Presentation
While biallelic loss-of-function mutations in RAB3GAP1 are present in the majority of patients with Warburg Micro syndrome; a hypomorphic homozygous splicing mutation of RAB3GAP2 has been reported in a single family with Martsolf syndrome. [ncbi.nlm.nih.gov]
The information presented is not intended to replace medical advice or treatment from your own doctor or healthcare provider. [wellnessadvocate.com]
He had bilateral simian crease, long fingers, syndactyly of 2 nd –3 rd toe of left foot, equinus deformity of right foot, and scoliosis with concavity to left, present since birth. [pediatricneurosciences.com]
Entire Body System
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Short Stature
Their short stature was associated with severe osteopenia, mild growth hormone deficiency (levels -2.2 to 43 SDS), but appropriate bone age and normal calcium, phosphate, alkaline phosphatase serum levels (Figure 1 ). [ojrd.biomedcentral.com]
Mégarbané A, Choueiri R, Bleik J, Mezzina M, Caillaud C: Microcephaly, microphthalmia, congenital cataract, optic atrophy, short stature, hypotonia, severe psychomotor retardation, and cerebral malformations: a second family with micro syndrome or a new [springermedizin.de]
Microcephaly, microphthalmia, congenital cataract, optic atrophy, short stature, hypotonia, severe psychomotor retardation, and cerebral malformations: a second family with micro syndrome or a new syndrome? J Med Genet 1999; 36: 637-640. [termedia.pl]
Mégarbané A, Choueiri R, Bleik J, Mezzina M, Caillaud C : Microcephaly, microphthalmia, congenital cataract, optic atrophy, short stature, hypotonia, severe psychomotor retardation, and cerebral malformations: a second family with micro syndrome or a [doi.org]
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Turkish
Here, we report a novel homozygous RAB3GAP2 small in-frame deletion, c.499_507delTTCTACACT (p.Phe167_Thr169del) that causes Warburg Micro syndrome in a girl from a consanguineous Turkish family presenting with congenital cataracts, microphthalmia, absent [ncbi.nlm.nih.gov]
The parents in the Turkish and Palestinian families are reported to be consanguineous; however, the parents of the other two families are not closely related. [doi.org]
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Pathologist
Pediatricians, pediatric neurologists, eye specialists (ophthalmologists), clinical geneticists, speech pathologists, physical therapists, psychologists, and other healthcare professionals may need to systematically and comprehensively plan an affected [rarediseases.org]
Respiratoric
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Pharyngitis
He showed failure to thrive with oral/pharyngeal dysphagia and required PEG feeding. He has cryptoorchidism and a micropenis, is severely mentally retarded, he does not visually track, and at age 3 years 7 months is unable to sit unsupported. [doi.org]
Gastrointestinal
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Failure to Thrive
He showed failure to thrive with oral/pharyngeal dysphagia and required PEG feeding. He has cryptoorchidism and a micropenis, is severely mentally retarded, he does not visually track, and at age 3 years 7 months is unable to sit unsupported. [doi.org]
[…] to thrive 0001508 Growth hormone deficiency 0000824 NR NR NR Head and neck Postnatal microcephaly 0000252 ( ) Micrognathia 0000347 - - - Large ears 0000400 - - - Microphthalmia 0000568 Microcornea 0000482 Congenital cataract 0000519 Ptosis 0000508 - [ojrd.biomedcentral.com]
Musculoskeletal
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Coxa Valga
COFS is characterized by blepharophimosis, camptodactyly, arthrogryposis, generalized osteoporosis, dysplastic acetabula, coxa valga, and vertical talus manifesting as rocker bottom feet.[ 11 ] As these children did not have arthrogryposis, this was unlikely [ncbi.nlm.nih.gov]
COFS is characterized by blepharophimosis, camptodactyly, arthrogryposis, generalized osteoporosis, dysplastic acetabula, coxa valga, and vertical talus manifesting as rocker bottom feet. [11] As these children did not have arthrogryposis, this was unlikely [pediatricneurosciences.com]
Eyes
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Small Eyes
This includes abnormally small eyes (microphthalmia) and abnormally small corneas. The corneas are the clear (transparent) outer layer of the eyes. Some infants have clouding of the lenses of the eyes at birth (congenital cataracts). [rarediseases.org]
Consistent facial features appear to be low-set ears (apparent in a, d/e ) a wide nasal bridge, which may be because of the patients’ small eyes ( a, c, d / e ), anteverted nares of variable severity ( c, g ), and a relatively narrow mouth with thin lips [doi.org]
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Lacrimation
Microcephaly, constricted pupils, excessive lacrimation, and microphallus were evident at 2.5 months. Postnatal testings, including TORCH serology, karyotyping, and analysis of the 607 BAC array, were normal. [doi.org]
Psychiatrical
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Impulsivity
The optic nerve is the main nerve of the eyes that carries impulses from the eyes to the brain to form images. [rarediseases.org]
Face, Head & Neck
Urogenital
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Microphallus
Microcephaly, constricted pupils, excessive lacrimation, and microphallus were evident at 2.5 months. Postnatal testings, including TORCH serology, karyotyping, and analysis of the 607 BAC array, were normal. [doi.org]
Neurologic
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Hyperreflexia
0000939 NR NR NR NR Kyphoscoliosis 0002751 NR Joint hypermobility 0001382 - - ( ) - - - Joint contractures 0002803 - Foot deformities 0001760 - - - Hair Facial hypertrichosis 0002219 - - - Neurologic Intellectual deficit 0001249 Optic atrophy 0000658 - Hyperreflexia [ojrd.biomedcentral.com]
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Excitement
The pupil normally opens wider (dilates) in dim light or darkness, when focusing on far away objects, or when a person is excited. Affected children have intellectual disability that is often severe. [rarediseases.org]
Workup
Clinical Testing and Workup A thorough eye (ophthalmological) examination is necessary in infants suspected of Warburg Micro syndrome. Such an exam can reveal characteristic changes in the eyes. [rarediseases.org]
Treatment
Treatment options that may be used to treat individuals with Warburg Micro syndrome can be complex and varied. The specific treatment plan will need to be highly individualized. [rarediseases.org]
The information presented is not intended to replace medical advice or treatment from your own doctor or healthcare provider. [wellnessadvocate.com]
Management and treatment There is no specific treatment for Micro syndrome and the management is symptomatic. The conventional approach used for congenital cataract should be recommended. Last updated: 1/16/2006 [rarediseases.info.nih.gov]
Prognosis
Top Prognosis - Warburg Sjo Fledelius syndrome Not supplied. Treatment - Warburg Sjo Fledelius syndrome Not supplied. Resources - Warburg Sjo Fledelius syndrome Not supplied. [checkorphan.org]
Parents should talk to their children’s physicians and medical team about their specific case, associated symptoms and overall prognosis. Children with Warburg Micro syndrome have problems with vision and their eyes. [rarediseases.org]
[…] differs from COFS and CS in that patients have less prenatal and postnatal growth deficiency, cortical dysplasia rather than progressive brain atrophy, preservation of hearing, deficient visual perception despite early cataract removal, and a better prognosis [doi.org]
Etiology
Etiology Mutations in RAB3GAP, a gene showing linkage to a region of homozygosity at 2q21.3, have been identified in some families. [rarediseases.info.nih.gov]
This has multiple potential etiologies, including genetic defects and perinatal insults. Intelligence quotient (IQ) scores are commonly used to determine whether an individual is mentally retarded. [curehunter.com]
Epidemiology
Epidemiology Since its initial description, 26 cases of Micro syndrome have been reported in the literature. [rarediseases.info.nih.gov]
Summary Epidemiology Since its initial description, 26 cases of Micro syndrome have been reported in the literature. [orpha.net]
Prevention
Dietary antioxidant deficiency Smoking: Quit it Dehydration Preventing or treating the aforementioned triggers can prevent cataract. [forum.xpertdox.com]
And are not intended to diagnose, treat, cure or prevent disease. The information presented is not intended to replace medical advice or treatment from your own doctor or healthcare provider. [wellnessadvocate.com]
Symptoms - Warburg Sjo Fledelius syndrome Visual difficulties Cataracts High nasal bridge Mental retardation Concentration difficulties Causes - Warburg Sjo Fledelius syndrome Fatigue Tiredness Drowsiness Sleep debt Anxiety Prevention - Warburg Sjo Fledelius [checkorphan.org]
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