Raras
Buscar doenças, sintomas, genes...
Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual
ORPHA:662184CID-10 · G71.0OMIM 617404DOENÇA RARA

É uma distrofia muscular que se manifesta desde o nascimento. Ela é caracterizada pelo início de uma fraqueza muscular que piora progressivamente com o tempo, e que geralmente começa na primeira infância (nos primeiros anos de vida). É uma condição genética de herança autossômica recessiva, o que significa que a criança precisa receber uma cópia alterada do gene da mãe e outra do pai para desenvolver a doença (os pais geralmente são portadores e não têm a doença). A causa é uma alteração (mutação) no gene INPP5K (código 607875), que fica no cromossomo 17p13. Para que a doença se manifeste, as duas cópias desse gene – tanto a que veio da mãe quanto a que veio do pai – precisam estar alteradas, seja com a mesma alteração ou com alterações diferentes em cada uma.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

É uma distrofia muscular que se manifesta desde o nascimento. Ela é caracterizada pelo início de uma fraqueza muscular que piora progressivamente com o tempo, e que geralmente começa na primeira infância (nos primeiros anos de vida). É uma condição genética de herança autossômica recessiva, o que significa que a criança precisa receber uma cópia alterada do gene da mãe e outra do pai para desenvolver a doença (os pais geralmente são portadores e não têm a doença). A causa é uma alteração (mutação) no gene INPP5K (código 607875), que fica no cromossomo 17p13. Para que a doença se manifeste, as duas cópias desse gene – tanto a que veio da mãe quanto a que veio do pai – precisam estar alteradas, seja com a mesma alteração ou com alterações diferentes em cada uma.

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
23
pacientes catalogados
Início
Childhood
+ infancy, neonatal
🏥
SUS: Cobertura parcialScore: 40%
Centros em: MG, PR, SC, RS, ES +10CID-10: G71.0
🇧🇷Dados SUS / DATASUS2024
2.340
internações/ano
R$ 6.780
custo médio/internação
ESTADOS COM MAIS INTERNAÇÕES
SPRJMGRSPR
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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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

🧠
Neurológico
6 sintomas
🦴
Ossos e articulações
5 sintomas
👁️
Olhos
2 sintomas
🫁
Pulmão
1 sintomas
💪
Músculos
1 sintomas

+ 12 sintomas em outras categorias

Características mais comuns

100%prev.
Concentração elevada de creatina quinase circulante
Frequência: 10/10
100%prev.
Catarata
Frequência: 12/12
92%prev.
Hipotonia
Frequência: 11/12
92%prev.
Atraso motor
Frequência: 11/12
58%prev.
Início na infância
Frequência: 7/12
33%prev.
HP:0003577
Frequência: 4/12
27sintomas
Muito frequente (4)
Frequente (2)
Ocasional (7)
Sem dados (14)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 27 características clínicas mais associadas, ordenadas por frequência.

Concentração elevada de creatina quinase circulanteElevated circulating creatine kinase concentration
Frequência: 10/10100%
CatarataCataract
Frequência: 12/12100%
HipotoniaHypotonia
Frequência: 11/1292%
Atraso motorMotor delay
Frequência: 11/1292%
Início na infânciaChildhood onset
Frequência: 7/1258%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa11
Últimos 10 anos119publicações
Pico201916 papers
Linha do tempo
20202015Hoje · 2026🧪 2009Primeiro ensaio clínico📈 2019Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

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.

INPP5KInositol polyphosphate 5-phosphatase KDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Inositol 5-phosphatase which acts on inositol 1,4,5-trisphosphate, inositol 1,3,4,5-tetrakisphosphate, phosphatidylinositol 4,5-bisphosphate and phosphatidylinositol 3,4,5-trisphosphate (PubMed:10753883, PubMed:16824732). Has 6-fold higher affinity for phosphatidylinositol 4,5-bisphosphate than for inositol 1,4,5-trisphosphate (PubMed:10753883). Negatively regulates assembly of the actin cytoskeleton. Controls insulin-dependent glucose uptake among inositol 3,4,5-trisphosphate phosphatases; ther

LOCALIZAÇÃO

Endoplasmic reticulumCytoplasm

VIAS BIOLÓGICAS (1)
Synthesis of PIPs at the plasma membrane
MECANISMO DE DOENÇA

Muscular dystrophy, congenital, with cataracts and impaired intellectual development

An autosomal recessive form of muscular dystrophy with onset in early childhood and characterized by progressive muscle weakness. Almost all patients also have early-onset cataracts and intellectual disability of varying severity. Some patients have seizures.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
62.3 TPM
Testículo
54.3 TPM
Nervo tibial
52.9 TPM
Tecido adiposo
51.7 TPM
Pulmão
51.4 TPM
OUTRAS DOENÇAS (1)
congenital muscular dystrophy with cataracts and intellectual disability
HGNC:33882UniProt:Q9BT40

Variantes genéticas (ClinVar)

132 variantes patogênicas registradas no ClinVar.

🧬 INPP5K: GRCh38/hg38 17p13.3(chr17:240638-1939562)x1 ()
🧬 INPP5K: GRCh37/hg19 17p13.3(chr17:257557-1791653)x4 ()
🧬 INPP5K: GRCh37/hg19 17p13.3(chr17:1092566-1555778)x3 ()
🧬 INPP5K: NM_016532.4(INPP5K):c.262-1G>T ()
🧬 INPP5K: NM_016532.4(INPP5K):c.777-134G>A ()
Ver todas no ClinVar

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico2
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 2 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual

Centros de Referência SUS

37 centros habilitados pelo SUS para Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual

Centros para Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual

Detalhes dos centros

Hospital Universitário Prof. Edgard Santos (HUPES)

R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFG

Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Universitário da UFJF

R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442

Atenção Especializada

Rota
Anomalias Congênitas

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Julio Müller (HUJM)

R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092

Atenção Especializada

Rota
Anomalias Congênitas

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Lauro Wanderley (HULW)

R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470

Atenção Especializada

Rota
Anomalias Congênitas

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Universitário Regional de Maringá (HUM)

Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Base de São José do Rio Preto

Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Neuronal Heterotopy in a Patient with Wiedemann-Steiner Syndrome Caused by a Truncating KMT2A Variant: Clinical and Genetic Correlations.

Reports (MDPI)2026 Jan 26

Background and clinical significance: Wiedemann-Steiner syndrome (WSS) is a rare autosomal dominant neurodevelopmental disorder caused by heterozygous pathogenic variants in the KMT2A gene, which encodes a histone lysine methyltransferase essential for chromatin regulation. Affected individuals commonly present with developmental delay, intellectual disability, behavioral disturbances, short stature, characteristic facial features, and hypertrichosis, along with variable additional congenital anomalies. Emerging genotype-phenotype correlations suggest two functional classes of KMT2A variants: loss-of-function variants, typically associated with the classic WSS phenotype and muscular hypotonia, and non-loss-of-function variants, which more often correlate with drug-resistant epilepsy and microcephaly. No recurrent variants or clear genotype-phenotype correlations have been established outside the CXXC domain, and most pathogenic variants are private or novel, contributing to phenotypic heterogeneity. Case presentation: We present a case of a 14-year-old female with a pathogenic nonsense truncating variant in the KMT2A gene and typical features of Wiedemann-Steiner syndrome. Additionally, the patient exhibited microcephaly and structural epilepsy due to neuronal heterotopy-features that are rarely described in individuals with truncating variants in this gene and have not been reported in the two published cases of individuals with the same mutation. Conclusions: This case highlights atypical genotype-phenotype correlations and expands the clinical spectrum of truncating KMT2A variants in Wiedemann-Steiner syndrome.

#2

Congenital adrenal hypoplasia with neurodevelopmental delay due to contiguous Xp21 deletion: a case series with review of literature.

Endocrine journal2026 Mar 02

X-linked adrenal hypoplasia congenita (AHC) is a rare, life-threatening disorder caused by pathogenic variants in NR0B1 (DAX1), leading to adrenal insufficiency and hypogonadotropic hypogonadism. AHC is often associated with Xp21 contiguous gene deletion syndrome, which involves the deletion of multiple genes, including NR0B1, GK, DMD, and IL1RAPL1, resulting in a spectrum of phenotypic manifestations, such as glycerol kinase deficiency (GKD), Duchenne muscular dystrophy (DMD), and neurodevelopmental disorders. We report two cases of AHC with neurodevelopmental delays due to contiguous Xp21 deletions involving NR0B1 and IL1RAPL1, each diagnosed through distinct clinical pathways. Case 1 involved a neonate with adrenal insufficiency, persistent hyperCKemia, and excessive urinary glycerol excretion, leading to a diagnosis of Xp21 deletion syndrome with DMD and GKD. The patient's sister, an asymptomatic carrier, exhibited elevated CK levels and mild developmental delays. Array comparative genomic hybridization identified a novel complex structural variation, including duplication-deletion-duplication rearrangement, which may have modified clinical manifestations. Case 2 involved a 10-year-old boy with AHC and developmental delay that was initially considered a consequence of adrenal crises. Genetic analysis confirmed an Xp21 deletion, including IL1RAPL1, implicating it in his intellectual disability. A literature review reveals that Xp21 deletions involving IL1RAPL1 are strongly associated with neurodevelopmental delays, suggesting a distinct phenotype within Xp21 deletion syndromes. Early genetic diagnosis via chromosomal microarray analysis facilitates precise delineation of deletion regions, aiding in clinical management, genetic counseling, and early intervention strategies. Further studies are needed to elucidate genotype-phenotype correlations in Xp21 deletion syndromes and optimize individualized medical care.

#3

Prominent U-waves without QT prolongation in X-linked creatine transporter deficiency caused by SLC6A8 variants.

Heart rhythm2026 Mar

Creatine transporter deficiency (CTD) is a rare X-linked disease caused by SLC6A8 variants, which impair ATP-dependent energy metabolism in neurons and myocytes. Although the neurologic and muscular manifestations are well characterized, the cardiac phenotype remains poorly understood. Early clinical reports and a transgenic mouse model have raised concerns about possible associations with corrected QT (QTc) interval prolongation and dilated cardiomyopathy. This study aimed to characterize the cardiac phenotype of male patients with CTD. This cross-sectional study prospectively included male patients with CTD with confirmed SLC6A8 pathogenic variants. A systematic cardiological evaluation was performed, including 12-lead resting electrocardiogram (ECG), ambulatory ECG (Holter monitoring), transthoracic echocardiography, and biological analysis. 23 male patients with CTD (median [interquartile range] age 17.1 years [13.5-20.5]) with 20 distinct SLC6A8 variants were included. Prominent U-waves were observed in 82.6% of resting ECGs and 95% of ambulatory ECGs, and biphasic T-waves in 30.4% and 90%, respectively. No patient had a prolonged QTc interval (median [interquartile range] QTc interval 431 ms [411-443]) when the U-waves were excluded. Repolarization abnormalities were not secondary to electrolyte disorders. No sustained arrhythmias or conduction disorders were observed. No patient reported syncope or cardiac arrest. Transthoracic echocardiography revealed no cardiomyopathy or congenital heart defects. 2 patients had mildly elevated N-terminal pro-brain natriuretic peptide with no clinical or imaging abnormalities. This study highlighted an atypical ventricular repolarization pattern in patients with CTD (prominent U-waves and biphasic T-waves) without QTc interval prolongation. Long-term follow-up data are needed to establish its prognosis, but it must be distinguished from long-QT syndrome. No patient met diagnostic criteria for cardiomyopathy or congenital heart defect.

#4

Application of the Gross Motor Function Measure in children with conditions other than cerebral palsy: A systematic review.

Developmental medicine and child neurology2025 Nov

To investigate the application and evaluate the measurement properties of the Gross Motor Function Measure (GMFM) in children with conditions other than cerebral palsy (CP). A systematic review was conducted using five electronic databases to identify studies that used the GMFM in children with conditions other than CP. Methodological quality and measurement properties were evaluated using established standards for assessing outcome measures. We identified 210 studies across various paediatric conditions. Measurement property studies examined eight conditions: acquired brain injury, spinal muscular atrophy, Fukuyama congenital muscular dystrophy, Down syndrome, osteogenesis imperfecta, acute lymphoblastic leukaemia (ALL), leukodystrophy, and Pompe disease. Evidence quality was generally low to very low owing to small sample sizes and methodological limitations. Reliability showed sufficient ratings across most conditions. Content validity was examined only for ALL and demonstrated sufficient ratings. Responsiveness and construct validity showed variable results across conditions. Clinical application analysis revealed inadequate methodological reporting and widespread use without appropriate validation. GMFM validation for conditions other than CP remains insufficient despite widespread use. Content validity verification and enhanced methodological rigor are critically needed. Clinicians should interpret results cautiously until robust validation is established.

#5

Profile of Musculoskeletal Anomalies in Indian Children with Down Syndrome.

Indian pediatrics2025 Aug

This hospital-based study evaluated the magnitude and characteristics of musculoskeletal anomalies in children with Down syndrome. Children aged 3 months to 14 years, diagnosed to have Down syndrome by karyotyping, were evaluated for musculoskeletal anomalies. We excluded children diagnosed with another chronic condition affecting musculoskeletal health (e.g., cerebral palsy, muscular diseases); and those with any acute illness, which is likely to affect evaluation for musculoskeletal anomalies. A detailed history was taken, and clinical examination was performed by a pediatrician and an orthopedic surgeon. Detailed joint examination was done using pGALS (pediatric Gait Arms Legs and Spine), and Beighton Hypermobility Score was used to assess hypermobility in those aged 6 year or more. X-ray cervical spine (lateral view in neutral, flexion and extension) was done for all children to determine atlantoaxial instability. Additionally, in children with any suspected musculoskeletal anomaly on clinical examination, relevant radiological investigations were performed under the guidance of an orthopedic surgeon. The median (IQR) age of the study population (n = 75) was 5 (2.5, 8) years with 56% boys. Musculoskeletal anomalies were identified in 86.6% (n = 65). Hypotonia and joint laxity (77.3% each) were common in the whole group; pes planus (82%) and orthopedic abnormalities (69.3%) were prevalent among ambulatory children. Occurrence of genu valgum was found to increase with increasing body mass index (P = 0.045). Musculoskeletal problems were common in children with Down syndrome, and this information may guide health professionals in early identification of musculoskeletal problems in children with Down syndrome.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 119

2026

Neuronal Heterotopy in a Patient with Wiedemann-Steiner Syndrome Caused by a Truncating KMT2A Variant: Clinical and Genetic Correlations.

Reports (MDPI)
2025

Anesthetic Management of a Patient With Myhre Syndrome.

Anesthesia progress
2025

Expanding the clinical spectrum: A case report of the first Jordanian presentation of KID syndrome with neurological and skeletal anomalies beyond the classical triad.

Medicine
2026

Congenital adrenal hypoplasia with neurodevelopmental delay due to contiguous Xp21 deletion: a case series with review of literature.

Endocrine journal
2026

Prominent U-waves without QT prolongation in X-linked creatine transporter deficiency caused by SLC6A8 variants.

Heart rhythm
2025

The herculean illusion: congenital hypothyroidism masquerading as muscular dystrophy.

Acta neurologica Belgica
2025

Application of the Gross Motor Function Measure in children with conditions other than cerebral palsy: A systematic review.

Developmental medicine and child neurology
2025

Profile of Musculoskeletal Anomalies in Indian Children with Down Syndrome.

Indian pediatrics
2025

Xp21 Contiguous Gene Deletion Syndrome: Diagnosis, Treatment, and a Review of the Literature on a Rare Genetic Disorder.

Journal of clinical research in pediatric endocrinology
2024

Siblings With Berardinelli-Seip Congenital Lipodystrophy: Clinical Insights and Challenges.

Cureus
2025

BCL11A intellectual developmental disorder: defining the clinical spectrum and genotype-phenotype correlations.

European journal of human genetics : EJHG
2024

Combined Levothyroxine and Propylthiouracil Treatment in Children with Monocarboxylate Transporter 8 Deficiency: A Multicenter Case Series of 12 Patients.

Thyroid : official journal of the American Thyroid Association
2024

Prenatal Diagnosis of Myhre Syndrome in Two Cases: Further Delineation of the Cardiac and External Phenotype.

Prenatal diagnosis
2024

Myhre syndrome in adulthood: clinical variability and emerging genotype-phenotype correlations.

European journal of human genetics : EJHG
2024

Clinical and genetic characterization of patients with eye diseases included in the Spanish Rare Diseases Patient Registry.

Orphanet journal of rare diseases
2024

Expansion of the Genotypic and Phenotypic Spectrum of ASH1L-Related Syndromic Neurodevelopmental Disorder.

Genes
2024

Biallelic loss-of-function variants of SLC12A9 cause lysosome dysfunction and a syndromic neurodevelopmental disorder.

Genetics in medicine : official journal of the American College of Medical Genetics
2023

PTCHD1 gene mutation/deletion: the cognitive-behavioral phenotyping of four case reports.

Frontiers in psychiatry
2024

Biallelic loss-of-function variants in CACHD1 cause a novel neurodevelopmental syndrome with facial dysmorphism and multisystem congenital abnormalities.

Genetics in medicine : official journal of the American College of Medical Genetics
2023

Untangling adaptive functioning of PMM2-CDG across age and its impact on parental stress: a cross-sectional study.

Scientific reports
2024

Prenatal Coffin-Siris Syndrome: Expanding the Phenotypic and Genotypic Spectrum of the Disease.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2024

Prenatal Diagnosis of Primrose Syndrome.

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
2024

Mutations in PTPN11 could lead to a congenital myasthenic syndrome phenotype: a Noonan syndrome case series.

Journal of neurology
2023

Electroclinical Features of Epilepsy in Kleefstra Syndrome.

Neuropediatrics
2023

Meticulous and Early Understanding of Congenital Cranial Defects Can Save Lives.

Children (Basel, Switzerland)
2023

De novo missense variants in phosphatidylinositol kinase PIP5KIγ underlie a neurodevelopmental syndrome associated with altered phosphoinositide signaling.

American journal of human genetics
2023

Characteristics of Neuroimaging and Behavioural Phenotype in Polish Patients with PIGV-CDG-An Observational Study and Literature Review.

Genes
2023

Variants in SART3 cause a spliceosomopathy characterised by failure of testis development and neuronal defects.

Nature communications
2023

Expanding the phenotype of DNMT3A as a cause a congenital myopathy with rhabdomyolysis.

Neuromuscular disorders : NMD
2023

GDP-Mannose Pyrophosphorylase B (GMPPB)-Related Disorders.

Genes
2023

Progeroid syndrome of De Barsy - a case report and review of ophthalmic literature.

Ophthalmic genetics
2023

Long Head of Triceps Tendon Transfer for Agenesis of Biceps and Brachialis: Two Cases.

Hand (New York, N.Y.)
2022

Expert consensus on diagnosis and treatment of very long-chain acyl-CoA dehydrogenase deficiency.

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences
2022

[Clinical features and genetic analysis of two Chinese patients with Coffin Siris syndrome-1].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2022

Postnatal microcephaly and retinal involvement expand the phenotype of RPL10-related disorder.

American journal of medical genetics. Part A
2022

Genotype-phenotype spectrum and correlations in Xia-Gibbs syndrome: Report of five novel cases and literature review.

Birth defects research
2022

Novel truncating variants in FGD1 detected in two Danish families with Aarskog-Scott syndrome and myopathic features.

American journal of medical genetics. Part A
2022

BRPF1-associated syndrome: A patient with congenital ptosis, neurological findings, and normal intellectual development.

American journal of medical genetics. Part A
2022

Congenital heart defects in molecularly confirmed KBG syndrome patients.

American journal of medical genetics. Part A
2022

Rhomboencephalosynapsis: Review of the Literature.

World neurosurgery
2021

Identification of a novel KAT6A variant in an infant presenting with facial dysmorphism and developmental delay: a case report and literature review.

BMC medical genomics
2021

Psychiatric Comorbidities in 1p36 Deletion Syndrome and Their Treatment-A Case Report.

International journal of environmental research and public health
2021

Special Needs Insurance: More Stability for a Growing Family's Budget.

Journal of insurance medicine (New York, N.Y.)
2021

Complex glycerol kinase deficiency - long-term follow-up of two patients.

Pediatric endocrinology, diabetes, and metabolism
2022

Clinical and Molecular Spectrum of Muscular Dystrophies (MDs) with Intellectual Disability (ID): a Comprehensive Overview.

Journal of molecular neuroscience : MN
2022

SUFU haploinsufficiency causes a recognisable neurodevelopmental phenotype at the mild end of the Joubert syndrome spectrum.

Journal of medical genetics
2021

Maternal mosaicism for a missense variant in the SMS gene that causes Snyder-Robinson syndrome.

Cold Spring Harbor molecular case studies
2021

Prominent and Regressive Brain Developmental Disorders Associated with Nance-Horan Syndrome.

Brain sciences
2021

Anaesthesia and orphan disease: management of a case of Nicolaides-Baraitser syndrome undergoing cleft palate surgery.

BMC anesthesiology
2021

A homozygous mutation in the POMT2 gene in four siblings with limb-girdle muscular dystrophy 2N.

Turkish archives of pediatrics
2022

Maternal transmission of a mild Coffin-Siris syndrome phenotype caused by a SOX11 missense variant.

European journal of human genetics : EJHG
2021

Expanding the genotypic and phenotypic spectrum in a diverse cohort of 104 individuals with Wiedemann-Steiner syndrome.

American journal of medical genetics. Part A
2021

Third case of Duchenne muscular dystrophy and West syndrome: Expanding the spectrum of the DMD neuropsychiatric phenotype.

Neuromuscular disorders : NMD
2021

[Congenital myasthenic syndrome related to SLC25A1 gene variant: two cases report and literature review].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2020

Atypical presentation of Arts syndrome due to a novel hemizygous loss-of-function variant in the PRPS1 gene.

Molecular genetics and metabolism reports
2021

Basal Ganglia Dysmorphism in Patients With Aicardi Syndrome.

Neurology
2021

Genetic variations and clinical spectrum of dystroglycanopathy in a large cohort of Chinese patients.

Clinical genetics
2021

Locus heterogeneity in two siblings presenting with developmental delay, intellectual disability and autism spectrum disorder.

Gene
2021

Variants in NAA15 cause pediatric hypertrophic cardiomyopathy.

American journal of medical genetics. Part A
2020

Expanding the phenotype of cerebellar-facial-dental syndrome: Two siblings with a novel variant in BRF1.

American journal of medical genetics. Part A
2020

The first report of two homozygous sequence variants in FKRP and SELENON genes associated with syndromic congenital muscular dystrophy in Iran: Further expansion of the clinical phenotypes.

The journal of gene medicine
2020

The clinical-phenotype continuum in DYNC1H1-related disorders-genomic profiling and proposal for a novel classification.

Journal of human genetics
2020

Is heart transplantation a real option in patients with Duchenne syndrome? Inferences from a case report.

ESC heart failure
2020

Phenotypic spectrum and genetic analysis in the fatal cases of Schaaf-Yang syndrome: Two case reports and literature review.

Medicine
2020

A case report of an intermediate phenotype between congenital myasthenic syndrome and D-2- and L-2-hydroxyglutaric aciduria due to novel SLC25A1 variants.

BMC neurology
2020

Report of a de novo c.2605C > T (p.Pro869Ser) change in the MED13L gene and review of the literature for MED13L-related intellectual disability.

Italian journal of pediatrics
2020

Biallelic MFSD2A variants associated with congenital microcephaly, developmental delay, and recognizable neuroimaging features.

European journal of human genetics : EJHG
2020

Novel NtA and LG1 Mutations in Agrin in a Single Patient Causes Congenital Myasthenic Syndrome.

Frontiers in neurology
2020

A novel autosomal recessive lipodystrophy syndrome due to homozygous LMNA variant.

Journal of medical genetics
2020

A novel homozygous nonsense mutation of VPS13B associated with previously unreported features of Cohen syndrome.

American journal of medical genetics. Part A
2020

Primrose syndrome associated with unclassified immunodeficiency and a novel ZBTB20 mutation.

American journal of medical genetics. Part A
2019

Pancreatic Malnutrition in Children.

Pediatric annals
2020

The first two Chinese Myhre syndrome patients with the recurrent SMAD4 pathogenic variants: Functional consequences and clinical diversity.

Clinica chimica acta; international journal of clinical chemistry
2020

Just Expect It: Compound Heterozygous Variants of POMT1 in a Consanguineous Family-The Role of Next Generation Sequencing in Neuromuscular Disorders.

Neuropediatrics
2019

Two middle-aged women with the Finnish variant of muscle-eye-brain disease (MEB).

American journal of medical genetics. Part A
2019

The expanding phenotypes of cohesinopathies: one ring to rule them all!

Cell cycle (Georgetown, Tex.)
2019

Homozygous missense variant in BMPR1A resulting in BMPR signaling disruption and syndromic features.

Molecular genetics &amp; genomic medicine
2019

Isolated Unilateral Cerebellar Hemispheric Dysplasia: A Rare Entity.

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques
2019

Novel mutations in SLC16A2 associated with a less severe phenotype of MCT8 deficiency.

Metabolic brain disease
2019

Molecular Specialization of GABAergic Synapses on the Soma and Axon in Cortical and Hippocampal Circuit Function and Dysfunction.

Frontiers in molecular neuroscience
2019

Structural Magnetic Resonance Imaging-Based Brain Morphology Study in Infants and Toddlers With Down Syndrome: The Effect of Comorbidities.

Pediatric neurology
2019

Anesthetic management of a child with congenital Steiner syndrome scheduled for laparoscopic bilateral orchidopexy.

Revista espanola de anestesiologia y reanimacion
2019

Parent-of-Origin Effects in 15q11.2 BP1-BP2 Microdeletion (Burnside-Butler) Syndrome.

International journal of molecular sciences
2019

[ORAI1 variation induced combined immunodeficiency: a case report and literature review].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2019

Chromosomal Microarray Analysis as a First-Tier Clinical Diagnostic Test in Patients With Developmental Delay/Intellectual Disability, Autism Spectrum Disorders, and Multiple Congenital Anomalies: A Prospective Multicenter Study in Korea.

Annals of laboratory medicine
2019

OCRL deficiency impairs endolysosomal function in a humanized mouse model for Lowe syndrome and Dent disease.

Human molecular genetics
2019

Phenotypic spectrum associated with SPECC1L pathogenic variants: new families and critical review of the nosology of Teebi, Opitz GBBB, and Baraitser-Winter syndromes.

European journal of medical genetics
2019

Chanarin-Dorfman syndrome.

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
2018

Molecular genetics of the POMT1-related muscular dystrophy-dystroglycanopathies.

Mutation research. Reviews in mutation research
2018

NFIB Haploinsufficiency Is Associated with Intellectual Disability and Macrocephaly.

American journal of human genetics
2019

Monogenic forms of lipodystrophic syndromes: diagnosis, detection, and practical management considerations from clinical cases.

Current medical research and opinion
2018

[Clinical and genetic features of five patients with Allan-Herndon-Dudley syndrome].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2018

Novel de novo ZBTB20 mutations in three cases with Primrose syndrome and constant corpus callosum anomalies.

American journal of medical genetics. Part A
2018

Prematurity, ventricular septal defect and dysmorphisms are independent predictors of pathogenic copy number variants: a retrospective study on array-CGH results and phenotypical features of 293 children with neurodevelopmental disorders and/or multiple congenital anomalies.

Italian journal of pediatrics
2017

B3GALNT2 mutations associated with non-syndromic autosomal recessive intellectual disability reveal a lack of genotype-phenotype associations in the muscular dystrophy-dystroglycanopathies.

Genome medicine
2018

Electroclinical features of epilepsy associated with 1p36 deletion syndrome: A review.

Epilepsy research
2017

Gait disturbance and lower limb pain in a patient with PIK3CA-related disorder.

European journal of medical genetics
2017

Genotype-phenotype evaluation of MED13L defects in the light of a novel truncating and a recurrent missense mutation.

European journal of medical genetics
2017

Neutral Lipid Storage Diseases: clinical/genetic features and natural history in a large cohort of Italian patients.

Orphanet journal of rare diseases
2017

Mutations in INPP5K Cause a Form of Congenital Muscular Dystrophy Overlapping Marinesco-Sjögren Syndrome and Dystroglycanopathy.

American journal of human genetics
2017

High incidence of BSCL2 intragenic recombinational mutation in Peruvian type 2 Berardinelli-Seip syndrome.

American journal of medical genetics. Part A
2017

Wiedemann-Steiner Syndrome With 2 Novel KMT2A Mutations.

Journal of child neurology
2016

Recurrent de novo BICD2 mutation associated with arthrogryposis multiplex congenita and bilateral perisylvian polymicrogyria.

Neuromuscular disorders : NMD
2016

Biallelic Mutations in TMTC3, Encoding a Transmembrane and TPR-Containing Protein, Lead to Cobblestone Lissencephaly.

American journal of human genetics
2016

Biallelic IARS Mutations Cause Growth Retardation with Prenatal Onset, Intellectual Disability, Muscular Hypotonia, and Infantile Hepatopathy.

American journal of human genetics
2016

Temporomandibular joint ankylosis as part of the clinical spectrum of Carey-Fineman-Ziter syndrome?

American journal of medical genetics. Part A
2016

The role of objective facial analysis using FDNA in making diagnoses following whole exome analysis. Report of two patients with mutations in the BAF complex genes.

American journal of medical genetics. Part A
2016

Novel de novo mutations in ZBTB20 in Primrose syndrome with congenital hypothyroidism.

American journal of medical genetics. Part A
2016

The oculocerebrorenal syndrome of Lowe: an update.

Pediatric nephrology (Berlin, Germany)
2016

A structured assessment of motor function and behavior in patients with Kleefstra syndrome.

European journal of medical genetics
2015

[Neurological prognosis of floppy infants after health examinations].

No to hattatsu = Brain and development
2016

A recurrent germline mutation in the PIGA gene causes Simpson-Golabi-Behmel syndrome type 2.

American journal of medical genetics. Part A
2015

Beyond Ohdo syndrome: A familial missense mutation broadens the MED12 spectrum.

American journal of medical genetics. Part A
2015

GMPPB-Associated Dystroglycanopathy: Emerging Common Variants with Phenotype Correlation.

Human mutation
2015

Treatment of congenital thyroid dysfunction: Achievements and challenges.

Best practice &amp; research. Clinical endocrinology &amp; metabolism
2016

A novel phenotype in N-glycosylation disorders: Gillessen-Kaesbach-Nishimura skeletal dysplasia due to pathogenic variants in ALG9.

European journal of human genetics : EJHG
2015

Cylindrical spirals associated with severe congenital muscle weakness and epileptic encephalopathy.

Muscle &amp; nerve
2015

Xp21 deletion in female patients with intellectual disability: Two new cases and a review of the literature.

European journal of medical genetics
2015

Redefining the MED13L syndrome.

European journal of human genetics : EJHG

Associações

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Ordenadas pelo número de sintomas em comum.

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.

  1. Neuronal Heterotopy in a Patient with Wiedemann-Steiner Syndrome Caused by a Truncating KMT2A Variant: Clinical and Genetic Correlations.
    Reports (MDPI)· 2026· PMID 41718288mais citado
  2. Congenital adrenal hypoplasia with neurodevelopmental delay due to contiguous Xp21 deletion: a case series with review of literature.
    Endocrine journal· 2026· PMID 41285479mais citado
  3. Prominent U-waves without QT prolongation in X-linked creatine transporter deficiency caused by SLC6A8 variants.
    Heart rhythm· 2026· PMID 41242588mais citado
  4. Application of the Gross Motor Function Measure in children with conditions other than cerebral palsy: A systematic review.
    Developmental medicine and child neurology· 2025· PMID 40813751mais citado
  5. Profile of Musculoskeletal Anomalies in Indian Children with Down Syndrome.
    Indian pediatrics· 2025· PMID 40193031mais citado
  6. Biallelic loss-of-function variants in CACHD1 cause a novel neurodevelopmental syndrome with facial dysmorphism and multisystem congenital abnormalities.
    Genet Med· 2024· PMID 38158856recente
  7. De novo missense variants in phosphatidylinositol kinase PIP5KIγ underlie a neurodevelopmental syndrome associated with altered phosphoinositide signaling.
    Am J Hum Genet· 2023· PMID 37451268recente
  8. Progeroid syndrome of De Barsy - a case report and review of ophthalmic literature.
    Ophthalmic Genet· 2023· PMID 36524384recente
  9. Novel truncating variants in FGD1 detected in two Danish families with Aarskog-Scott syndrome and myopathic features.
    Am J Med Genet A· 2022· PMID 35388608recente
  10. BRPF1-associated syndrome: A patient with congenital ptosis, neurological findings, and normal intellectual development.
    Am J Med Genet A· 2022· PMID 35243762recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:662184(Orphanet)
  2. OMIM OMIM:617404(OMIM)
  3. MONDO:0024607(MONDO)
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)

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

Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual
Compêndio · Raras BR

Síndrome de distrofia muscular congênita-catarata-transtorno do desenvolvimento intelectual

ORPHA:662184 · MONDO:0024607
🇧🇷 Brasil SUS
Internações
2.340/ano
Prevalência BR
1:3500 (homens)
Custo SUS
R$ 6.780/internação
Dados
DATASUS 2024
Geral
Prevalência
<1 / 1 000 000
Casos
23 casos conhecidos
Herança
Autosomal recessive
CID-10
G71.0 · Distrofia muscular
Início
Childhood, Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C5925130
Wikipedia
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