Uma doença genética rara, caracterizada por características faciais incomuns, como maçãs do rosto pouco desenvolvidas e testa alta. Causa imunodeficiência, levando a infecções frequentes, e comprometimento do crescimento, resultando em baixa estatura (mesmo com produção e resposta normais ao hormônio do crescimento). Também se manifesta com manchas roxas na pele que se espalham como uma rede, afetando o rosto e as extremidades (mãos e pés). Exames do sistema imunológico revelam contagens baixas de células B de memória e células T virgens, uma multiplicação reduzida das células T e níveis baixos de IgM, IgG2 e IgG4 (tipos de anticorpos). Os pacientes não apresentam maior risco de desenvolver câncer.
Introdução
O que você precisa saber de cara
Uma doença genética rara, caracterizada por características faciais incomuns, como maçãs do rosto pouco desenvolvidas e testa alta. Causa imunodeficiência, levando a infecções frequentes, e comprometimento do crescimento, resultando em baixa estatura (mesmo com produção e resposta normais ao hormônio do crescimento). Também se manifesta com manchas roxas na pele que se espalham como uma rede, afetando o rosto e as extremidades (mãos e pés). Exames do sistema imunológico revelam contagens baixas de células B de memória e células T virgens, uma multiplicação reduzida das células T e níveis baixos de IgM, IgG2 e IgG4 (tipos de anticorpos). Os pacientes não apresentam maior risco de desenvolver câncer.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 6 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 15 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
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Catalytic component of the DNA polymerase epsilon complex (PubMed:10801849). Participates in chromosomal DNA replication (By similarity). Required during synthesis of the leading DNA strands at the replication fork, binds at/or near replication origins and moves along DNA with the replication fork (By similarity). Has 3'-5' proofreading exonuclease activity that corrects errors arising during DNA replication (By similarity). Involved in DNA synthesis during DNA repair (PubMed:20227374, PubMed:27
Nucleus
Colorectal cancer 12
A complex disease characterized by malignant lesions arising from the inner wall of the large intestine (the colon) and the rectum. Genetic alterations are often associated with progression from premalignant lesion (adenoma) to invasive adenocarcinoma. Risk factors for cancer of the colon and rectum include colon polyps, long-standing ulcerative colitis, and genetic family history. CRCS12 is characterized by a high-penetrance predisposition to the development of colorectal adenomas and carcinomas, with a variable tendency to develop multiple and large tumors. Onset is usually before age 40 years. The histologic features of the tumors are unremarkable.
Variantes genéticas (ClinVar)
1,830 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 408 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
10 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 de dismorfia facial-imunodeficiência-livedo-baixa estatura
Selecione um estado ou use sua localização para ver resultados.
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
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Phosphoproteomics elucidates the functional impact of the PTPN11 p.Asn308Ser variant in a Noonan syndrome pedigree.
Noonan syndrome (NS) is a common autosomal dominant disorder with considerable clinical heterogeneity. Mutations in the PTPN11 gene, encoding the SHP2 protein, constitute the most prevalent genetic cause of NS. Genetic sequencing of a pedigree exhibiting typical facial dysmorphism and short stature identified the same heterozygous PTPN11 variant (NM_001330437.2: c.923 A > G, p.Asn308Ser) in all seven affected individuals, co-segregating with the phenotype. Using a multi-level approach that integrated experimental structural analysis, molecular dynamics simulations, protein-protein interaction network analysis, quantitative phosphoproteomics, and functional validation in cellular models, we systematically elucidated the pathogenic mechanism of the p.Asn308Ser mutation. This revealed that the mutation disrupts critical hydrogen bonds and remodels the interaction network. This change enhances conformational heterogeneity and shifts the protein into an activated "open" state. Consequently, the mutation strengthens interactions with hub proteins, such as GRB2 and SRC, resulting in sustained RAS/MAPK activation. Phosphoproteomic analysis showed that the mutation induces extensive phosphorylation events, with differentially phosphorylated proteins significantly enriched in the nucleus, particularly in pathways related to chromatin organization and ATP-dependent chromatin remodeling. Further functional validation indicated that aberrantly activated ERK may phosphorylate chromatin remodeling complexes such as SWI/SNF, thereby directly connecting cytoplasmic signaling to aberrant epigenetic regulation in the nucleus. This study delineates the complete pathogenic axis of the PTPN11 p.Asn308Ser mutation, spanning atomic conformational changes and sustained signaling activation to aberrant nuclear chromatin remodeling. These findings extend the understanding of NS pathophysiology to the epigenetic level and provide a theoretical foundation for future interventions targeting both signaling pathways and chromatin states.
A Diagnostic Dilemma: Concurrent Diagnosis of Cystic Fibrosis and Definitive Kabuki Syndrome Type 1.
The article presents a clinical case involving a patient with presumptive coexistence of two hereditary disorders, confirmed by molecular genetic analyses. Clinical evaluation of the proband, a 9-year-old girl, revealed features characteristic of Kabuki syndrome, including a typical "Kabuki makeup" facial phenotype, short stature, intracranial hypertension, and diffuse muscular hypotonia. Additional clinical findings included chronic right-sided otitis media, conjunctivitis, recurrent pneumonia, bilateral conductive hearing loss, astigmatism, and primary adenitis. Clinical assessment and molecular genetic testing were performed. High-throughput sequencing identified a previously reported pathogenic heterozygous variant in the KMT2D gene, NM_003482.4:c.15142C>T p.Arg5048Cys, and two known heterozygous variants in the CFTR gene: NM_000492.4:c.1521_1523delCTT p.Phe508del and c.3454G>C p.Asp1152His, classified as pathogenic and of variable clinical significance, respectively. Segregation analysis demonstrated that the KMT2D variant most likely arose in the proband de novo, whereas the CFTR variants were inherited from each of the parents. Notably, the proband's clinically unaffected elder sister carried the same CFTR genotype. Based on the clinical presentation and molecular genetic findings, the diagnosis of Kabuki syndrome type 1 was conclusively established in the patient. Functional assessment of CFTR demonstrated its preserved function, which did not support a diagnosis of CF or CFTR-related disorders.
Expanding the Coffin-Siris syndrome spectrum: genetic, dysmorphic, and endocrine findings in eight cases.
This study aims to expand the spectrum of Coffin-Siris syndrome (CSS), a rare and heterogeneous disorder, by thoroughly discussing its genetic, dysmorphic, and endocrine features through new cases and contributing to the literature. Eight patients who were referred to the genetics clinic with various complaints and subsequently diagnosed with CSS through microarray or clinical exome sequencing analyses were included in the study. The dysmorphic, genetic, and endocrine characteristics of eight genetically confirmed patients were evaluated. The patients, aged between 5 months and 6 years at the time of referral, comprised four females and four males. The most common reasons for referral were developmental delay and dysmorphic features. All patients exhibited varying degrees of dysmorphic facial features. Hypertrichosis, a typical feature of the syndrome, was present in five patients. Another characteristic finding was mild hypoplasia of the terminal fifth phalanges, observed in patients 1, 2, and 6. Consistent with this, mild/subtle hypoplasia and/or slight positional changes of the fifth fingernails were noted in these patients, rather than overt nail anomalies. In our study, eight variants were identified, two of which were novel. In our cohort, pathological short stature was observed in three patients, while hypothyroidism, transient hypercalcemia, cryptorchidism, and recurrent fractures were each identified in one patient. All three patients with short stature had delayed bone age with head circumference and BMI < - 2 SDS. Seven patients were diagnosed with ARID1B-related CSS type 1, while one patient was diagnosed with SMARCA4-related CSS type 4. Among the eight findings across patients, two were deletion-type copy-number variations (CNVs) identified by microarray analysis, and six were sequence variants: two frameshift, two splice-site, one nonsense, and one synonymous. Seven variants were classified as pathogenic and one as likely pathogenic. Family studies confirmed that the variants were de novo and validated their clinical relevance. CSS is a clinically and genetically heterogeneous syndrome. Patients may present with highly variable features, and typical signs of the syndrome may not be observed in all cases. This study expands the clinical spectrum of this rare syndrome and contributes to its genetic spectrum with the identification of new variants. • Coffin-Siris syndrome (CSS) is a clinically and genetically heterogeneous neurodevelopmental disorder most commonly caused by variants in SWI/SNF (BAF) complex genes (e.g., ARID1B, SMARCA4) and characterized by dysmorphic features, developmental delay, hypertrichosis, and fifth-digit/nail anomalies. • Endocrine and growth-related manifestations can occur in CSS, but their frequency and phenotypic range vary across cohorts and require individualized clinical follow-up. • This case series of eight genetically confirmed CSS patients (7 ARID1B, 1 SMARCA4) expands the phenotypic spectrum by detailing dysmorphic findings together with endocrine features including pathological short stature with delayed bone age, hypothyroidism, transient hypercalcemia, cryptorchidism, and recurrent fractures. • We identified eight pathogenic/likely pathogenic variants, including two novel variants, and highlight that fifth digit/nail involvement may be subtle (mild terminal fifth phalanx hypoplasia and minor fifth nail changes) rather than overt.
Clinical features and management of 16q24.3 microdeletion KBG syndrome: literature review.
KBG syndrome (KBGS) is an autosomal dominant disorder presenting with diverse clinical features. Although multiple cases of the microdeletion subtype have been reported, discussions regarding its phenotypic characteristics remain relatively limited. This study aims to summarize the clinical features and management strategies for pediatric KBGS patients caused by 16q24.3 microdeletions, thereby enhancing awareness of this rare disease. We conducted a retrospective analysis of the clinical manifestations, genetic characteristics, and clinical management of four pediatric patients with microdeletion-type KBGS at our institution, and systematically reviewed relevant literature to compile clinical data on affected patients. All four patients exhibited typical facial features (such as cupid's bow lip, protruding ears, and thick eyebrows), skeletal abnormalities, and ocular anomalies. Whole-exome sequencing revealed a 16q24.3 microdeletion encompassing the ANKRD11 gene. A literature review identified 68 cases (including the present cases) of KBG syndrome caused by 16q24.3 microdeletions, with a male-to-female ratio of 38:21 (9 cases of unknown sex), including 6 Chinese patients. Non-Chinese patients typically exhibit distinctive facial features including a prominent nasal root (14/28, 50%) and prominent forehead (15/33, 45.45%), whereas Chinese patients display characteristic facial features such as a cupid's bow lip, protruding ears, and thick eyebrows. Among the East Asian population (represented by Chinese individuals), the incidence of prominent eyebrows, cupid's bow lip, and delayed bone age was higher than in other populations. Patients with microdeletions involving only ANKRD11 exhibited a higher prevalence of the characteristic triangular facial appearance and intellectual disability. In this study, the two children received recombinant human growth hormone therapy, achieving catch-up growth with height increases of 1.66 standard deviations and 0.68 standard deviations, respectively. The clinical phenotype of patients with microdeletion-type KBGS mainly includes characteristic facial features, macrodontia, skeletal deformities, neurological abnormalities, and eye deformities. Cupid's bow lip, protruding ears, and thick eyebrows may be characteristic facial features of Chinese children with KBGS. Genetic testing is required for definitive diagnosis. Treatment primarily relies on multidisciplinary teams providing symptomatic supportive care, with the aim of achieving early diagnosis and treatment to improve patient outcomes. Prader-Willi syndrome (PWS) is characterized by severe hypotonia, poor appetite, and feeding difficulties in early infancy, followed in early childhood by excessive eating and gradual development of morbid obesity (unless food intake is strictly controlled). Motor milestones and language development are delayed. All individuals have some degree of cognitive impairment. Hypogonadism is present in both males and females and manifests as genital hypoplasia, incomplete pubertal development, and, in most, infertility. Short stature is common (if not treated with growth hormone). A distinctive behavioral phenotype (temper tantrums, stubbornness, manipulative behavior, and obsessive-compulsive characteristics) is common. Characteristic facial features, strabismus, and scoliosis are often present. PWS is a contiguous gene syndrome due to abnormal DNA methylation within the Prader-Willi critical region (PWCR) at 15q11.2-q13. The diagnosis and molecular cause can be identified in a proband by simultaneous DNA methylation analysis and oligo-SNP combination array (OSA). DNA methylation analysis identifies maternal-only imprinting within the PWCR. OSA can identify the molecular cause in those with a 15q11.2-q13 deletion, imprinting center deletion, and uniparental isodisomy and segmental isodisomy. In individuals with maternal-only imprinting identified on DNA methylation analysis and a normal OSA, DNA polymorphism analysis can be used to distinguish uniparental heterodisomy from an imprinting defect by epimutation. Targeted therapy: Diazoxide choline for hyperphagia. Supportive care: In infancy, special nipples or nasogastric tube feeding to assure adequate nutrition. In childhood, strict supervision of daily food intake based on height, weight, and body mass index (BMI) to provide energy requirements while limiting excessive weight gain (maintain BMI z score <2); encourage physical activity. Developmental services and educational support; hormonal and surgical treatments can be considered for cryptorchidism; growth hormone therapy to normalize height, increase lean body mass and mobility, and decrease fat mass; endocrine management of sex hormone replacement at puberty; treatment for those with precocious puberty, type 2 diabetes, and hypothyroidism; urgent evaluation for those with acute gastrointestinal manifestations; topiramate or N-acetylcysteine as needed for skin picking; standard treatment for neurobehavioral and ophthalmologic manifestations, sleep issues, scoliosis, hip dysplasia, and seizures; modafinil may be helpful for daytime sleepiness; calcium and vitamin D supplementation to avoid osteoporosis; sex steroid therapy, growth hormone, or bisphosphonates for low bone density; products for dry mouth and frequent dental hygiene; social work support and care coordination. In adulthood, a residential facility for individuals with PWS that helps regulate behavior and weight management may prevent morbid obesity, and growth hormone may help to maintain muscle mass. Surveillance: Monitor development, growth, skin, sleep issues, and family needs at each visit. Assess testicular position annually in males; assess glycosylated hemoglobin and/or glucose tolerance test in adolescents and those with obesity or rapid weight gain; and assess free thyroxine and TSH every six to 12 months. Assess for central adrenal insufficiency as needed; monitor height, weight, and BMI monthly in infancy, every six months until age ten years, and then annually. Assess for behavioral issues annually after age two years, and for psychosis annually in adolescent and adults. Assess for vision issues and sleep issues annually; sleep study prior to starting growth hormone therapy and four to eight weeks after starting growth hormone therapy. Clinical examination for scoliosis at each visit when child can sit independently; spine radiographs annually in those with clinical findings of scoliosis or obesity; DXA scan every two years beginning in adolescence. Assess for new seizures or monitor those with seizures at each visit. Dental evaluations every six months or more frequently in those with dental issues. Agents/circumstances to avoid: Unsupervised access to food; emetics; antidiarrheal medications; sedatives and other medications. Individuals with PWS typically represent simplex cases (i.e., a single affected family member) and have the disorder as the result of a de novo genetic alteration. The vast majority of families have a recurrence risk of less than 1%. However, certain etiologies involve a recurrence risk as high as 50%, and a scenario with a risk of almost 100%, though very unlikely, is theoretically possible. Reliable PWS recurrence risk assessment therefore requires identification of the genetic mechanism of PWS in the proband (i.e., a 15q deletion, UPD 15, or an imprinting defect) and parental testing to discern the presence of a predisposing genetic alternation (e.g., a parental chromosome rearrangement or paternal heterozygosity for an imprinting center deletion). Once the causative genetic mechanism has been identified in the proband, prenatal testing for PWS is possible.
Clinical characterization and analysis of the POLE gene in three Chinese patients with IMAGEI syndrome.
POLE encodes the catalytic subunit of DNA polymerase ε, and its associated recessive disorders include IMAGEI and FILS syndrome. The purpose of this study is to expand the phenotypes and genotypes of POLE-related IMAGEI syndrome and analyze the phenotypic distribution of POLE-related recessive diseases. We reported the nature courses of three cases with biallelic POLE variants up to 19 years. Exome-sequencing was performed, and alterations in mRNA splicing were determined. PubMed database was electronically searched to collect POLE-related recessive diseases for the literature review. We described three patients from three different families, case 1 and 2 are male and case 3 is female. Three patients presented with intrauterine growth restriction (IUGR), short stature, adrenal insufficiency, epilepsy, and anemia. All patients exhibited compound heterozygous variants in the POLE gene: they shared the same variant c.6747 + 39_6748-47delinsG, and carried 3 other different variants respectively: c.2319 + 65G > A, c.1351 C > T, and c.847dup. The unique deep intronic mutation produced aberrantly spliced mRNAs. As a result of the literature review, the most prominent phenotypes of IMAGEI syndrome include distinctive facial features, IUGR or short stature, genitourinary abnormalities in males, and adrenal insufficiency. In contrast, the key clinical features of FILS syndrome are skin abnormalities, immunodeficiency, characteristic facial features, and IUGR or short stature. This study reports the clinical and molecular characteristics of a Chinese cohort with POLE-related IMAGEI syndrome and learn the top 5 symptoms are IUGR\short stature\adrenal insufficiency\facial features\skin abnormalities by comparison with other POLE-related diseases. The results further expand the phenotypic and genotypic spectrum, enhancing our understanding of POLE-associated recessive syndrome. The online version contains supplementary material available at 10.1186/s12887-025-06067-9.
Publicações recentes
De novo variants in KDM2A cause a syndromic neurodevelopmental disorder.
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Diagnosis and recombinant human growth hormone treatment of Wiedemann-Steiner syndrome: discovery of novel KMT2A variants and review of existing literature.
Recessive loss-of-function variants in DPH1 identified as the molecular cause in a sibling pair previously diagnosed with Fine-Lubinsky syndrome.
A Japanese Boy with Dysmorphic Syndrome with Multiple Pituitary Hormone Deficiency and Gingival Fibromatosis Due to a Pathogenic KCNQ1 Variant.
📚 EuropePMCmostrando 199
Complex Genetic Architecture in RASopathies: Constitutional PTPN11 and Mosaic RIT1 Pathogenic Variants Underlying Severe Noonan Syndrome With Adult-Onset Acute Myeloid Leukemia.
American journal of medical genetics. Part AHypertrophic Cardiomyopathy as a Key Feature of MRAS-Related Noonan Syndrome: New Case and Comprehensive Literature Review.
Prenatal diagnosisThe pathogenic ADAMTSL2 D167N variant causes geleophysic dysplasia-like connective tissue changes in mice.
The American journal of pathologyPhosphoproteomics elucidates the functional impact of the PTPN11 p.Asn308Ser variant in a Noonan syndrome pedigree.
Journal of chromatography. B, Analytical technologies in the biomedical and life sciencesA rare case of severe short stature diagnosed after late-onset hypocalcemia: Kenny-Caffey syndrome type 2.
Journal of pediatric endocrinology & metabolism : JPEMA Diagnostic Dilemma: Concurrent Diagnosis of Cystic Fibrosis and Definitive Kabuki Syndrome Type 1.
International journal of molecular sciencesNovel RAD50 variants lead to Nijmegen Breakage Syndrome-like disorder and unplanned recombinant human growth hormone treatment response.
Frontiers in endocrinologyExpanding the Coffin-Siris syndrome spectrum: genetic, dysmorphic, and endocrine findings in eight cases.
European journal of pediatricsLamb-Shaffer syndrome in a Chinese adolescent: A case report.
MedicineSPIN4-related X-linked overgrowth in a family.
European journal of medical geneticsMyhre Syndrome Presenting With Congenital Proximal Radioulnar Synostosis: A Case Report.
CureusA novel variant in ARID2 causes Coffin-Siris syndrome 6 with liver cirrhosis.
GeneNeuronal Heterotopy in a Patient with Wiedemann-Steiner Syndrome Caused by a Truncating KMT2A Variant: Clinical and Genetic Correlations.
Reports (MDPI)Clinical features and management of 16q24.3 microdeletion KBG syndrome: literature review.
Frontiers in pediatricsA novel CEP57 gene mutation in mosaic variegated aneuploidy syndrome 2: case report.
Journal of pediatric endocrinology & metabolism : JPEMExpanding the Evaluation of Skeletal Anomalies in Patients With KBG Syndrome: Recommendations for Clinical Practice.
American journal of medical genetics. Part AClinical characterization and analysis of the POLE gene in three Chinese patients with IMAGEI syndrome.
BMC pediatricsA Case of FAM111A-Associated Kenny-Caffey Syndrome Type 2 with New Clinical Features: Microtia, Lacunar Skull Appearance, and Arnold-Chiari Malformation.
Molecular syndromologyBeyond Neurodevelopmental Delay: BICRA-Related Coffin-Siris Syndrome 12 with Severe Intestinal Dysmotility and Recurrent Pneumothorax.
GenesPrenatal Diagnosis of a Feingold Syndrome Pregnancy Complicated with Severe Preeclampsia: A Report of a Challenging Case.
GenesDyggve-Melchior-Clausen syndrome in three siblings: a unique case series with dual diagnosis of Down syndrome and Hirschsprung disease.
Journal of pediatric endocrinology & metabolism : JPEMDiagnostic yield of genetic testing in children with short stature: a systematic review.
European journal of endocrinologyNovel variant in FGFR2 in a family with anterior segment anomalies.
Ophthalmic geneticsPediatric floating-harbor syndrome: clinical features and treatment outcomes in a cohort of Chinese children.
European journal of pediatricsVentricular arrhythmia and Noonan syndrome with leucine zipperlike transcription regulator 1 mutations: expanding the phenotype with a case report and review of the literature.
Cardiology in the youngDe novo variants in KDM2A cause a syndromic neurodevelopmental disorder.
American journal of human genetics[Clinical and genetic analysis of a Chinese pedigree affected with Vissers-Bodmer syndrome due to variant of CNOT1 gene and a literature review.].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsGenetic activation of ERK2 recapitulates core neurodevelopmental features of Rasopathy syndromes in mice.
bioRxiv : the preprint server for biologyA pediatric case of diphthamide biosynthesis 1 gene defect presenting with developmental delay, short stature, dysmorphic features, and sparse hair (Loucks-Innes syndrome): a case report.
Journal of medical case reports3-M syndrome: evolution of the phenotype over time.
Italian journal of pediatricsNovel KDM3B Variants in Two Chinese Patients With Global Developmental Delay and Autism.
International journal of developmental neuroscience : the official journal of the International Society for Developmental NeuroscienceA Case of CSNK2A1 Gene Variant Causing Okur-Chung Syndrome and Analysis of the Clinical Phenotypic Spectrum.
Molecular genetics & genomic medicineTatton-Brown-Rahman Syndrome Due to a Novel DNMT3A Variant Presenting With Autism, Attention-Deficit/Hyperactivity Disorder (ADHD), and Regression: A Saudi Case Report.
CureusChildren and adolescents with DiGeorge syndrome are short in early infancy but develop excess weight in adolescence: a retrospective study.
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao PauloHeterogeneity of Orodental Features in a Family with Noonan Syndrome.
International journal of molecular sciencesFurther evidence for a wide phenotypic and mutational spectrum of Cohen syndrome: case report and literature review.
Journal of applied geneticsManaging acute myeloid leukemia in the context of sickle cell anemia and suspected Fanconi anemia in Tanzania: a case report.
Journal of medical case reports3M syndrome in Saudi Arabia: a case series study and literature review.
Frontiers in endocrinologyClinical and molecular genetic analysis of a Chinese patient with Cockayne syndrome caused by ERCC8 gene synonymous variant at splicing site and exon 1 deletion.
Orphanet journal of rare diseasesPersonalized Treatment in Rare Genetic Syndromes: A Case-Report in Witteveen-Kolk Syndrome (SIN3A).
Molecular syndromologyA Novel De Novo KDM3B Variant in the Youngest Reported Male Patient With Diets-Jongmans Syndrome and Facial Asymmetry.
Clinical genetics3M syndrome with novel CUL7 variants in a Chinese patient: a case report.
Frontiers in pediatricsKBG syndrome complicated with chylothorax in a newborn: a case report and literature review.
Frontiers in pediatricsDilated cardiomyopathy in Rubinstein-Taybi syndrome: A case report and mini-review of the literature.
Medicine internationalFirst description of co-occurrence of 49,XXXXY and X-linked Cornelia de Lange syndrome: case report.
Frontiers in endocrinologyAnesthetic Management During Post-tonsillectomy Hemorrhage in a Child With Noonan Syndrome: A Case Report.
CureusRubinstein-Taybi Syndrome: A Comprehensive Analysis of a Polish Cohort with Most Cases Due to Novel CREBBP and EP300 Variants.
GenesNon-RASopathy Genetic Syndromes Identified as the Molecular Cause of Disease in Patients Previously Diagnosed With Noonan Syndrome.
American journal of medical genetics. Part ASpinal Anomalies in MURCS Association: A Rare Case Report and Systematic Review of the Literature.
Congenital anomaliesGrowth Standards for Children With Smith-Magenis Syndrome (SMS).
American journal of medical genetics. Part APhosphoglucomutase 1 deficiency misdiagnosed as Laron syndrome.
Journal of pediatric endocrinology & metabolism : JPEMRelationship between premenstrual syndrome symptoms, anthropometric measurements, and eating behaviors in women of childbearing age: Turkish sample.
BMC women's healthNovel Filamin genes variants implicated in skeletal dysplasias: integrated structural modeling and in silico functional characterization.
Journal of biomolecular structure & dynamicsFamilial 3M Syndrome - as an Example of Diagnostic Difficulties in Rare Genetic Syndromes.
The application of clinical geneticsWiedemann-Steiner syndrome: description of genetic profiles and clinical phenotypes of 10 Korean pediatric patients.
BMC medical genomicsAdult genomic medicine: lessons from a multisite study of 2700 patients.
Genome medicineRare features in Feingold syndrome type 1.
European journal of medical geneticsFLNA Variants Related to Melnick-Needles Syndrome: Two Mexican Case Reports and a Comprehensive Variant Review.
American journal of medical genetics. Part ANovel Phenotypic Insights into the IDS c.817C>T Variant in Mucopolysaccharidosis Type II from Newborn Screening Cohorts.
International journal of neonatal screeningTurner syndrome with pulmonary arteriovenous malformation: a case report.
Frontiers in cardiovascular medicineNoonan syndrome with PTPN11 gene variant presenting as isolated short stature: a case report.
Translational pediatricsThe deficiency of DIP2C leads to congenital heart defects in patients with 10p15.3 microdeletion syndrome.
GeneDevelopment of disease-specific growth charts for Argentine Prader-Willi syndrome without growth hormone treatment.
Annals of human biologyIdentification of a novel de novo AFF4 variant (c.778A>G) associated with CHOPS syndrome.
Intractable & rare diseases researchAutoimmune thyroid disease and pituitary adenoma in a female patient with 18p deletion syndrome: a case report and review of the literature.
BMC endocrine disorders[Novel PAX1 mutation identified in autosomal dominant otofaciocervical syndrome 2 with new phenotypes].
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgeryFurther delineation of ERF-related Chitayat syndrome.
European journal of medical geneticsPearson syndrome with atypical presentation of short stature and atypical limb proportions - First reported case in Slovakia.
MitochondrionThree-dimensional cephalometric analysis of morphological characteristics in children with bilateral craniofacial microsomia.
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial SurgeryShould XYY syndrome be considered in the differential diagnosis of syndromic myopia? Apropos of a case.
Archivos de la Sociedad Espanola de OftalmologiaArterial tortuosity syndrome.
BMJ case reportsBilateral Choanal Atresia With Facial Deformity.
The Journal of craniofacial surgeryβ-Actin Deficiency in Baraitser-Winter Syndrome Type 1 Disrupts T-Cell Function and Immune Regulation: Implications for Targeted Therapy in Actinopathies.
Journal of clinical immunologyClinical and molecular results in 15 Turkish patients with Wiedemann-Steiner syndrome: identification of eight novel KMT2A variants and a case of dual molecular diagnosis in the CSNK2A1.
European journal of pediatrics[Clinical and molecular genetic features of cases of Floating-Harbor syndrome].
Problemy endokrinologiiPhenotypic and genotypic description of GMPPA-congenital disorder of glycosylation: A review of 26 cases.
Molecular genetics and metabolismIdentifying a novel SRCAP variant in floating-harbor syndrome and prenatal genetic diagnosis in this Chinese family: A case report.
World journal of clinical casesPrenatal and postnatal findings in cerebellofaciodental syndrome: a rare genetic disorder.
Clinical dysmorphologyA Novel SON Gene Variant Associated with Rare Clinical Features in ZTTK Syndrome: A Case Report and Literature Review.
Molecular syndromologyDiagnosis and recombinant human growth hormone treatment of Wiedemann-Steiner syndrome: discovery of novel KMT2A variants and review of existing literature.
BMC pediatricsEstablishing an algorithm for molecular genetic diagnostics in Chinese children with brachydactyly type E.
Frontiers in endocrinology[Analysis of clinical characteristics and NF1 gene variants in a child with Neurofibroma-Noonan syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsFoveal hypoplasia in Myhre syndrome: a novel association.
Ophthalmic geneticsPIK3C2A-Related Clinical Phenotype and Cellular Charaterization Linked to Functional SHH Primary Cilia Defect.
Clinical genetics[Clinical and genetic investigation of 4 children with microdeletion KBG syndrome].
Zhonghua er ke za zhi = Chinese journal of pediatricsClinical and genetic diagnosis and management of Silver-Russell syndrome: Report of four cases.
World journal of clinical pediatricsRothmund-Thomson Syndrome Type 2 in an African American/Puerto Rican Child Demonstrates Diagnostic Challenges in Diverse Population.
American journal of medical genetics. Part AGenotypic and Phenotypic Landscape of KBG Syndrome: A Study of 23 Turkish Individuals.
American journal of medical genetics. Part AA Rare Presentation of HIST1H1E Syndrome with Short Stature and Multiple Pituitary Hormone Deficiencies.
Journal of clinical research in pediatric endocrinologyMucopolysaccharidosis Type I and α-Mannosidosis-Phenotypically Comparable but Genetically Different: Diagnostic and Therapeutic Considerations.
BiomedicinesACTC1 Variants Result in Isolated and Syndromic Cardiac Phenotypes.
Clinical geneticsA case of SHORT syndrome with a novel genetic mutation diagnosed 19 years after the onset of diabetes.
Journal of diabetes investigationLoss of function of the zinc finger homeobox 4 gene, ZFHX4, underlies a neurodevelopmental disorder.
American journal of human geneticsFunctional Independence of Taiwanese Children with Silver-Russell Syndrome.
Diagnostics (Basel, Switzerland)Report on Witteveen-Kolk syndrome caused by large fragment deletion in the 15q24.1 - q24.2 region in infants with early onset and literature review.
Italian journal of pediatricsUpdate on the Clinical and Molecular Characterization of Noonan Syndrome and Other RASopathies: A Retrospective Study and Systematic Review.
International journal of molecular sciencesTreatment Experience With Midfacial Distraction Osteogenesis for Down Syndrome.
The Journal of craniofacial surgeryA KDM6 A variant in a Chinese female patient with diabetes mellitus and oligomenorrhea: a case report.
Journal of medical case reportsNeck circumference can be a better predictor of cardiometabolic syndrome among body shape indexes and other anthropometry parameters - A cross-sectional study from Mashhad Persian Cohort.
Clinical obesityA first-in-human, prospective pilot trial of umbilical cord-derived mesenchymal stem cell eye drops therapy for patients with refractory non-Sjögren's and Sjögren's syndrome dry eye disease.
Stem cell research & therapyRNA sequencing driven diagnosis expands the phenotypic spectrum of NBAS deficiency.
Molecular genetics and metabolismShort stature, brachydactyly and joint contractures associated with novel FBN2 variants in two families.
Journal of medical geneticsAarskog Syndrome: Deep Phenotyping and Genomic Landscape of a New Cohort Including Adult Patients.
Clinical geneticsExtended Growth Curves for the Wolf-Hirschhorn Syndrome (4p-).
American journal of medical genetics. Part AClinical delineation and genotype-phenotype correlation in 104 children with kabuki syndrome: A single-center, cross-sectional and follow-up study in China.
European journal of pediatricsAn Update on 3M Syndrome: Review of Clinical and Molecular Aspects and Report of Additional Families.
American journal of medical genetics. Part AExpanding the Phenotypic Spectrum of DPH2 -Related Disorder.
American journal of medical genetics. Part AVariants in WASHC3, a component of the WASH complex, cause short stature, variable neurodevelopmental abnormalities, and distinctive facial dysmorphism.
Genetics in medicine openA de novo ZMYM2 gene variant associated to a Rett-like phenotype: Case report of a new phenotype and review of the literature.
Brain & developmentDyggve-Melchior-Clausen Syndrome With Celiac Disease: A Rare Entity.
Cureus[Clinical characteristics analysis of children with Noonan-like syndrome with loose anagen hair].
Zhonghua er ke za zhi = Chinese journal of pediatricsA Rare Case of PRKACA Duplication-Associated Childhood-Onset Primary Pigmented Nodular Adrenocortical Disease.
JCEM case reportsDevelopment of Obesity following Treatment for Childhood Malignancies.
Hormone research in paediatricsFatal Seatbelt Syndrome in an Elderly Wheelchair User: A Case Report.
Cureus16q24.3 Microdeletions Disrupting Upstream Non-Coding Region of ANKRD11 Cause KBG Syndrome.
GenesKBG syndrome: report and follow-up on three unrelated patients observed at different ages.
Italian journal of pediatricsA Drosophila model for Costello Syndrome caused by Ras mutation K117R.
bioRxiv : the preprint server for biologyAssociations of Karyotype and Age at Diagnosis with Physical Features and Comorbidities in Turner Syndrome: A Single-Site Experience.
The application of clinical geneticsDNA ligase IV deficiency identified in a patient with hypergonadotropic hypogonadism: a case report.
Journal of pediatric endocrinology & metabolism : JPEMMonosomy 18p with Unbalanced Translocation Between 13 and 18 Chromosomes: First Reported Case in Serbia.
Diagnostics (Basel, Switzerland)Quantitative hypermorphic FAM111A alleles cause autosomal recessive Kenny-Caffey syndrome type 2 and osteocraniostenosis.
JCI insightRenpenning syndrome related to a missense variant in polyglutamine-binding protein 1 (PQBP1): Two pediatric cases from a Chinese family and literature review.
Applied neuropsychology. ChildEffects of blinking exercises on palpebral fissure height and tear film parameters.
The ocular surfaceKey Clinical and X-Ray Characteristics for the Diagnosis of Kenny-Caffey Syndrome Types 1 and 2.
Molecular syndromologyImpact of pubertal timing on growth progression and final height in subjects affected by RASopathies.
Frontiers in endocrinologyLong-term outcomes of enzyme replacement therapy from a large cohort of Korean patients with mucopolysaccharidosis IVA (Morquio A syndrome).
Molecular genetics and metabolism reportsMoebius syndrome and hypopituitarism: a case of multiple pituitary hormone deficiency and revision of the literature.
Journal of pediatric endocrinology & metabolism : JPEMIdentification of a novel frameshift variation in ANKRD11: a case report of KBG syndrome.
Frontiers in geneticsPAK3 pathogenic variant associated with sleep-related hypermotor epilepsy in a family with parental mosaicism.
Epilepsia openAarskog-Scott syndrome: a clinical study based on a large series of 111 male patients with a pathogenic variant in FGD1 and management recommendations.
Journal of medical genetics[Clinical and genetic characteristics analysis of two children with comorbidity of two rare genetic diseases].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsEndoplasmic reticulum stress causes long bone shortening in P4hbC402R/+ mice: A mouse model exhibiting significant features of cole-carpenter syndrome driven by P4HB mutations.
Biochimica et biophysica acta. Molecular basis of diseaseExtended clinical phenotypes and treatment modalities in 32 JAGN1-deficient patients: a multicenter study by ESID and EBMT IEWP.
Blood advancesGenetic analysis of partial duplication of the long arm of chromosome 16.
BMC medical genomicsRenal transplantation in patients with cryopyrin-associated periodic syndrome: A case report and literature review.
International immunopharmacologyA neurophysiological and genetic assessment of a case of rapidly progressive scoliosis.
European journal of translational myologyExpanding the Clinical and Mutational Spectrum of Biallelic POC1A Variants: Characterization of Four Patients and a Comprehensive Review of POC1A-Related Phenotypes.
Clinical geneticsClinical and molecular spectrum along with genotype-phenotype correlation of 25 patients diagnosed with 3 M syndrome: a study from Turkey.
European journal of pediatricsPortraying the full picture of Neurofibromatosis-Noonan syndrome: a systematic review of literature.
Journal of medical geneticsSkipping of Exon 20 in EP300: A Novel Variant Linked to Rubinstein-Taybi Syndrome With Atypical and Severe Clinical Manifestations.
Clinical geneticsNoonan Syndrome: Relation of Genotype to Cardiovascular Phenotype-A Multi-Center Retrospective Study.
GenesVariants of the PTPN11 Gene in Mexican Patients with Noonan Syndrome.
GenesMolecular analysis of mucopolysaccharidosis type VI in Iranian patients; the influence of founder effect and consanguinity.
Molecular biology reportsExpanding the phenotyping spectrum of Witteveen Kolk syndrome: first report of generalized dystonia and cerebellar ataxia.
Acta neurologica BelgicaBRCC3 -Associated Syndromic Moyamoya Angiopathy Diagnosed Through Clinical RNA Sequencing.
Clinical geneticsA clinical and molecular characterization of a Pakistani family with multicentric osteolysis, nodulosis and arthropathy (MONA) syndrome.
Bone reportsRing Chromosome 17 Syndrome-A Case Report and Discussion of Diagnostic Methods.
American journal of medical genetics. Part AA rare Coffin-Siris syndrome induced by SOX11: a de novo nonsense variant of short stature.
BMC medical genomicsDeciphering Growth Patterns in Korean Children With Sotos Syndrome Through the Development of a Disease-Specific Growth Chart.
Molecular genetics & genomic medicineKabuki syndrome associated with type 1 diabetes mellitus: report of three cases.
Archivos argentinos de pediatriaPrimary and residual cardiometabolic risk factors among young adults in a Russian city.
Journal of health, population, and nutritionDerivation of induced pluripotent stem cell from a Baraitser-Winter Cerebrofrontofacial syndrome with ACTB mutation.
Stem cell researchRNU4-2-Related Neurodevelopmental Disorder Is Associated With a Recognisable Facial Gestalt.
Clinical geneticsMolecular diagnosis of patients with syndromic short stature identified by trio whole-exome sequencing.
Frontiers in geneticsUnraveling the Genetic Puzzle: Could MAP3K7 Be a Candidate Gene for RASopathies? Case Presentation.
Journal of clinical research in pediatric endocrinologyKBG Syndrome in 16 Indian Individuals.
American journal of medical genetics. Part A2q31 microdeletion syndrome with the velocardiofacial phenotype and review of the literature: a case report.
BMC pediatricsRapid identification of primary atopic disorders (PAD) by a clinical landmark-guided, upfront use of genomic sequencing.
Allergologie select[Genetic analysis of a child with 18q terminal deletion and aortic regurgitation and a literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsA long way to syndromic short stature.
Italian journal of pediatricsA Rare Cause Of Proportional Short Stature and Puberty Precocity: Floating-Harbor Syndrome.
Journal of clinical research in pediatric endocrinologyNovel 10q21.1-q22.1 Duplication in a Boy with Minor Facial Dysmorphism, Mild Intellectual Disability, Autism Spectrum Disorder-Like Phenotype, and Short Stature.
Cytogenetic and genome researchClinical Characteristics, Genetic Analysis, and Literature Review of Cornelia de Lange Syndrome Type 4 Associated With a RAD21 Variant.
Molecular genetics & genomic medicineMore than three years' treatment response of recombinant human growth hormone in a patient with Coffin-Siris syndrome 7.
Endokrynologia PolskaClinical and Genetic Insights into Desbuquois Dysplasia: Review of 111 Case Reports.
International journal of molecular sciencesMaximum mouth opening in patients with cleft lip and palate or craniofacial anomalies compared with non-affected controls: A cross-sectional study.
International journal of paediatric dentistryDiscovery of a TRMT10A mutation in a case of atypical diabetes: Case report.
Diabetes & metabolismDual diagnosis of achondroplasia and mandibulofacial dysostosis with microcephaly.
BMC medical genomicsBehavioral Changes in a Pediatric Patient With Sotos Syndrome: A Case Emphasizing the Importance of Coordinated Care.
CureusFahr's syndrome as the initial imaging characteristics of MELAS syndrome with a possible seizure activity and cardiac arrest: a case report.
Frontiers in geneticsMauriac Syndrome: A Rare Condition With Cushingoid Feature and Hepatomegaly in Poorly Controlled Diabetes Mellitus Type 1.
CureusRecessive loss-of-function variants in DPH1 identified as the molecular cause in a sibling pair previously diagnosed with Fine-Lubinsky syndrome.
American journal of medical genetics. Part AAtypical presentation of ACCES syndrome resembling dominant Spondyloepiphyseal dysplasia tarda.
American journal of medical genetics. Part ALoss-of-function of the Zinc Finger Homeobox 4 (ZFHX4) gene underlies a neurodevelopmental disorder.
medRxiv : the preprint server for health sciencesNoonan syndrome and Noonan-like syndrome with loose anagen hair: rare phenotypes may emerge during follow-up.
Translational pediatricsA Novel ZBTB20 Variant in a Patient with Primrose Syndrome: A Rare Clinical Entity with Distinctive Features.
Molecular syndromologyPrenatal Diagnosis of Myhre Syndrome in Two Cases: Further Delineation of the Cardiac and External Phenotype.
Prenatal diagnosisExpanding the Clinical Features of Schimke Immuno-osseous Dysplasia: a New Patient with a Novel Variant and Novel Clinical Findings.
Journal of clinical research in pediatric endocrinologyCase Report: Two different acromelic dysplasia phenotypes in a Chinese family caused by a missense mutation in FBN1 and a literature review.
Frontiers in pediatricsExome sequencing confirms the clinical diagnosis of both joubert syndrome and klinefelter syndrome with keratoconus in a han Chinese family.
Frontiers in geneticsA novel GNAS mutation in pseudohypoparathyroidism type 1a with articular flexion deformity: A case report.
Open life sciencesCephalometric Evaluation of Children with Short Stature of Genetic Etiology: A Review.
Children (Basel, Switzerland)DiGeorge Syndrome Diagnosed at Age 38: Challenges in Low-resource Settings and Implications of a Missed Diagnosis.
JCEM case reportsEndodontic management of taurodontism in a patient with Morquio syndrome: Case report of a 16-year-old girl.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistrySkeletal muscle vulnerability in a child with Pitt-Hopkins syndrome.
Skeletal muscleCiliopathies are responsible for short stature and insulin resistance: A systematic review of this clinical association regarding SOFT syndrome.
Reviews in endocrine & metabolic disordersPathogenic variants in KMT2C result in a neurodevelopmental disorder distinct from Kleefstra and Kabuki syndromes.
American journal of human geneticsPTPN11 and FLNA variants in a boy with ambiguous genitalia, short stature, and non-specific dysmorphic features.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyAlterations in Neural Activation During Facial Emotion Processing in Adolescent Male Participants With Klinefelter Syndrome.
Journal of developmental and behavioral pediatrics : JDBPA Japanese Boy with Dysmorphic Syndrome with Multiple Pituitary Hormone Deficiency and Gingival Fibromatosis Due to a Pathogenic KCNQ1 Variant.
Internal medicine (Tokyo, Japan)Hemifacial microsomia: a scoping review on progressive facial asymmetry due to mandibular deformity.
Oral and maxillofacial surgeryA Pair of Sibling Patients With Premature Aging Syndrome of Unknown Etiology.
CureusA Case of Noonan Syndrome and Kyrle's Disease: Coincidence or Causality?
Acta dermatovenerologica Croatica : ADCFloating-Harbor Syndrome: A Systematic Literature Review and Case Report.
Journal of clinical medicineDeletion of Trps1 regulatory elements recapitulates postnatal hip joint abnormalities and growth retardation of Trichorhinophalangeal syndrome in mice.
Human molecular geneticsMapping genes for human face shape: exploration of univariate phenotyping strategies.
bioRxiv : the preprint server for biologyBartter Syndrome Presenting as Arginine-Vasopressin Resistance: A Report of 2 Cases.
The American journal of case reportsCaudal regression in fetus with de novo SMARCA2 pathogenic variant.
Prenatal diagnosisThe age of the obesity onset is a very important factor for the development of metabolic complications and cardiovascular risk in children and adolescents with severe obesity.
European journal of pediatricsAssociações
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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.
- Phosphoproteomics elucidates the functional impact of the PTPN11 p.Asn308Ser variant in a Noonan syndrome pedigree.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences· 2026· PMID 41843963mais citado
- A Diagnostic Dilemma: Concurrent Diagnosis of Cystic Fibrosis and Definitive Kabuki Syndrome Type 1.
- Expanding the Coffin-Siris syndrome spectrum: genetic, dysmorphic, and endocrine findings in eight cases.
- Clinical features and management of 16q24.3 microdeletion KBG syndrome: literature review.
- Clinical characterization and analysis of the POLE gene in three Chinese patients with IMAGEI syndrome.
- De novo variants in KDM2A cause a syndromic neurodevelopmental disorder.
- Should XYY syndrome be considered in the differential diagnosis of syndromic myopia? Apropos of a case.
- Diagnosis and recombinant human growth hormone treatment of Wiedemann-Steiner syndrome: discovery of novel KMT2A variants and review of existing literature.
- Recessive loss-of-function variants in DPH1 identified as the molecular cause in a sibling pair previously diagnosed with Fine-Lubinsky syndrome.
- A Japanese Boy with Dysmorphic Syndrome with Multiple Pituitary Hormone Deficiency and Gingival Fibromatosis Due to a Pathogenic KCNQ1 Variant.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:352712(Orphanet)
- OMIM OMIM:615139(OMIM)
- MONDO:0014058(MONDO)
- GARD:17528(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q55784493(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
