Presentation
Patient's mother shared the same facial features, and presented sparse hair and small hands. The maternal grandfather and two uncles presented short stature, bulbous nasal tip, thin hair, and premature alopecia. [ncbi.nlm.nih.gov]
The mutant TRPS1 in the present case was unable to repress STAT3 and SOX9 mRNA expression. The present results show that the elevation of CTNNB1 in mRNA level indicated that crosstalk of STAT3 and Wnt/β-catenin would also occur in hair follicles. [medicaljournals.se]
Entire Body System
- Short Stature
A 32-year-old short statured woman with alopecia, typical facies, shortened angulated fingers and toes with Trichorhinophalangeal syndrome type I (TRPS I) is reported. The absence of exostosis and mental retardation rule out TRPS II. [ncbi.nlm.nih.gov]
[…] epiphyses (x-rays) Microcephaly Curved fingers and toes Short stature Brachydactyly Hyperextensible joints Brittle and thin nails Redundant skin in childhood Short stature Increased number of nevi Winged scapulae Mental retardation Deep voice Degenerative [medcraveonline.com]
- Disability
Individuals with TRPSI do not have osteochondromas or intellectual disability, which are not associated with the TRPS1 gene. [medlineplus.gov]
Keywords Intellectual Disability Supernumerary Tooth Proximal Phalange Vermilion Border Contiguous Gene Syndrome These keywords were added by machine and not by the authors. [link.springer.com]
Autism Blind-Visual Impairment Deaf and Hard of Hearing Deaf-Blind Intellectual Disabilities Speech Language Traumatic Brain Injury Supports Inclusive Practices Intensive Interagency Family Engagement Paraprofessionals Legal Federal Laws and Regulations [pattan.net]
PMID 28468609, Free PMC Article Two cases of Legg-Perthes and intellectual disability in Tricho-Rhino-Phalangeal syndrome type 1 associated with novel TRPS1 mutations. Gilman JL, et al. Am J Med Genet A, 2017 Jun. [ncbi.nlm.nih.gov]
A person who is DeafBlind may or may not have other physical or cognitive disabilities; each individual is different. Deafblindness is a disability of access to sights, sounds, and information. [noisyvision.org]
- Falling
MyBioSource and its authorized distributors reserve the right to refuse to process any order where we reasonably believe that the intended use will fall outside of our acceptable guidelines. [mybiosource.com]
Any variants that fall outside these regions are not analyzed. Any specific limitations in the analysis of these genes are also listed in the table below. [invitae.com]
[…] overprotective putting them in a “gilded cage” and not promoting the socialization of these with their peers ; all this has a negative impact at the time when t hey must face alone the challenges of life suddenly feeling “different” from others, often falling [noisyvision.org]
- Weakness
Severe muscle weakness to necessitate rehabilitation in a case of trichorhinophalangeal syndrome type II. J Eur Acad Dermatol Venereol 2009; 23 (6) 710-712 5 Vaccaro M, Guarneri C, Blandino A. Trichorhinophalangeal syndrome. [thieme-connect.com]
Increased palatal height [ more ] 0000218 Hyperlordosis Prominent swayback 0003307 Increased number of teeth Extra teeth Increased tooth count Supplemental teeth [ more ] 0011069 Leukonychia White discoloration of nails 0001820 Muscular hypotonia Low or weak [rarediseases.info.nih.gov]
Immunohistochemical analysis Two researchers analyzed the expression of TRPS1 independently and scored the intensity of expression as 0 (no expression), 1 (weak expression), 2 (moderate expression), or 3 (strong expression). [sciforschenonline.org]
Musculoskeletal
- Brachydactyly
We report an additional observation in a patient of European descent, who presented with short stature, cone-shaped epiphyses, sparse hair, a pear-shaped nose, normal intelligence and severe brachydactyly. [ncbi.nlm.nih.gov]
Common musculoskeletal findings include brachydactyly and cone-shaped epiphyses [7]. [karger.com]
(B and E) Hands and (C and F) feet with stubby fingers and toes, and brachydactyly. [degruyter.com]
Figure 1: The typical trichologic and craniofacial features of TRPS I and receded medio-occipital hairline of roughly triangular shape Clinical examination revealed clinodactyly and brachydactyly with racket thumbnails, Perthes-like change of the hips [ijdvl.com]
- Severe Short Stature
Both showed typical dysmorphic features and severe short stature, but only one had Perthes-like changes in the right capital femoral epiphysis. [ncbi.nlm.nih.gov]
TRPS type III (OMIM#190351) shows the same dysmorphic features as TRPS I but more severe shortening of all phalanges and metacarpals, and severe short stature ( Am J Hum Genet 68:81-91, 2001). [preventiongenetics.com]
Type III is a more severe form of type I and is associated with short stature. [jnsbm.org]
The presence of severe brachydactyly and severe short stature with the absence of exostoses differentiates TRPS III. TRPS is inherited in an autosomal dominant manner [ 4 ]. [ijpeonline.biomedcentral.com]
- Fracture
Although the nature of these bone cysts is unclear, they are one of the causes of the known increased fracture risk observed in this syndrome. [ncbi.nlm.nih.gov]
The girl’s hair pull-test was positive, and her trichogram had more than 70% of hairs in the anagen phase, with disruption of the hair sheaths, as well as distal hair fractures. [karger.com]
This 42-year-old male Caucasian had a normal birth; however, early milestones were delayed with walking difficulties, numerous bone fractures, deformed fingers, necrosis of the femoral head, and a heart valve defect. [movementdisorders.org]
[…] have been found.15,16,19 Quantitative measurements of viscoelastic hair variables showed a significant increase of the viscous measure, possibly because of increased disulfide bridging.21 Lalević-Vasić et al16 observed an unusual type of distal hair fracture [jamanetwork.com]
- Arthralgia
Despite it not being the case, the hip and knee arthralgias of patient 1, together with her morbid obesity and the polyarthrosis of her mother and brother, might also have distracted her physicians from the correct diagnosis. [degruyter.com]
[…] tone 0001252 Pectus carinatum Pigeon chest 0000768 Scoliosis Abnormal curving of the spine 0002650 Percent of people who have these symptoms is not available through HPO Abnormally low-pitched voice 0010300 Accelerated bone age after puberty 0002805 Arthralgia [rarediseases.info.nih.gov]
- Small Hand
Patient's mother shared the same facial features, and presented sparse hair and small hands. The maternal grandfather and two uncles presented short stature, bulbous nasal tip, thin hair, and premature alopecia. [ncbi.nlm.nih.gov]
Skin
- Sparse Hair
Patient's mother shared the same facial features, and presented sparse hair and small hands. The maternal grandfather and two uncles presented short stature, bulbous nasal tip, thin hair, and premature alopecia. [ncbi.nlm.nih.gov]
hair, reaching only a limited length. [7] Sparse hair ranges from almost normal hair to severe diffuse alopecia; in very rare cases, completely baldness. [8] The receded fronto-temporal hairline and laterally scanty eyebrow are usually observed, and, [ijdvl.com]
- Alopecia
A 20-year-old man with TRPS was seen because of marked androgenetic alopecia. Scanning electron-microscopic studies of the hair revealed flattened hair with an elliptoid transverse section pattern. [ncbi.nlm.nih.gov]
Of the possible clinical alterations observed in the TRPS-I, alopecia may be the most frequent complaint. 2 Findings of the trichogram are not homogeneous, with some studies demonstrating pattern of androgenetic alopecia combined with diffuse alopecia [medcraveonline.com]
- Sparse Fine Hair
fine hair, pear-shaped nose and variable growth retardation. [ncbi.nlm.nih.gov]
Physical examination shows sparse, fine hair, and diffuse or patchy alopecia [8, 15]. [karger.com]
- Skin Disease
Skin disease Hair Diseases of the osteoarticular system Trichorhinophalangeal syndrome Keyword (es) Alopecia Cuero cabelludo Estudio caso Hembra Hombre Nariz ORL patología Piel patología Pelo Sistema osteoarticular patología Tricorrinofalángico síndrome [pascal-francis.inist.fr]
- Skin Lesion
lesion List of cutaneous conditions References [ edit ] ^ "Trichorhinophalangeal syndrome type II". [en.wikipedia.org]
Face, Head & Neck
- Bulbous Nose
Abstract We describe a 5-year-old girl with features resembling Trichorhinophalangeal syndrome, type I (sparse scalp hair, bushy eyebrows, bulbous nose, long philtrum, cone-shaped epiphyses, clinobrachydactyly, epiphyseal changes in the femoral head and [ncbi.nlm.nih.gov]
Typical features include sparse scalp hair, a bulbous tip of the nose, protruding ears, a long flat philtrum and a thin upper vermilion border. Skeletal defects include cone-shaped epiphyses at the phalanges, hip malformations and short stature. [abcam.com]
nose, an elongated upper lip and sparse scalp hair), winged scapulae, multiple cartilaginous exostoses, redundant skin and mental retardation. [medical-dictionary.thefreedictionary.com]
Workup
Measurement of IGF-1 has shown comparable diagnostic performance with GH stimulation tests and are valuable for patients’ convenience and ease of performance and can be useful in the initial workup of short stature. 7 IGF-I level below the mean according [124.205.33.103]
Treatment
The appropriate advancement of bone age during treatment suggests that his final height will not be adversely affected with GH treatment. [ijpeonline.biomedcentral.com]
Management and treatment Treatment is symptomatic. Plastic surgery may be proposed. The documents contained in this web site are presented for information purposes only. [orpha.net]
Treatment often requires a multi-disciplinary approach. The degenerative process resembles early arthritis. [elaineadairmichalakfoundation.org]
Standard Therapies Treatment The treatment of TRPS3 is directed toward the specific symptoms that are apparent in each individual. Treatment may require the coordinated efforts of a team of specialists. [rarediseases.org]
Back to top What treatments are available? While there are no treatments for Usher syndrome, intensive research is underway to discover the causes of and treatments for all types of the disease. [blindness.org]
Prognosis
[…] trichorhinophalangeal syndrome type II, also known as the Langer-Giedion syndrome, may present to the health care-givers or physicians in various specialties and need to be recognised in order that accurate diagnosis, management and counselling about prognosis [ncbi.nlm.nih.gov]
The prognosis of the patients with a low expression of TRPS1 was significantly worse than that of those with a high expression of TRPS1 (p=0.043 and p=0.048, respectively). [sciforschenonline.org]
Of interest, the right hip appeared to follow a pattern of changes consistent with Meyer's dysplasia, a condition that resembles Perthes disease but has an earlier age of onset and a better prognosis, with near-complete recovery in this case. [healio.com]
Loss of trio-rhino-phalangeal syndrome-1 (TRPS 1) expression as a baiomarker of poor prognosis in patients with gastric cancer. Int J Cancer Res Mol Mech 2. DOI Available from: http://www.dx.doi.org/10.16966/2381-3318.124. [ijpd.in]
[…] the condition, then genetic counseling will help assess risks, before planning for a child Active research is currently being performed to explore the possibilities for treatment and prevention of inherited and acquired genetic disorders What is the Prognosis [dovemed.com]
Etiology
This syndrome bears in itself short stature of unknown etiology with normal growth hormone production. The skeletal deformities doe not affect the physical activity, and life span is not reduced. [ncbi.nlm.nih.gov]
Elsevier Health Sciences, ١٨/٠٨/٢٠١٣ - 979 من الصفحات Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.com]
Etiology TRPS types 1 and 3 are linked to mutations in the TPRS1 gene localised to 8q24.12. Genetic counseling Transmission of trichorhinophalangeal syndrome type 1 and 3 is autosomal dominant. Management and treatment Treatment is symptomatic. [orpha.net]
Meyer7 identified an association between hip dysplasia and Perthes disease and proposed a common vascular etiology. [healio.com]
This suggests a possible etiological association. Mutations in Parkin, PINK1, and DJ1 known to cause early-onset PD were excluded, and we propose that this levodopa sensitive parkinsonian syndrome may be a possible feature of TRPS. [movementdisorders.org]
Epidemiology
Summary Epidemiology So far, more than 100 cases have been described in the literature. [orpha.net]
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]
[…] upper vermilion border and protruding ears,associated with skeletal anomalies including cone-shaped epiphyses at the phalanges,hip malformation and short stature Relevant External Links for TRPS1 Genetic Association Database (GAD) TRPS1 Human Genome Epidemiology [genecards.org]
Epidemiology of breast cancer. Surg Oncol Clin N Am. 2014; 23:409–22. 2. Tao Z, Shi A, Lu C, Song T, Zhang Z, Zhao J. Breast Cancer: epidemiology and Etiology. Cell Biochem Biophys. 2015; 72:333-8. 3. [oncotarget.com]
Pathophysiology
Genetics and pathophysiology of TRPS I Consistent with the TRPS I phenotype, cartilage and hair follicles are among the limited tissues that express the gene. [ijpeonline.biomedcentral.com]
Prevention
The data presented stress the importance of identifying the syndrome early in life so as to prevent the development of impaired hand and hip function. [ncbi.nlm.nih.gov]
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]
Corresponds to variant dbSNP:rs28939069 Ensembl. 1 Natural variant i VAR_038199 952 R → H in TRPS1; prevents the transport into the nucleus and thus reduces the nuclear TRPS1 concentration consistent with haploinsufficiency. [uniprot.org]