Presentation
The proband described here has the above-mentioned features and presented with idiopathic thrombocytopenic purpura not reported before. Phenotypic variability is present in the three affected siblings. [ncbi.nlm.nih.gov]
In the second part of this review, the particular NBIA disorders are presented in details. [pubtransformer.com]
Entire Body System
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Fatigue
Major clinical signs include weight loss (often accompanied by an increased appetite), anxiety, intolerance to heat, fatigue, hair loss, weakness, hyperactivity, irritability, apathy, depression, polyuria, polydipsia, delirium, and sweating. [howlingpixel.com]
Respiratoric
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Aspiration
Those with dysphagia often require measures to reduce oral secretions, use of thickened liquids and pureed foods to avoid aspiration, and eventually a gastrostomy to help maintain caloric intake. [ncbi.nlm.nih.gov]
Gastrointestinal
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Nausea
Additionally, patients may present with a variety of symptoms such as palpitations and arrhythmias (notably atrial fibrillation), shortness of breath (dyspnea), loss of libido, nausea, vomiting, and diarrhea. [howlingpixel.com]
Chronic diarrhea, including steatorrhea (fatty stools) Pain in the esophagus, especially between and after meals at night Nausea Wheezing Vomiting blood Malnourishment Loss of appetite Gastrinomas may occur as single tumors or as multiple small tumors [maria-online.com]
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Abdominal Pain
Zollinger-Ellison syndrome: Signs and symptoms Patients with Zollinger–Ellison syndrome may experience abdominal pain and diarrhea. [maria-online.com]
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Failure to Thrive
[…] to thrive-kyphoscoliosis Auriculoosteodysplasia Aplasia cutis congenita of limbs recessive Epidermolysis bullosa simplex, Dowling-Meara type Waardenburg syndrome type 3 Antecubital pterygium Osteoporosis-pseudoglioma syndrome Hypomelanosis of Ito Porokeratosis [checkrare.com]
Skin
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Alopecia
Alopecia, neuropathy, endocrinopathy (ANE) syndrome (OMIM 612079 ) 3 RBM28 AR Hypogonadotropic hypogonadism, alopecia, adrenal insufficiency and cognitive impairment Hutchinson-Gilford progeria syndrome LMNA AD 4 Alopecia, aged-looking skin, joint abnormalities [ncbi.nlm.nih.gov]
Disorder, Progressive, With Primary Hypogonadism, Mental Retardation, and Alopecia Hypogonadism, Alopecia, Diabetes Mellitus, Mental Retardation, Deafness, and Extrapyramidal Syndrome edit English Woodhouse–Sakati syndrome Woodhouse-Sakati syndrome is [wikidata.org]
The syndrome is characterized by alopecia, hypogonadism, hypothyroidism, hearing loss, mental retardation and diabetes mellitus. Electrocardiogram anomalies have also been reported. [eurobuch.com]
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Ulcer
The increase in acidity contributes to the development of peptic ulcers in the stomach, duodenum (first portion of the small bowel) and occasionally the jejunum (second portion of the small bowel)-- the last of which is an 'atypical' ulcer. [maria-online.com]
Velikonja T Results of 200 stapled hemorrhoidectomies 2003 Omejc M ; Omejc H ; Štor Z ASA score as an independent prognostic factor in patients with colorectal cancer 2003 Repše S ; Jelenc F ; Čalič M ; Žakelj B ; Omejc M ; Juvan R Surgical treatment of ulcerative [ricinus2.mf.uni-lj.si]
Ears
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Hearing Impairment
The syndrome is characterized by alopecia, mental retardation, hypogonadism, diabetes mellitus, hearing impairment, ECG changes, and by autosomal recessive inheritance. [ncbi.nlm.nih.gov]
@article{8509666, abstract {Woodhouse Sakati syndrome (WSS, MIM 241080) is a rare autosomal recessive genetic condition characterized by alopecia, hypogonadism, hearing impairment, diabetes mellitus, learning disabilities and extrapydamidal manifestations [biblio.ugent.be]
impairment 0000407 Sparse hair 0008070 Showing of 38 Last updated: 5/1/2019 If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. [rarediseases.info.nih.gov]
Face, Head & Neck
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Prominent Nasal Root
Additional manifestations may include sensorineural deafness, flattened T waves on ECG, seizures, sensory polyneuropathy, dysarthria, various craniofacial abnormalities (high forehead, flat occiput, triangular face, prominent nasal root, hypertelorism [orpha.net]
Other manifestations are very diverse: sensorineural hearing loss, T waves flattened ECG, convulsions, sensory polyneuropathy, a dysarthria ( dysphagia), various craniofacial anomalies (high forehead, flattened occiput, triangular face, prominent nasal [sites.uclouvain.be]
She had dysmorphic facial features including a triangular shape with a large forehead, sparse eyebrows and eyelashes, alopecia predominant in the fronto-temporal region of the scalp, hypertelorism, large ears, prominent nasal root, precocious skin aging [cags.org.ae]
There may be various craniofacial abnormalities such as a high forehead, flat occiput, triangular face, prominent nasal root, hypertelorism which is an abnormally increased distance between the eyes, and down-slanting palpebral fissures. [nbiacanada.com]
Neurologic
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Postural Instability
instability Brain iron accumulation on MRI Dystonia See footnote 7 AD AR XL Variable phenotype ; hypogonadism & alopecia not observed Deafness and hereditary hearing loss See footnote 8 AD AR XL mtDNA Variable phenotype w/variable age of onset; hypogonadism [ncbi.nlm.nih.gov]
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Behavior Problem
problems (almost exclusively in males) Neurodegeneration with brain iron storage disorders PANK2 PLA2G6 C19orf12 FA2H ATP13A2 WDR45 COASY FTL CP AR XL AD 6 Variable phenotype : variable age of onset, dystonia w/postural instability Brain iron accumulation [ncbi.nlm.nih.gov]
Workup
Endocri-nology workup revealed a low estradiol level of levels and a low testosterone level of 1.85 nmol/l (reference range:3.4741.64). The IGF-1 level was also low at 64 ng/ml (referencerange: 187.9400). [docslide.com.br]
Treatment
Consultation with a clinical geneticist and/or genetic counselor Treatment of Manifestations No specific treatment exists for WSS. All treatment is symptomatic. Endocrine Hypogonadism. [ncbi.nlm.nih.gov]
Treatment There is no known treatment for the syndrome but there are treatments for the symptoms as they manifest. [medigest.uk]
Treatment : How to Treat "woodhouse sakati syndrome"? There is no known treatment for the syndrome but there are treatments for the symptoms as they manifest. Causes It is a mental condition that is inherited from the parent to child. [signssymptoms.org]
Woodhouse Sakati Syndrome Treatment There is no known treatment for the syndrome but there are treatments for the symptoms as they manifest. [illnessopedia.org]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Prognosis
Prognosis - Woodhouse Sakati syndrome Not supplied. Treatment - Woodhouse Sakati syndrome Not supplied. Resources - Woodhouse Sakati syndrome [checkorphan.org]
Am j Hum Genet2008;83(6):684-91. [ 4 ] Çekdemir D, DizKüçükkaya R.Treatment and Prognosis of Immune Thrombocytopenia. Turkiye Klinikleri J Hematol-Special Topics 2014; 7 (2):72-9. [ 5 ] Koshy G, Danda S, Thomas N, Mathews V, Viswanathan V. [sciepub.com]
[…] spasms, parkinsonism neuropsychiatric optic atrophy retinal degeneration Radiographic features will vary among the various entities, but can broadly be thought of as 3 : basal ganglia signal abnormalities cerebellar and cerebral atrophy Treatment and prognosis [radiopaedia.org]
In article View Article PubMed [4] Çekdemir D, DizKüçükkaya R.Treatment and Prognosis of Immune Thrombocytopenia. Turkiye Klinikleri J Hematol-Special Topics 2014; 7 (2):72-9. In article [5] Koshy G, Danda S, Thomas N, Mathews V, Viswanathan V. [pubs.sciepub.com]
Etiology
Etiology Woodhouse-Sakati syndrome is associated with mutations in the DCAF17 gene (2q31.1), encoding a nucleolar protein of unknown function. Genetic counseling The disease is transmitted in an autosomal recessive manner. [orpha.net]
Deafness-dystonia syndrome is etiologically and clinically heterogeneous, and most patients have an unknown cause. [pubtransformer.com]
Anamnesis was asked to his relatives and there was no medical history which can explain the etiology of thrombocytopenia. [pubs.sciepub.com]
(Etiology) Woodhouse-Sakati Syndrome is associated with mutations in the DCAF17 gene (2q31.1), encoding a nucleolar protein of unknown function The disorder is transmitted in an autosomal recessive manner (Source: Woodhouse-Sakati Syndrome ; Orphanet, [dovemed.com]
Epidemiology
Summary Epidemiology Approximately 30 patients from consanguineous Middle Eastern families, together with one Caucasian woman and three sibs from an Indian family, have been reported so far. Clinical description The onset is usually in adolescence. [orpha.net]
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]
Epidemiology Approximately 30 patients from consanguineous Middle Eastern families, together with one Caucasian woman and three sibs from an Indian family, have been reported so far. Clinical description The onset is usually in adolescence. [rarediseases.info.nih.gov]
[…] dystrophy (NAD) aceruloplasminaemia COASY protein-associated neurodegeneration (COPAN) fatty acid hydroxylase-associated neurodegeneration (FAHN) Kufor-Rakeb syndrome neuroferritinopathy Woodhouse-Sakati syndrome No single demographic is affected, and epidemiology [radiopaedia.org]
Pathophysiology
The pathophysiology of WSS remains unclear. [ncbi.nlm.nih.gov]
Further studies for better understanding of the disease pathophysiology is required. References : 1. Bohlega SA, Alkuraya FS. Woodhouse-Sakati Syndrome. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews . [mdsabstracts.org]
The pathophysiology of WSS remains unclear. Contributeur : Ngere Ul Soumis le : vendredi 19 janvier 2018 - 16:26:21 Dernière modification le : lundi 23 avril 2018 - 15:53:48 [hal.univ-lorraine.fr]
But recognizing the phenomenology and understanding the pathophysiology are essential to ensure appropriate treatment. Hyperkinetic Movement Disorders provides a clinical pathway for effective diagnosis and management of these disorders. [books.google.com]
Prevention
Prevention - Woodhouse Sakati syndrome Not supplied. Diagnosis - Woodhouse Sakati syndrome Not supplied. Prognosis - Woodhouse Sakati syndrome Not supplied. Treatment - Woodhouse Sakati syndrome Not supplied. Resources - Woodhouse Sakati syndrome [checkorphan.org]
How can Woodhouse-Sakati Syndrome be Prevented? Currently, Woodhouse-Sakati Syndrome may not be preventable, since it is a genetic disorder. [dovemed.com]
The basis of treatment is still prevention in chronic kidney failure, starting medication and dietary restrictions long before dialysis treatment is initiated. [howlingpixel.com]
C-peptide helps to prevent neuropathy and other vascular deterioration related symptoms of diabetes mellitus, a practitioner would measure the levels of C-peptide to obtain an estimate for the viable beta cell mass. [wikivisually.com]
Iodine deficiency is the most common preventable cause of brain damage worldwide. [ 6 ] Although iodine is found in many foods, it is not universally present in all soils in adequate amounts. [enacademic.com]