psoriatic arthritis [rgd.mcw.edu]
- Foot Deformity
Other foot deformities such as talipes equinovarus (2%) or pes planus (53%) occur. Progressive unilateral foot abnormalities, especially in childhood, may indicate a tethered cord and should be investigated appropriately. [ncbi.nlm.nih.gov]
[…] defect coronary sinus Trisomy 3 mosaicism Syngnathia multiple anomalies VACTERL association Hepatic venoocclusive disease with immunodeficiency Ehlers-Danlos syndrome due to tenascin-X deficiency Typical congenital nemaline myopathy Split hand split foot [checkrare.com]
- Short Arm
Key-Words: Wolf-Hirschhorn Syndrome, terminal deletion of the short arm of chromosome 4, 4p-, hypertelorism, prominent glabella, IAC. [scielo.iec.gov.br]
Each chromosome has a short arm designated “p” and a long arm designated “q”. Chromosomes are further sub-divided into many bands that are numbered. For example, “chromosome 17p13.1” refers to band 13.1 on the short arm of chromosome 17. [rarediseases.org]
The fast twitch skeletal muscle troponin I is encoded by the TNNI2 gene which is located on the short arm of chromosome 11 (11p15.5). Troponins are muscle proteins that are part of the contractile apparatus. [ojrd.biomedcentral.com]
Face, Head & Neck
- Short Nose
People with Freeman-Sheldon syndrome may also have a prominent forehead and brow ridges, a sunken appearance of the middle of the face ( midface hypoplasia ), a short nose, a long area between the nose and mouth (philtrum), deep folds in the skin between [ghr.nlm.nih.gov]
Patients also present intrauterine growth retardation, facial dysmorphism (flat facial profile, low-set ears, shallow orbits, short and upturned nose, downturned corners of mouth) and joint flexion contractures. [mendelian.co]
Neurologic
- Nasal Speech
The tongue may be small, and the limited movement of the soft palate may cause nasal speech. Often there is an H- or Y-shaped dimpling of the skin over the chin.[citation needed] Cause[edit] FSS is caused by genetic changes. [en.wikipedia.org]
In addition, affected children may have a nasal quality to their voice (nasal speech) due to limited movement of the soft palate. [rarediseases.org]
Treatment
Chapter 12 Psychiatric comorbidity in intellectual disability mental retardation 127 Chapter 13 Pharmacological treatment of psychiatric comorbidities in mental retardation 141 Chapter 14 Neuropsychological rehabilitation in children with cognitive impairment [books.google.es]
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Standard Therapies Treatment The treatment of Freeman-Sheldon syndrome is directed toward specific symptoms that are apparent in each individual. [rarediseases.org]
Prognosis
The prognosis is relative, with one third of the patients dying with in the first year, while other children are alive with more than twelve years of age. [scielo.iec.gov.br]
Allelic loss of chromosome 18q and prognosis in colorectal cancer. NEJM 331, 213–221 (1994). Article CAS PubMed Google Scholar Olerup, O. & Zetterquist, H. [nature.com]
[citation needed] Prognosis[edit] There are little data on prognosis. Rarely, some patients have died in infancy from respiratory failure; otherwise, life expectancy is considered to be normal. [en.wikipedia.org]
Etiology
Research Etiology and clinical... [bmj.com]
The etiology of Wolf–Hirschhorn Syndrome. Trends in genetics. March 2005, 21 (3): 188-195. 7. [scielo.iec.gov.br]
It is thought that the etiology may be related with a migration anomaly of neural crest cells. Other evidence has suggested that there are genetic determinants in some cases. [scielo.br]
Botkin, MD (Chair); Joshua Schiffman, MD; Erin Rothwell, PhD; Kim Hart, MS, LCGC Brandalyn Chidsey Impact of etiologic diagnosis on families of children with hearing impairment Karin Dent, MS, LCGC (Chair); John Carey, MD, MPH; Albert Park, MD Lauren [genetics.utah.edu]
“Exclusion of PTPN11 Mutations in Costello Syndrome: Further Evidence for Distinct Genetic Etiologies for Noonan, Cardio–facio–cutaneous and Costello Syndromes.” [cfcsyndrome.org]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Epidemiology The prevalence of arthrogryposis is about 1/3000 [3]. [ojrd.biomedcentral.com]
Finally, it would be helpful to integrate etiology, morphology, and pathogenesis assessment into the basic framework of epidemiologic studies. [bmj.com]
Further research is wanted to determine epidemiology of psychopathology in FSS and refine therapy protocols. [en.wikipedia.org]
Pathophysiology
Two pathophysiologic mechanisms have been proposed for the OAVS: a reduced blood flow, and focal hemorrhage in the development region of the first and second branchial arches around 30 to 45 days of pregnancy, in the blastogenesis period 2. [scielo.br]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Preventing falls. Evidence suggests that calcium plus vitamin D might help prevent falls by decreasing body sway and helping to keep blood pressure normal. Calcium alone does not seem to have the effect. [webmd.com]
National Birth Defects Prevention Study. Guidelines for case classification for the National Birth Defects Prevention Study. [bmj.com]
This early fusion prevents the skull from growing normally and affects the shape of the head and face. 1. [encyclopedia.pub]
This early fusion prevents the skull from growing normally and affects the shape of the head and face. Many of the characteristic facial features of Beare-Stevenson cutis gyrata syndrome result from the premature fusion of the skull bones. [ghr.nlm.nih.gov]