A Síndrome de Costello (SC) é uma doença rara que afeta vários sistemas do corpo. Ela é caracterizada por dificuldade em crescer e ganhar peso, baixa estatura, atraso no desenvolvimento ou deficiência intelectual, articulações mais frouxas, pele macia e traços faciais distintos. É comum haver problemas no coração e no sistema nervoso, e há um risco maior de desenvolver certos tipos de tumores ao longo da vida.
Introdução
O que você precisa saber de cara
A Síndrome de Costello (SC) é uma doença rara que afeta vários sistemas do corpo. Ela é caracterizada por dificuldade em crescer e ganhar peso, baixa estatura, atraso no desenvolvimento ou deficiência intelectual, articulações mais frouxas, pele macia e traços faciais distintos. É comum haver problemas no coração e no sistema nervoso, e há um risco maior de desenvolver certos tipos de tumores ao longo da vida.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 29 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 107 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
2 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Not applicable.
Involved in the activation of Ras protein signal transduction (PubMed:22821884). Ras proteins bind GDP/GTP and possess intrinsic GTPase activity (PubMed:12740440, PubMed:14500341, PubMed:9020151)
Cell membraneGolgi apparatusGolgi apparatus membraneNucleusCytoplasmCytoplasm, perinuclear region
Costello syndrome
A rare condition characterized by prenatally increased growth, postnatal growth deficiency, intellectual disability, distinctive facial appearance, cardiovascular abnormalities (typically pulmonic stenosis, hypertrophic cardiomyopathy and/or atrial tachycardia), tumor predisposition, skin and musculoskeletal abnormalities.
Required for the assembly of dynein arms
Cell projection, cilium
Ciliary dyskinesia, primary, 39
A form of primary ciliary dyskinesia, a disorder characterized by abnormalities of motile cilia. Respiratory infections leading to chronic inflammation and bronchiectasis are recurrent, due to defects in the respiratory cilia. Some patients exhibit randomization of left-right body asymmetry and situs inversus. Primary ciliary dyskinesia associated with situs inversus is referred to as Kartagener syndrome. CILD39 inheritance is autosomal recessive.
Variantes genéticas (ClinVar)
335 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 597 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
30 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome Costello
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
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5 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
8 ensaios clínicos encontrados, 6 ativos.
Publicações mais relevantes
Current opinions on Noonan syndrome and RASopathies.
Noonan syndrome and related disorders (RASopathies) affect ~1 in 2000 individuals and are associated with a wide range of phenotypic manifestations. It is highly likely that pediatricians and other pediatric subspecialists will encounter multiple patients with these diagnoses in their clinical practice. It is important that pediatric providers recognize common diagnostic features and are informed regarding recent advances in diagnosis and emerging treatment options for patients with these conditions. Major themes of research articles published about RASopathies in the past 18 months include the utilization of pathway targeted drugs such as trametinib for treatment-refractory cardiac and lymphatic manifestations, emerging genotype-phenotype correlations, and detailed characterization of neurologic manifestations. The potential for pathway targeted therapy, with increasing reported use of trametinib for severe cardiac and lymphatic manifestations of RASopathies, exemplifies the importance of recognizing RASopathy diagnoses and of clearly defining natural history and treatment endpoints. Further refinement of genotype-phenotype correlations and the phenotypic spectrum, particularly the delineation of neurologic manifestations clinically and radiographically, are likely to be areas of significant knowledge growth in upcoming years.
Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.
Clinical studies have begun to evaluate therapeutic approaches to address the widespread neurodevelopmental and mental health challenges associated with a group of genetic syndromes known as "RASopathies." However, the perspectives of patients and families regarding the relevance and accessibility of such treatment approaches have not been studied. To assess the mental healthcare needs and treatment experiences encountered by individuals with RASopathies and caregivers. Directed content analysis of focus group and interview transcripts. We qualitatively analyzed data from four virtual focus groups comprised of caregivers (n = 21) of youth with RASopathies and a series of individual interviews with young adults (n = 11) with RASopathies. Perspectives on primary neurodevelopmental and mental health concerns, treatment history, and care accessibility were explored using a directed content analysis framework. Consistent with prior research, participants reported that attention/executive functioning, mood, and social concerns were common; anxiety was a particularly frequent comorbidity. Mental health concerns varied across settings and frequently interfaced with physical health symptoms. Barriers to care included poor accessibility of services, adverse medication effects, and a lack of provider experience or knowledge. Addressing neurodevelopmental and mental health symptoms effectively often necessitates family resilience and advocacy on the part of patients and their caregivers. Emergent themes uncovered needs for provider training pertaining to rare diseases, trauma-informed care, and improved community awareness regarding RASopathies. This study identified a set of actionable items to inform research, care delivery, and advocacy that reflect the expressed needs and lived experiences of participants representing both caregivers and patients with RASopathies. A qualitative study to understand perspectives of caregivers and people with RASopathies on their mental health care needs and treatment experiences New treatments are being developed and tested to address neurodevelopmental and mental health challenges of people with RASopathies, yet there is a lack of research exploring the patient experience when accessing existing treatments and perceived barriers to care. Our team conducted and analyzed a series of focus groups and interviews with caregivers and young adults with RASopathies. We asked about mental health concerns, treatment history, care accessibility, and ideas for treatment approaches to better meet their needs. Results identified a wide variety of mental health conditions and treatment strategies, with anxiety being a particularly frequent area of concern. Mental health conditions frequently interfaced with physical symptoms. Caregivers and individuals with RASopathies frequently struggled to access care, had adverse medication effects, or encountered providers with a lack of experience or knowledge of RASopathies. Advocacy from patients and their families was often needed to successfully address neurodevelopmental and mental health symptoms. Several themes emerged from these conversations, including needs for provider training in rare diseases, trauma-informed care, and improved community awareness regarding RASopathies. This study identified a set of actionable items to inform research, care delivery and advocacy that was informed by the perspectives of both caregivers and patients with RASopathies.
Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.
RASopathies are a heterogeneous group of conditions of the RAS/mitogen-activated protein kinase pathway presenting with overlapping features such as growth deficiency, neurodevelopmental disorders, cardiac defects, craniofacial dysmorphisms, cutaneous and ocular abnormalities, and increased cancer risk. This retrospective study analyzed the medical records regarding clinical and molecular data from 2018 to 2024 in a single center for rare diseases of individuals diagnosed with Noonan syndrome and related disorders previously submitted to diagnostic molecular analysis through next-generation sequencing techniques. Twenty-four patients were enrolled with an even sex ratio distribution and ages ranging from 1 month to 16 years at first evaluation. The main reason for referral was diagnostic assessment due to a combination of dysmorphic features (24/24; 100%), growth deficiency (18/24; 75%), neurodevelopmental disorders (15/24; 62.5%), and/or heart disease (13/24; 54.1%). Final diagnoses included 15 individuals with Noonan syndrome (nine with variants in PTPN11, two in SOS1, and one each in LZTR1, A2ML1, and MRAS, besides one with variants in both LZTR1 and SOS1), two with Noonan syndrome with multiple lentigines (both with variants in PTPN11), two with Neurofibromatosis-Noonan (NF1), two with cardiofaciocutaneous syndrome (BRAF), and one each with Noonan syndrome-like with loose anagen hair (PPP1CB), Noonan syndrome-like (CBL), and Costello syndrome (HRAS); one individual presented with a double diagnosis of Noonan and Klinefelter syndromes. Three pairs of unrelated patients presented recurrent variants in the PTPN11 gene, partially concordant in phenotypic correlation among the pairs but not fully concordant compared to previously described cases in the literature. Undescribed features in this group included myopathy and megacolon in a patient with Noonan syndrome-like, hypogonadotropic hypogonadism, and azoospermia in a patient with Noonan syndrome-like with loose anagen hair, and schizophrenia in a patient with Costello syndrome. One patient with Noonan syndrome had a novel variant of the A2ML1 gene (c.1829G>A), but the variant was strictly of uncertain significance, while c.2033G>A in the LZTR1 gene and c.1A>G in the NF1 gene are variants for the first time associated with features of Noonan syndrome.
Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.
Costello syndrome (CS) is a rare RASopathy that is typically associated with mild to moderate cognitive impairment. Based on detailed neuropsychological testing, this case series describes variability in the neurobehavioral presentations of three unrelated individuals with different pathogenic HRAS variants that cause CS. Results demonstrate a wide range of functioning among people with CS (extremely low to superior ranges) and describe the first cognitive testing results for an individual with HRAS c.179G>A, p.Gly60Asp. Patient-reported social, emotional, and quality of life outcomes also are discussed. These cases highlight the potential for above average cognitive functioning, the importance of flexible neurobehavioral assessment methods, and key quality of life and mental health domains to evaluate in individuals with CS.
Langerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.
The Ras/mitogen-activated protein kinase (RAS/MAPK) pathway regulates cell proliferation, and dysregulation of this pathway has been linked to the increased risk of malignancy in a subset of disorders known as RASopathies (e.g., NF1, Costello syndrome, Noonan syndrome). However, reports of malignancy are rare in cardiofaciocutaneous (CFC) syndrome, which is caused by heterozygous pathogenic variants in BRAF, MAP2K1, MAP2K2, and KRAS. Somatic pathogenic variants in BRAF are one of the most common drivers of Langerhans cell histiocytosis (LCH), a neoplastic disorder that can present with lesions in a variety of locations. However, despite the association of somatic BRAF variants and LCH, individuals with CFC syndrome are not thought to have higher rates of LCH. Here, we report two individuals with CFC syndrome and LCH and review the literature examining this potential association.
Publicações recentes
Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.
Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.
Beyond falsifiability: Evolutionary psychology's many theoretical strengths-Reply to Geary (2026) and Moore (2026).
Components of evolutionary psychology are falsifiable, but does that make it a good theory? Commentary on Costello et al. (2026).
Biological and cultural influences on the expression of sex differences: Commentary on Costello et al. (2026).
📚 EuropePMC321 artigos no totalmostrando 197
Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.
Therapeutic advances in rare diseaseGenotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.
Molecular syndromologyWide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.
American journal of medical genetics. Part ACurrent opinions on Noonan syndrome and RASopathies.
Current opinion in pediatricsOrbital Rhabdomyosarcoma in a Pediatric Patient With Costello Syndrome.
Ophthalmic plastic and reconstructive surgeryLangerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.
American journal of medical genetics. Part AThe HRAS Variant c.175G>A (p.Ala59Thr) Causes a Predominantly Ectodermal Phenotype Lacking Classic Costello Syndrome Features.
American journal of medical genetics. Part AAdvancing edge-based clustering and graph embedding for biological network analysis: a case study in RASopathies.
Briefings in bioinformaticsRole of Histopathology of Skin Lesions in Diagnosing MAP2K1-Positive Cardiofaciocutaneous Syndrome.
The American Journal of dermatopathologyRASopathies. Part II: Cutaneous and extracutaneous manifestations.
Journal of the American Academy of DermatologyRASopathies. Part I: Genetics and therapeutic considerations.
Journal of the American Academy of DermatologyTargeting cardiomyopathies associated with RASopathies: the role of mitogen-activated protein kinase inhibitors and therapeutic challenges.
Pharmacogenetics and genomicsQuantitative T1 Mapping Indicates Elevated White Matter Myelin in Children With RASopathies.
Biological psychiatryPericapsular hip chemical denervation with phenol: A case report suggesting the interest of this new tool in rehabilitation medicine.
Annals of physical and rehabilitation medicineCostello Syndrome and Ophthalmologic Issues: Unveiling the Unseen.
American journal of medical genetics. Part ACostello Syndrome Complicated by Midventricular Obstruction With an Apical Aneurysm.
Circulation reportsAn Unusual Presentation of Costello Syndrome in a Boy with Precocious Puberty and Chiari I Malformation: A Case Report.
CureusImpaired MC3T3-E1 osteoblast differentiation triggered by oncogenic HRAS is rescued by the farnesyltransferase inhibitor Tipifarnib.
Scientific reportsA Drosophila model for Costello Syndrome caused by Ras mutation K117R.
bioRxiv : the preprint server for biologyGermline Variants in Pediatric Cancer : Based on Oncogenic Pathways.
Journal of Korean Neurosurgical SocietyAntenatal diagnosis of lethal Costello syndrome: how fetal exome sequencing using NHS England's R21 pathway accelerated the diagnosis of non-immune hydrops and improved patient experience.
BMJ case reportsGenomic ascertainment to quantify prevalence and cancer risk in adults with pathogenic and likely pathogenic germline variants in RASopathy genes.
medRxiv : the preprint server for health sciencesNovel use of trametinib for treatment of atrial arrhythmia in absence of cardiomyopathy in a patient with Costello syndrome.
Cardiology in the youngClinical features and molecular genetics of patients with RASopathies: expanding the phenotype with rare genes and novel variants.
European journal of pediatrics[Diagnostic and therapeutic perspectives in RASopathies].
Magyar onkologiaRASopathies in Cardiac Disease.
Annual review of medicineCase report: MEK inhibitor as treatment for multi-lineage mosaic KRAS G12D-associated epidermal nevus syndrome in a pediatric patient.
Frontiers in neurologyFacial and anogenital papillomas in Costello syndrome - human papilloma virus or just hyperproliferation?
Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDGBiomarker Landscape in RASopathies.
International journal of molecular sciencesUpdate on Pediatric Cancer Surveillance Recommendations for Patients with Neurofibromatosis Type 1, Noonan Syndrome, CBL Syndrome, Costello Syndrome, and Related RASopathies.
Clinical cancer research : an official journal of the American Association for Cancer ResearchSomatic HRAS p.G12S mutation causes mosaic Costello syndrome with special cutaneous manifestations.
Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDGDysplastic Mitral Valve in Costello Syndrome.
JACC. Case reportsThe Surgical Management of Severe Scoliosis in Immature Patient with a Very Rare Disease Costello Syndrome-Clinical Example and Brief Literature Review.
Life (Basel, Switzerland)Dermoscopic Features of Melanocytic Nevi in Cardiofaciocutaneous and Costello Syndromes.
JAMA dermatologyHuman Genetics of Semilunar Valve and Aortic Arch Anomalies.
Advances in experimental medicine and biologyHuman Genetics of Ventricular Septal Defect.
Advances in experimental medicine and biologyAdult syndromology: challenges, opportunities and perspectives: Illustrated by the description of four adults with Costello syndrome.
Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.VRASopathies - what they reveal about RAS/MAPK signaling in skeletal muscle development.
Disease models & mechanismsConcurrent rhabdomyosarcoma and neuroblastoma in an infant with Costello syndrome.
Pediatric blood & cancerRASopathies for Radiologists.
Radiographics : a review publication of the Radiological Society of North America, IncDermatological manifestations in Costello syndrome: A prospective multicentric study of 31 HRAS-positive variant patients.
Journal of the European Academy of Dermatology and Venereology : JEADVAutism spectrum disorder profiles in RASopathies: A systematic review.
Molecular genetics & genomic medicineMEK Inhibition for RASopathy-Associated Hypertrophic Cardiomyopathy: Clinical Application of a Basic Concept.
The Canadian journal of cardiologyHRAS-Mutant Cardiomyocyte Model of Multifocal Atrial Tachycardia.
Circulation. Arrhythmia and electrophysiologyNatural history and outcomes in paediatric RASopathy-associated hypertrophic cardiomyopathy.
ESC heart failureThe Cardiofaciocutaneous Syndrome: From Genetics to Prognostic-Therapeutic Implications.
GenesArtificial Intelligence Procedure for the Screening of Genetic Syndromes Based on Voice Characteristics.
Bioengineering (Basel, Switzerland)Torpedo maculopathy in Costello syndrome.
Journal francais d'ophtalmologieThe 8th International RASopathies Symposium: Expanding research and care practice through global collaboration and advocacy.
American journal of medical genetics. Part ARASopathies and spinal deformities for screening of scoliosis.
Pediatrics international : official journal of the Japan Pediatric SocietyDiagnosis, treatment planning, and comprehensive restoration of a patient with Costello syndrome: rationale and application of indirect composite resin onlays.
General dentistryGenotypic Findings in Noonan and Non-Noonan RASopathies and Patient Eligibility for Growth Hormone Treatment.
Journal of clinical medicineRASopathies and cardiac manifestations.
Frontiers in cardiovascular medicineConcurrent Presentation of Euryblepharon and Moyamoya Syndrome in Costello Syndrome: A Rare Clinical Case.
CureusFatal leukodystrophy in Costello syndrome: a case report.
BMC pediatricsA very mild phenotype in six individuals of a three-generation family with the novel HRAS variant c.176C > G p.(Ala59Gly): Emergence of a new HRAS-related RASopathy distinct from Costello syndrome.
American journal of medical genetics. Part ASyndromic forms of congenital hyperinsulinism.
Frontiers in endocrinologyPapillomas of Costello syndrome are not associated with human papillomavirus infection in a small case series.
Journal of the American Academy of DermatologyMEK Inhibition Improves Cardiomyopathy in Costello Syndrome.
Journal of the American College of CardiologyCancer in Costello syndrome: a systematic review and meta-analysis.
British journal of cancerAn Unusual Presentation of Cardiofaciocutaneous Syndrome Diagnosed Through Whole Genome Sequencing: A Case Report.
CureusDiverse Clinical Manifestations of Cardiofaciocutaneous Syndrome Type 3 in Two Patients from South East Asia.
Molecular syndromologyHow common are ear, nose and throat disorders in children with Noonan syndrome and other RASopathies?
International journal of pediatric otorhinolaryngologyDermatological manifestations, management, and care in RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsCancer incidence and surveillance strategies in individuals with RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsNew prospectives on treatment opportunities in RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsVascular malformation rupture in a patient affected by Costello syndrome.
BMJ case reportsManagement of nutritional and gastrointestinal issues in RASopathies: A narrative review.
American journal of medical genetics. Part C, Seminars in medical geneticsBone health in RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsCentral nervous system involvement in individuals with RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsClinical overview on RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsThe heart in RASopathies.
American journal of medical genetics. Part C, Seminars in medical geneticsIncreased osteoclastogenesis contributes to bone loss in the Costello syndrome Hras G12V mouse model.
Frontiers in cell and developmental biologyRASopathy Cohort of Patients Enrolled in a Brazilian Reference Center for Rare Diseases: A Novel Familial LZTR1 Variant and Recurrent Mutations.
The application of clinical geneticsCostello syndrome-associated orthopaedic manifestations focussed on kyphoscoliosis: a case series describing the natural course.
Journal of pediatric orthopedics. Part BCutaneous manifestations in Costello syndrome: HRAS p.Gly12Ser affects RIN1-mediated integrin trafficking in immortalized epidermal keratinocytes.
Human molecular geneticsPrevalence of gastrointestinal disorders in individuals with RASopathies: May RAS/MAP/ERK pathway dysfunctions be a model of neuropathic pain and visceral hypersensitivity?
American journal of medical genetics. Part ARefining nosology by modelling variation among facial phenotypes: the RASopathies.
Journal of medical geneticsA novel HRAS c.466C>T p.(Phe156Leu) variant in two patients with attenuated features of Costello syndrome.
European journal of human genetics : EJHGRapid Weight Loss and Severe Failure to Thrive Mimicking Lipodystrophy Syndrome in a 1-Year-Old Taiwanese Girl with Costello Syndrome.
Children (Basel, Switzerland)Surgical techniques for infectious endocarditis of the mitral valve with hypertrophic cardiomyopathy in Costello syndrome.
Journal of cardiology casesMultidisciplinary Management of Costello Syndrome: Current Perspectives.
Journal of multidisciplinary healthcareThe Clinical Landscape of NRAS- mutated Juvenile Myelomonocytic Leukemia-like Myeloproliferation Includes Children With Costello Syndrome.
Journal of pediatric hematology/oncologyMitochondria and the future of RASopathies: the emergence of bioenergetics.
The Journal of clinical investigationDiagnostic yield using whole-genome sequencing and in-silico panel of 281 genes associated with non-immune hydrops fetalis in clinical setting.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyThe seventh international RASopathies symposium: Pathways to a cure-expanding knowledge, enhancing research, and therapeutic discovery.
American journal of medical genetics. Part AA case of Costello syndrome diagnosed by trio whole exome sequencing.
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and GynaecologyHRAS germline mutations impair LKB1/AMPK signaling and mitochondrial homeostasis in Costello syndrome models.
The Journal of clinical investigationLymphatic Abnormalities in Noonan Syndrome Spectrum Disorders: A Systematic Review.
Molecular syndromologySevere hyponatremia in a neonate with Costello syndrome and CoA during PGE1 infusion.
Pediatrics international : official journal of the Japan Pediatric SocietyThe RASopathies: from pathogenetics to therapeutics.
Disease models & mechanismsAn Assessment of the Therapeutic Landscape for the Treatment of Heart Disease in the RASopathies.
Cardiovascular drugs and therapyRASopathies: Dermatologists' viewpoints.
Indian journal of dermatology, venereology and leprologyMetabolic profiling of Costello syndrome: Insights from a single-center cohort.
European journal of medical geneticsThe RASopathies: Biology, genetics and therapeutic options.
Advances in cancer research[A case of Costello syndrome diagnosed by extremely rapid whole genome sequencing].
Zhonghua er ke za zhi = Chinese journal of pediatricsPrevalence of bladder cancer in Costello syndrome: New insights to drive clinical decision-making.
Clinical geneticsSocial behavior in RASopathies and idiopathic autism.
Journal of neurodevelopmental disordersCraniosynostosis is a feature of Costello syndrome.
American journal of medical genetics. Part AEyelash trichomegaly: a systematic review of acquired and congenital aetiologies of lengthened lashes.
Journal of the European Academy of Dermatology and Venereology : JEADVBone tissue homeostasis and risk of fractures in Costello syndrome: A 4-year follow-up study.
American journal of medical genetics. Part AClinical and molecular characterization of Costello syndrome in unrelated Mexican patients.
Clinical dysmorphologyIdiopathic polyhydramnios and foetal macrosomia in the absence of maternal diabetes: clinical vigilance for costello syndrome.
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and GynaecologyDuplications in the G3 domain or switch II region in HRAS identified in patients with Costello syndrome.
Human mutationOphthalmic manifestations in Costello syndrome caused by Ras pathway dysregulation during development.
Ophthalmic geneticsWoolly hair nevus caused by somatic mutation and Costello syndrome caused by germline mutation in HRAS: Consider parental mosaicism in prenatal counseling.
The Journal of dermatologyMEK-inhibitor-mediated rescue of skeletal myopathy caused by activating Hras mutation in a Costello syndrome mouse model.
Disease models & mechanismsHyperactive HRAS dysregulates energetic metabolism in fibroblasts from patients with Costello syndrome via enhanced production of reactive oxidizing species.
Human molecular geneticsMolecules linked to Ras signaling as therapeutic targets in cardiac pathologies.
Biological researchDysregulated ECM remodeling proteins lead to aberrant osteogenesis of Costello syndrome iPSCs.
Stem cell reportsExpanding the clinical phenotype of RASopathies in 38 Turkish patients, including the rare LZTR1, RAF1, RIT1 variants, and large deletion in NF1.
American journal of medical genetics. Part ARASopathies: The musculoskeletal consequences and their etiology and pathogenesis.
BoneAnterior lenticular opacities in Costello Syndrome.
American journal of ophthalmology case reportsStudying Metabolic Abnormalities in the Costello Syndrome HRAS G12V Mouse Model: Isolation of Mouse Embryonic Fibroblasts and Their In Vitro Adipocyte Differentiation.
Methods in molecular biology (Clifton, N.J.)Costello syndrome with special cutaneous manifestations and HRAS G12D mutation: A case report and literature review.
Molecular genetics & genomic medicineA Patient with Noonan Syndrome with a KRAS Mutation Who Presented Severe Nerve Root Hypertrophy.
Case reports in neurologyMyriad of pigmented lesions in a patient with Costello syndrome.
Journal of the European Academy of Dermatology and Venereology : JEADVMusculo-skeletal phenotype of Costello syndrome and cardio-facio-cutaneous syndrome: insights on the functional assessment status.
Orphanet journal of rare diseasesGermline Cancer Predisposition Variants in Pediatric Rhabdomyosarcoma: A Report From the Children's Oncology Group.
Journal of the National Cancer InstituteSenescence in RASopathies, a possible novel contributor to a complex pathophenoype.
Mechanisms of ageing and developmentHyperinsulinemic Hypoglycemia in a Patient with Costello Syndrome: An Etiology to Consider in Hypoglycemia.
Molecular syndromologyGermline predisposition to genitourinary rhabdomyosarcoma.
Translational andrology and urologyRASopathies: A significant cause of polyhydramnios?
Prenatal diagnosisRecombinant GH treatment in a case of Costello syndrome with a 5-year follow-up.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyImpact of Costello syndrome on growth patterns.
American journal of medical genetics. Part ACostello syndrome model mice with a HrasG12S/+ mutation are susceptible to develop house dust mite-induced atopic dermatitis.
Cell death & diseaseStress and Coping in Caregivers of Children with RASopathies: Assessment of the Impact of Caregiver Conferences.
Journal of pediatric geneticsDevelopment of Noonan syndrome by deregulation of allosteric SOS autoactivation.
The Journal of biological chemistryDe novo HRAS gene mutation associated with Costello syndrome identified by non-invasive cell-free fetal DNA screening.
Prenatal diagnosisTreatment of Dystonia Using Trihexyphenidyl in Costello Syndrome.
Brain sciencesThe novel duplication HRAS c.186_206dup p.(Glu62_Arg68dup): clinical and functional aspects.
European journal of human genetics : EJHG[Noonan syndrome: genetic and clinical update and treatment options].
Anales de pediatriaSyndromes with gingival fibromatosis: A systematic review.
Oral diseasesGermline and sporadic cancers driven by the RAS pathway: parallels and contrasts.
Annals of oncology : official journal of the European Society for Medical OncologyRAS pathway influences the number of melanocytic nevi in cardiofaciocutaneous and Costello syndromes.
Journal of the American Academy of DermatologyAdvancing RAS/RASopathy therapies: An NCI-sponsored intramural and extramural collaboration for the study of RASopathies.
American journal of medical genetics. Part ACardiac manifestations and gene mutations of patients with RASopathies in Taiwan.
American journal of medical genetics. Part AThe sixth international RASopathies symposium: Precision medicine-From promise to practice.
American journal of medical genetics. Part AmiRNA Genetic Variants Alter Their Secondary Structure and Expression in Patients With RASopathies Syndromes.
Frontiers in genetics[A pathogenic variation of HRAS gene causing Costello syndrome: a Ras/MAPK pathway syndrome].
Zhonghua er ke za zhi = Chinese journal of pediatricsThe impact of RASopathy-associated mutations on CNS development in mice and humans.
Molecular brainComparison of hair manifestations in cardio-facio-cutaneous and Costello syndromes highlights the influence of the RAS pathway on hair growth.
Journal of the European Academy of Dermatology and Venereology : JEADVNRAS associated RASopathy and embryonal rhabdomyosarcoma.
American journal of medical genetics. Part AMedically actionable comorbidities in adults with Costello syndrome.
American journal of medical genetics. Part APrecocious puberty and Chiari I malformation with syrinx: a case report of an unusual presentation of Costello syndrome.
International journal of pediatric endocrinologyClinical and molecular characterization of children with Noonan syndrome and other RASopathies in Argentina.
Archivos argentinos de pediatriaPhenotypic and Genetic Characteristics of Five Korean Patients with Costello Syndrome.
Cytogenetic and genome researchAntenatal diagnosis of cardio-facio-cutaneous syndrome: Prenatal characteristics and contribution of fetal facial dysmorphic signs in utero. About a case and review of literature.
European journal of obstetrics, gynecology, and reproductive biologyNeurodevelopmental Aspects of RASopathies.
Molecules and cellsCostello syndrome: Clinical phenotype, genotype, and management guidelines.
American journal of medical genetics. Part ARASopathy in Patients With Isolated Sagittal Synostosis.
Global pediatric healthSevere Noonan syndrome phenotype associated with a germline Q71R MRAS variant: a recurrent substitution in RAS homologs in various cancers.
American journal of medical genetics. Part APathogenesis of Growth Failure in Rasopathies.
Pediatric endocrinology reviews : PERClinical Manifestations of Noonan Syndrome and Related Disorders.
Pediatric endocrinology reviews : PERFunctional robustness of adult spermatogonial stem cells after induction of hyperactive Hras.
PLoS geneticsMelorheostosis and Osteopoikilosis: A Review of Clinical Features and Pathogenesis.
Calcified tissue internationalFetal Costello syndrome: description of phenotype of HRAS exon 1 mutations.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyFirst International Conference on RASopathies and Neurofibromatoses in Asia: Identification and advances of new therapeutics.
American journal of medical genetics. Part AGenetic landscape of RASopathies in Chinese: Three decades' experience in Hong Kong.
American journal of medical genetics. Part C, Seminars in medical geneticsUse of whole exome sequencing in the NICU: Case of an extremely low birth weight infant with syndromic features.
Molecular and cellular probesPain in individuals with RASopathies: Prevalence and clinical characterization in a sample of 80 affected patients.
American journal of medical genetics. Part AAnesthetic Management in an Adult Patient With Costello Syndrome: A Case Report.
A&A practiceFetal edema, not overgrowth, is associated with neonatal lethal Costello syndrome due to the HRAS p.Gly12Val mutation.
Clinical dysmorphology[New insight of craniofacial and oral findings of the RASopathies].
Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatologyDelineation of LZTR1 mutation-positive patients with Noonan syndrome and identification of LZTR1 binding to RAF1-PPP1CB complexes.
Human geneticsAssessing the gene-disease association of 19 genes with the RASopathies using the ClinGen gene curation framework.
Human mutationProceedings of the fifth international RASopathies symposium: When development and cancer intersect.
American journal of medical genetics. Part ADermatological manifestations in cardiofaciocutaneous syndrome: a prospective multicentric study of 45 mutation-positive patients.
The British journal of dermatologyNonreentrant atrial tachycardia occurs independently of hypertrophic cardiomyopathy in RASopathy patients.
American journal of medical genetics. Part AConcurrent somatic KRAS mutation and germline 10q22.3-q23.2 deletion in a patient with juvenile myelomonocytic leukemia, developmental delay, and multiple malformations: a case report.
BMC medical genomicsDeep Palmar and Plantar Creases in Costello Syndrome.
The Journal of pediatricsThe RASopathy Family: Consequences of Germline Activation of the RAS/MAPK Pathway.
Endocrine reviewsWhen and why is surgical revascularization indicated for the treatment of moyamoya syndrome in patients with RASopathies? A systematic review of the literature and a single institute experience.
Child's nervous system : ChNS : official journal of the International Society for Pediatric NeurosurgeryRAS signalling in energy metabolism and rare human diseases.
Biochimica et biophysica acta. BioenergeticsEncephalocraniocutaneous Lipomatosis.
Journal of pediatric hematology/oncologyRASopathies are associated with a distinct personality profile.
American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric GeneticsAge and ASD symptoms in Costello syndrome.
American journal of medical genetics. Part AData on cardiac defects, morbidity and mortality in patients affected by RASopathies. CARNET study results.
Data in briefClinical Presentation and Natural History of Hypertrophic Cardiomyopathy in RASopathies.
Heart failure clinicsIntegrating Functional Analysis in the Next-Generation Sequencing Diagnostic Pipeline of RASopathies.
Scientific reportsMice with an Oncogenic HRAS Mutation are Resistant to High-Fat Diet-Induced Obesity and Exhibit Impaired Hepatic Energy Homeostasis.
EBioMedicineCostello Syndrome: The Challenge of Hypoglycemia and Failure to Thrive.
EBioMedicineFOXI2: a possible gene contributing to ectodermal dysplasia.
European journal of dermatology : EJDOligodendrocyte RasG12V expressed in its endogenous locus disrupts myelin structure through increased MAPK, nitric oxide, and notch signaling.
GliaCraniosynostosis in patients with RASopathies: Accumulating clinical evidence for expanding the phenotype.
American journal of medical genetics. Part AA review of craniofacial and dental findings of the RASopathies.
Orthodontics & craniofacial researchRecommendations for Cancer Surveillance in Individuals with RASopathies and Other Rare Genetic Conditions with Increased Cancer Risk.
Clinical cancer research : an official journal of the American Association for Cancer ResearchGenotype and phenotype spectrum of NRAS germline variants.
European journal of human genetics : EJHG[Update on the treatment of RASopathies].
Revista de neurologiaA comparison of the functional health of children with Costello syndrome in 1999 and in 2015.
American journal of medical genetics. Part AMechanisms underlying cognitive deficits in a mouse model for Costello Syndrome are distinct from other RASopathy mouse models.
Scientific reportsFetal costello syndrome with neuromuscular spindles excess and p.Gly12Val HRAS mutation.
European journal of medical geneticsCytotoxicity of Zardaverine in Embryonal Rhabdomyosarcoma from a Costello Syndrome Patient.
Frontiers in oncologyA case of splenomegaly in CBL syndrome.
European journal of medical geneticsAberrant HRAS transcript processing underlies a distinctive phenotype within the RASopathy clinical spectrum.
Human mutationAge-related differences in prevalence of autism spectrum disorder symptoms in children and adolescents with Costello syndrome.
American journal of medical genetics. Part APhenotypic spectrum of Costello syndrome individuals harboring the rare HRAS mutation p.Gly13Asp.
American journal of medical genetics. Part AAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Current opinions on Noonan syndrome and RASopathies.
- Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.
- Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.
- Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.
- Langerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.
- Beyond falsifiability: Evolutionary psychology's many theoretical strengths-Reply to Geary (2026) and Moore (2026).
- Components of evolutionary psychology are falsifiable, but does that make it a good theory? Commentary on Costello et al. (2026).
- Biological and cultural influences on the expression of sex differences: Commentary on Costello et al. (2026).
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:3071(Orphanet)
- OMIM OMIM:218040(OMIM)
- MONDO:0009026(MONDO)
- GARD:1550(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q1136492(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
