A síndrome de displasia-epilepsia-baixa estatura esquelética é caracterizada por déficit intelectual moderado a grave, convulsões, baixa estatura e displasia esquelética. Foi descrito em sete pacientes. Outras manifestações podem estar associadas (alterações retinianas, braquidactilia, prognatismo, má oclusão dentária). É transmitido como um traço autossômico recessivo.
Introdução
O que você precisa saber de cara
A síndrome de displasia-epilepsia-baixa estatura esquelética é caracterizada por déficit intelectual moderado a grave, convulsões, baixa estatura e displasia esquelética. Foi descrito em sete pacientes. Outras manifestações podem estar associadas (alterações retinianas, braquidactilia, prognatismo, má oclusão dentária). É transmitido como um traço autossômico recessivo.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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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 19 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
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
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 displasia esquelética-epilepsia-baixa estatura
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Publicações mais relevantes
Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
Mucopolysaccharidosis (MPS) represents a group of rare inherited metabolic disorders characterized by abnormal accumulation of glycosaminoglycans (GAGs) due to deficiencies of lysosomal enzymes. Mucopolysaccharidosis type I (MPS I) is caused by biallelic pathogenic variants in the IDUA gene and is inherited in an autosomal recessive pattern. The IDUA gene is located on chromosome 4p16.3 and encodes the lysosomal enzyme α-L-iduronidase, which plays a critical role in the degradation of GAGs, particularly dermatan sulfate and heparan sulfate. Reduced or absent IDUA enzymatic activity leads to the progressive accumulation of undegraded substrates within lysosomes, resulting in multisystem organ involvement. Based on clinical severity, MPS I is traditionally classified into three phenotypic subtypes: the severe form (Hurler syndrome), the intermediate form (Hurler-Scheie syndrome), and the attenuated form (Scheie syndrome, MPS I-S). This report describes a 13-year-old female patient in whom compound heterozygous pathogenic variants in the IDUA gene were identified by genetic testing, and whose clinical manifestations were consistent with the MPS I-S. In addition to typical skeletal and joint abnormalities, the patient also presented with uterine developmental abnormality. Currently, there is no definitive evidence supporting a direct causal relationship between MPS I and uterine developmental abnormalities; however, this case suggests a potential association between MPS I and reproductive system developmental abnormalities. This case may help further expand the phenotypic spectrum of MPS I and enhance clinical awareness of its multisystem involvement.
Cardioacrofacial dysplasia 1: a case report and literature review.
Cardioacrofacial dysplasia 1 [CAFD1; Online Mendelian Inheritance in Man (OMIM): #619142] is a rare skeletal ciliopathy caused by pathogenic variants in the PRKACA gene, exhibiting phenotypic overlap with conditions such as Ellis-van Creveld (EvC) syndrome. To date, only five cases have been reported worldwide, all carrying the identical p. Gly137Arg mutation. A 10-year-old male patient presented with short stature, progressive bilateral knee deformities, post-axial posterior polydactyly, and hypoplasia of teeth and nails since infancy. He had a history of partial atrial septal defect, functional single atrium, and pulmonary valve stenosis, undergoing cardiac repair at age 5 and bilateral polydactyly resection at age 7. Whole-exome sequencing (WES) confirmed a de novo heterozygous mutation in the PRKACA gene: c.409G>A (p.Gly137Arg). At age 10, the patient underwent robot-assisted bilateral proximal tibial epiphyseal fixation. One-month postoperative follow-up demonstrated significant improvement in gait and mobility. To our knowledge, this expands the known geographic distribution with PRKACA c.409G>A (p.Gly137Arg). The finding adds to prior reports that repeatedly implicate this variant; broader ascertainment is needed to establish whether it represents a true hotspot. In patients with an EvC-like phenotype who test negative for EVC/EVC2, screening of PRKACA can be considered. Prior work suggests that increased protein kinase A (PKA) catalytic activity may dampen Hedgehog (Hh) signaling, providing a plausible mechanism for the skeletal and cardiac findings. Early molecular diagnosis facilitates multidisciplinary management and genetic counseling.
Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.
Cartilage-hair hypoplasia (CHH) is a rare autosomal recessive skeletal dysplasia. It is often associated with short stature, metaphyseal abnormalities, hair hypoplasia and immune dysfunction. This case describes a pregnant woman in her mid-30s with two previous children diagnosed with CHH with molecular confirmation of two pathogenic variants of the ribonuclease mitochondrial RNA processing gene. The couple is healthy and non-consanguineous. Routine ultrasound examination of the current pregnancy suggested this fetus was also likely to be affected. The couple opted not to perform invasive prenatal diagnosis. Umbilical cord blood was collected at birth for genetic testing, confirming the diagnosis. CHH has a significant impact on the quality of life of those affected. Genetic counselling may help parents understand the disease and its prognosis. Obstetric ultrasound plays an important role in the diagnosis by allowing early detection of suspected cases as well as assessing fetal growth.
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.
Allogeneic Hematopoietic Cell Transplantation for Morquio A Syndrome: An International Retrospective Study.
Mucopolysaccharidosis IV A (MPS IVA) or Morquio A syndrome is a lysosomal storage disorder that results from a deficiency of N-acetylgalactosamine-6-sulfate sulfatase (GALNS), causing deposition of glycosaminoglycans, keratan sulfate, and chondroitin-6-sulfate in multiple organs. The main clinical manifestations include severe short stature, severe cervical spine stenosis, and progressive skeletal dysplasia, which leads to severe mobility limitation resulting in patients becoming wheelchair-bound in their second decade of life, and overall shortened life span. The current standard of care for Morquio A is weekly enzyme replacement therapy (ERT). However, ERT is expensive, not widely available worldwide, and offers limited long-term benefits. Allogeneic hematopoietic cell transplantation (HCT) is a way to provide a life-long endogenous enzyme and has the potential to improve outcomes. The main objectives of this study were to investigate the safety and assess the benefits of allogeneic HCT in the treatment of patients with Morquio A. We performed a retrospective study of 41 patients who underwent allogeneic HCT at 9 international centers. Forty-one patients with Morquio A received allogeneic HCT. Three patients experienced graft failure and underwent second transplants. Most (77%) of the transplants were performed using either matched or mismatched unrelated donors, and 71% of the transplants utilized peripheral blood stem cells as the graft source. The overall 3-year survival rate was 90.5%. Graft-versus-host disease (GVHD) was a direct or indirect contributor to mortality in 3 out of 4 patients. The median myeloid engraftment was 100% at the last follow-up, with a median follow-up of 3 years; the median times for neutrophil and platelet engraftment were 12 and 13 days, respectively. The incidence of grade II to IV acute GVHD was 35.5%. Interestingly, in patients who had received pretransplant ERT, the incidence of acute grade II to IV GVHD was 14.9%, compared to 45% in those who had not received pretransplant ERT (P = .075). The incidence of grades III to IV acute and chronic GVHD was 14.2% and 12.7%, respectively. When available, disease-specific outcomes showed complete to near normalization of metabolic biomarkers, as well as improvement in movement scores, stability of heart function, eyes, and cervical spine stenosis. Notably, in patients transplanted below the age of 3 years, growth continued in 6 out of 8 patients, while this effect was less notable in the older cohort. Allogeneic HCT for patients with Morquio A is safe and feasible. This treatment can potentially lead to significantly improved biochemical markers of the disease, preservation of organs, and better clinical manifestations. Additionally, when performed at a young age, ideally before the age of 3 years, allogeneic HCT may result in improved growth. The use of bone marrow as a stem cell source whenever possible, combined with effective GVHD prophylaxis, may enhance transplant success and disease-related outcomes. Long-term benefits and risks require further investigation.
Publicações recentes
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The pathogenic ADAMTSL2 D167N variant causes geleophysic dysplasia-like connective tissue changes in mice.
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Cellular and molecular biology (Noisy-le-Grand, France)C-terminal frameshift variants in GPKOW are associated with a multisystemic X-linked disorder.
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Journal of clinical medicineRelationships between trunk tissue distribution, metabolic risk factors and physical performance in young people-A pilot study.
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American journal of medical genetics. Part ACompound Heterozygous Variants in the IFT140 Gene Associated with Skeletal Ciliopathies.
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Bone marrow transplantationRapid identification of primary atopic disorders (PAD) by a clinical landmark-guided, upfront use of genomic sequencing.
Allergologie select49,XXXXY PATIENT AND INCIDENTAL FINDING OF LOW LEVEL MOSAIC 45,X IN THE MOTHER.
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Molecular syndromologyClinical, myopathological, and genetic features of two Chinese families with Andersen-Tawil syndrome.
Frontiers in neurologyBi-Allelic Splicing Variant, c.153-2A > C in TOMM7 Is Associated With Leigh Syndrome.
American journal of medical genetics. Part AA case report of Tumor-Induced Osteomalacia (TIO) caused by central giant cell granuloma.
Bone reportsWeight-adjusted waist index predicts metabolic syndrome in Caucasian patients with obesity.
Nutricion hospitalariaMusculoskeletal Issues in Children and Adolescents: Genetic Musculoskeletal Disorders.
FP essentialsClinical and Genetic Insights into Desbuquois Dysplasia: Review of 111 Case Reports.
International journal of molecular sciencesBruck syndrome in pregnancy.
BMJ case reportsAssociation of food group with the changes in sarcopenia parameters over 1 year in older outpatients in a frailty clinic.
European geriatric medicineAtypical presentation of ACCES syndrome resembling dominant Spondyloepiphyseal dysplasia tarda.
American journal of medical genetics. Part AInsights into the ANKRD11 variants and short-stature phenotype through literature review and ClinVar database search.
Orphanet journal of rare diseasesLoss of the long form of Plod2 phenocopies contractures of Bruck syndrome-osteogenesis imperfecta.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchA 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)Endodontic 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 muscleImpact of sarcopenia on clinical outcomes in pediatric chronic liver disease post-liver transplantation: prevalence and implications.
Gastroenterology and hepatology from bed to benchPTPN11 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 EndocrinologyPhenotypic and mutational spectrum of 17 Chinese patients with Menkes Disease.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyA novel small deletion in CWC27 gene associated with CWC27-related spliceosomeopathy.
Ophthalmic geneticsFloating-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 geneticsMolecular mechanisms of human overgrowth and use of omics in its diagnostics: chances and challenges.
Frontiers in geneticsSpondyloenchondrodysplasia With Immune Dysregulation, but Without Skeletal Dysplasia, in a Six-Year-Old Boy: A Case Report.
CureusSpondyloocular Syndrome: First Case of Rare Osseous and Ocular Syndrome from India with Novel Mutation and Expanded Phenotypic Spectrum.
Calcified tissue internationalLoss-of-function variants in ERF are associated with a Noonan syndrome-like phenotype with or without craniosynostosis.
European journal of human genetics : EJHGClinical and molecular characteristics of Korean patients with Kabuki syndrome.
Journal of human geneticsSerum branch chain amino acids and aromatic amino acids ratio and metabolic risks in Koreans with normal-weight or obesity: a cross-sectional study.
Korean journal of community nutritionVosoritide treatment for children with hypochondroplasia: a phase 2 trial.
EClinicalMedicineNovel biallelic PISD missense variants cause spondyloepimetaphyseal dysplasia with disproportionate short stature and fragmented mitochondrial morphology.
Clinical geneticsClinical and genetic investigation of 14 families with various forms of short stature syndromes.
Clinical geneticsNutritional and Body Composition Changes in Paediatric β-Thalassemia Patients Undergoing Hematopoietic Stem Cell Transplantation: A Retrospective Study Using Bioelectrical Impedance Analysis.
Journal of multidisciplinary healthcareEvidence That Skeletal Muscles Modulate HDL-Cholesterol in Metabolic Healthy Young Adults.
NutrientsClinical and Molecular Characterization of a Novel Homozygous Frameshift Variant in AEBP1-Related Classical-like Ehlers Danlos Syndrome Type 2 with Comparison to Previously Reported Rare Cases.
GenesMacular hypoplasia and high myopia in 48, xxyy syndrome: a unique case of 48, xxyy syndrome that presents with high myopia and macular dysplasia.
BMC ophthalmologyCharacteristic phenotypes of ADH5/ALDH2 deficiency during childhood.
European journal of medical geneticsGrowth Charts for Shwachman-Diamond Syndrome at Ages 0 to 18 Years.
CancersFurther delineation of phenotype and genotype of Kenny-Caffey syndrome type 2 (phenotype and genotype of KCS type 2).
Molecular genetics & genomic medicineClinical presentation and genetics of tricho-rhino-phalangeal syndrome (TRPS) type 1: A single-center case series of 15 patients and seven novel TRPS1 variants.
European journal of medical geneticsBody composition parameters and sarcopenia in adults with Down syndrome: a case-control study.
Aging clinical and experimental researchORAI1 inhibition as an efficient preclinical therapy for tubular aggregate myopathy and Stormorken syndrome.
JCI insightAggrecan-related bone disorders; a novel heterozygous ACAN variant associated with spondyloepimetaphyseal dysplasia expanding the phenotypic spectrum and review of literature.
Journal, genetic engineering & biotechnologyPathogenic variants affecting the TB5 domain of the fibrillin-1 protein: not only in geleophysic/acromicric dysplasias but also in Marfan syndrome.
Journal of medical geneticsBecoming a World Champion Powerlifter at 71 Years of Age: It Is Never Too Late to Start Exercising.
International journal of sport nutrition and exercise metabolismZebrafish as a model to investigate a biallelic gain-of-function variant in MSGN1, associated with a novel skeletal dysplasia syndrome.
Human genomicsWeyers Acrofacial Dysostosis: A Case Report.
CureusFGD1-related Aarskog-Scott syndrome: Identification of four novel variations and a literature review of clinical and molecular aspects.
European journal of pediatricsNovel OBSL1 Variant in a Chinese Patient with 3M Syndrome: The c.458dupG Mutation May Be a Potential Hotspot Mutation in the Chinese Population.
Journal of clinical research in pediatric endocrinologyNovel Genetic and Phenotypic Expansion in Ameliorated PUF60-Related Disorders.
International journal of molecular sciencesLambdoid Suture Defect in a 12-year-old Neurofibromatosis Patient.
CureusGrowth disorders caused by variants in epigenetic regulators: progress and prospects.
Frontiers in endocrinologyExpanding the phenotypic spectrum of LIG4 pathogenic variations: neuro-histopathological description of 4 fetuses with stenosis of the aqueduct.
European journal of human genetics : EJHGDiabetes mellitus in Kabuki syndrome 1 on a background of post-transplant diabetes mellitus.
Endocrinology, diabetes & metabolism case reportsA new phenotype of EVEN-PLUS syndrome in a Chinese family and literature review.
Molecular genetics & genomic medicineReview of published 467 achondroplasia patients: clinical and mutational spectrum.
Orphanet journal of rare diseasesUse of bioimpedance in prevention of sarcopenia in the elderly.
Central European journal of public healthCT-based screening of sarcopenia and its role in cachexia syndrome in pancreatic cancer.
PloS oneAssociation of Fat Mass and Skeletal Muscle Mass with Cardiometabolic Risk Varied in Distinct PCOS Subtypes: A Propensity Score-Matched Case-Control Study.
Journal of clinical medicineCase report: Sagliker syndrome in the patient with recurrent tertiary hyperparathyroidism due to intrathyroidal parathyroid carcinoma.
Frontiers in endocrinologyCiliopathy due to POC1A deficiency: clinical and metabolic features, and cellular modeling.
European journal of endocrinologyBiallelic SOX8 Variants Associated With Novel Syndrome With Myopathy, Skeletal Deformities, Intellectual Disability, and Ovarian Dysfunction.
Neurology. GeneticsSchwartz-Jampel Syndrome Type 1: Compound Heterozygosity of Two Novel Variants.
Journal of clinical research in pediatric endocrinologyGrowth, body composition, and endocrine-metabolic profiles of individuals with Kleefstra syndrome provide directions for clinical management and translational studies.
American journal of medical genetics. Part ARetinitis pigmentosa with or without skeletal abnormalities due to homozygous mutations in the CWC27 gene: A case report.
MedicineComputed tomography evaluation of skeletal muscle quality and quantity in people with morbid obesity with and without metabolic abnormality.
PloS oneLichen sclerosus associated with Turner syndrome treated with photodynamic therapy: A case report.
Photodiagnosis and photodynamic therapyExercise-Induced Transient Oxidative Stress Is Mitigated in Down Syndrome: Insights About Redox Balance and Muscle Strength.
Journal of strength and conditioning researchRole of genetic investigation in the diagnosis of short stature in a cohort of Italian children.
Journal of endocrinological investigationSubluxated cataractous lens and high myopia: An uncommon association in an achondroplasia child.
Oman journal of ophthalmologyRelationship among Osteoporosis, Sarcopenia, Locomotive Syndrome, and Spinal Kyphosis in Older Individuals Living in a Local Mountain Area.
Asian spine journalAssociações
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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.
- Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
- Cardioacrofacial dysplasia 1: a case report and literature review.
- Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.
- Clinical features and management of 16q24.3 microdeletion KBG syndrome: literature review.
- Allogeneic Hematopoietic Cell Transplantation for Morquio A Syndrome: An International Retrospective Study.
- Clinical and genetic investigation of 14 families with various forms of short stature syndromes.
- A new phenotype of EVEN-PLUS syndrome in a Chinese family and literature review.
- The Radiological and Histological Phenotype of Skeletal Abnormalities in Fetal ARCN1-Related Syndrome.
- Vissers-Bodmer syndrome caused by a novel de novo CNOT1 frameshift variant.
- Clinical Heterogeneity and Different Phenotypes in Patients with SETD2 Variants: 18 New Patients and Review of the Literature.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:1858(Orphanet)
- OMIM OMIM:601187(OMIM)
- MONDO:0011011(MONDO)
- Epilepsia(PCDT · Ministério da Saúde)
- GARD:350(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55782997(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
