Uma associação de malformações (problemas na formação do corpo) extremamente rara, descrita em apenas dois irmãos até o momento, e caracterizada pela Doença de Hirschsprung (que é quando uma parte do intestino grosso não tem as células nervosas necessárias, com extensão variável na parte final, o que causa sintomas de obstrução intestinal como prisão de ventre e inchaço na barriga), polidactilia (dedos extras nas mãos e/ou nos pés), falta de um rim, olhos muito espaçados e surdez de nascença. Não houve mais descrições na literatura desde 1988.
Introdução
O que você precisa saber de cara
Uma associação de malformações (problemas na formação do corpo) extremamente rara, descrita em apenas dois irmãos até o momento, e caracterizada pela Doença de Hirschsprung (que é quando uma parte do intestino grosso não tem as células nervosas necessárias, com extensão variável na parte final, o que causa sintomas de obstrução intestinal como prisão de ventre e inchaço na barriga), polidactilia (dedos extras nas mãos e/ou nos pés), falta de um rim, olhos muito espaçados e surdez de nascença. Não houve mais descrições na literatura desde 1988.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 1 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 11 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 doença Hirschsprung-surdez-polidactilia
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
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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.
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Mowat-Wilson Syndrome (MWS) is an autosomal dominant genetic disorder caused by heterozygous mutations or deletions in the Zinc finger E-box-binding homeobox 2 (ZEB2) gene. Congenital anomalies of the kidney and urinary tract (CAKUT), including hydroureter and hydronephrosis, have been reported in patients with MWS. However, the role of the ZEB2 gene in urinary tract development and the cellular and molecular mechanisms underlying the CAKUT phenotypes in MWS remain unknown. In this study, we examined ZEB2 expression in the developing mouse ureter and generated Zeb2 ureteral mesenchyme-specific conditional knockout mice (Zeb2 cKO) by crossing Zeb2 floxed mice with Tbx18Cre+ mice. The urinary tract of Zeb2 cKO mice and their wild-type littermates was analyzed for morphological and histological changes. Our results show that ZEB2 is expressed in TBX18+ ureteral mesenchymal cells during mouse ureter development. Deleting Zeb2 in these cells caused hydroureter and hydronephrosis, indicating obstructive uropathy. Cellular and molecular marker analysis revealed that the TAGLN+ACTA2+ ureteral smooth muscle cell (SMC) layer was absent in Zeb2 cKO mice. In contrast, the tunica adventitia cell layer was significantly expanded compared to controls. At the molecular level, Zeb2 cKO mice had significantly decreased TBX18 expression but increased SOX9 expression in the developing ureter compared to wild-type controls. Our findings demonstrate that ZEB2 is crucial for normal ureteral SMC differentiation during ureter development. Additionally, our study suggests that MWS patients may have abnormal ureteral SMC development, which contributes to the abnormalities of the urinary tract.
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Total Colonic and Small Bowel Aganglionosis (TCSA) is a severe form of Hirschsprung Disease (<10% of cases). Surgical gold standard is Pull-Through (P-T) procedure. After P-T, in selected cases, an unplanned ileostomy could be required to cope with poor bowel control. Aim of this study is to investigate unplanned ileostomies in TCSA. A retrospective observational cohort study was performed. Charts of all TCSA patients admitted between 2017 and 2025 were reviewed. Patients requiring an unplanned ileostomy were identified. Data regarding clinical features, surgical management and outcomes before and after stoma fashioning were collected. Twelve percent (8/69) of TCSA patients required an unplanned ileostomy; 6(6/8,75%) had a syndrome with intellectual disability (ID). Considering the entire cohort, all patients with Down Syndrome (5/5) and 50%(1/2) of patients with Mowat-Wilson required an ileostomy. Median age at ileostomy was 9.3 (IQR 6.75) years. Seven patients (87.5%) required an ileostomy due to a severe perineal rash, one to treat a sever Crohn-like ileitis. ID was significantly associated with ileostomy at univariate and multivariate analysis (OR respectively 105 and 48, p< 0.001).All patients with ID and 50% of those without ID did report complete symptoms resolution after ileostomy fashioning. This is the first study quantifying and investigating the causes of unplanned ileostomies in TCSA. ID is a major risk factor for an unplanned ileostomy. An exhaustive counseling should be given to parents of patients with syndromic ID, emphasizing a considerable probability of a potentially definitive ileostomy and the uselessness of a P-T.
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International medical case reports journalContrast Enema: Solving Diagnostic Dilemmas in Neonates With Lower Intestinal Obstruction.
CureusLife threatening congenital hydropericardium in a newborn with Down syndrome, transient abnormal myelopoiesis, Hirschsprung disease and a ventricular septal defect.
Kardiologia polskaCongenital Central Hypoventilation Syndrome: Optimizing Care with a Multidisciplinary Approach.
Journal of multidisciplinary healthcareWaardenburg-Shah syndrome rare and challenging case report from Somalia.
International journal of surgery case reportsRET receptor signaling: Function in development, metabolic disease, and cancer.
Proceedings of the Japan Academy. Series B, Physical and biological sciencesHirschsprung disease in Down syndrome: An opportunity for improvement.
Journal of pediatric surgeryCartilage-hair hypoplasia with T-cell dysfunction.
Pediatrics international : official journal of the Japan Pediatric SocietyPresumptive Diagnosis of Pallister-Hall Syndrome Using Magnetic Resonance Imaging.
CureusTotal colonic aganglionosis with ileum extension Hirschsprung's disease in an adult: A case report.
International journal of surgery case reportsPostoperative hyperthermia-induced multiple organ failure in a child with Down syndrome: a case report.
Journal of medical case reportsCongenital anomalies of the tubular gastrointestinal tract.
PathologicaA Network of Anomalies Prompting VACTERL Workup in a Trisomy 21 Newborn.
CureusOutcome of Total Colonic Aganglionosis Involving the Small Bowel Depends on Bowel Length, Liver Disease, and Enterocolitis.
Journal of pediatric gastroenterology and nutritionImmunologic Heterogeneity in 2 Cartilage-Hair Hypoplasia Patients With a Distinct Clinical Course.
Journal of investigational allergology & clinical immunologyEarly Use of Everolimus as a Third Immunosuppressive Agent for Intestinal Transplantation: A Report of 2 Cases.
Transplantation proceedingsMowat-Wilson syndrome presenting with Shone's complex cardiac anomaly.
BMJ case reportsSonographic findings of total colonic aganglionosis in a neonate with Haddad syndrome: A case report.
Journal of clinical ultrasound : JCU[Analysis of ZEB2 gene variation in two patients with Mowat-Wilson syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsGastrointestinal Emergency in Neonates and Infants: A Pictorial Essay.
Korean journal of radiologyStercoral ulcer after Hirschsprung's disease surgery.
Clinical case reportsThe role of GSTM1 gene polymorphism in pathophysiology, evaluation, and management of constipation of anorectal outlet obstruction.
Cellular and molecular biology (Noisy-le-Grand, France)[Etiological analysis and surgical method selection of adult megacolon].
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgeryAssociações
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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.
- Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.
- Transcription factor ZEB2 is essential for ureteral smooth muscle cell differentiation.
- Hirschsprung Disease on Fetal Autopsy Leading to the Diagnosis of Congenital Central Hypoventilation Syndrome in a Stillborn Fetus.
- Airway Obstruction as the First Clue: Syndromic Neurocristopathy With Neuroblastoma, Hirschsprung Disease, and PHOX2B Mutation in a Neonate.
- Definitive ileostomy in Total Colonic Aganglionosis: results and considerations from a single-center experience.
- Phenotypic spectrum of RNU4ATAC-related spliceosomopathies: four novel cases and integrated reevaluation of previously reported patients.
- The Human Phenotype Ontology in 2024: phenotypes around the world.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:2155(Orphanet)
- OMIM OMIM:235740(OMIM)
- MONDO:0009342(MONDO)
- GARD:157(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55781934(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
