atelosteogenesis type I
{{Infobox medical condition (new)
| name = Atelosteogenesis type I
| synonyms = Spondylo-humero-femoral dysplasia
| image = Autosomal dominant - en.svg
| caption = Autosomal dominant pattern is the inheritance manner of this condition
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| field = Medical genetics
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Atelosteogenesis type I is a rare autosomal dominant condition.{{cite journal | last1=Sillence | first1=D. | last2=Worthington | first2=S. | last3=Dixon | first3=J. | last4=Osborn | first4=R. | last5=Kozlowski | first5=K. | title=Atelosteogenesis syndromes: a review, with comments on their pathogenesis | journal=Pediatric Radiology | publisher=Springer Science and Business Media LLC | volume=27 | issue=5 | date=1997-05-13 | issn=0301-0449 | doi=10.1007/s002470050154 | pages=388–396| pmid=9133349 }} This condition is evident at birth and is associated with a very poor prognosis for the baby. It may be diagnosed antenatally.
Signs and symptoms
- Abnormal facies
- Prominent forehead
- Hypertelorism
- Depressed nasal bridge with a grooved tip
- Micrognathia
- Cleft palate
- Severe short limbed dwarfism
- Joint dislocations (hip, knee and elbow joints)
- Club feet
- Cardiorespiratory failure
Cardiorespiratory failure is due to pulmonary hypoplasia or tracheobronchial hypoplasia.{{cite journal | last1=Wessels | first1=Annasu | last2=Wainwright | first2=Helen C. | last3=Beighton | first3=Peter | title=Atelosteogenesis Type I: Autopsy Findings | journal=Pediatric and Developmental Pathology | publisher=SAGE Publications | volume=14 | issue=6 | year=2011 | issn=1093-5266 | doi=10.2350/11-01-0969-cr.1 | pages=496–500| pmid=21985323 }}
Causes
This condition is caused by mutations in the filamin B (FLNB) gene.{{cite journal | last1=Farrington-Rock | first1=Claire | last2=Firestein | first2=Marc H. | last3=Bicknell | first3=Louise S. | last4=Superti-Furga | first4=Andrea | last5=Bacino | first5=Carlos A. | last6=Cormier-Daire | first6=Valerie | last7=Le Merrer | first7=Martine | last8=Baumann | first8=Clarisse | last9=Roume | first9=Joelle | last10=Rump | first10=Patrick | last11=Verheij | first11=Joke B.G.M. | last12=Sweeney | first12=Elizabeth | last13=Rimoin | first13=David L. | last14=Lachman | first14=Ralph S. | last15=Robertson | first15=Stephen P. | last16=Cohn | first16=Daniel H. | last17=Krakow | first17=Deborah | title=Mutations in two regions ofFLNBresult in atelosteogenesis I and III | journal=Human Mutation | publisher=Hindawi Limited | volume=27 | issue=7 | year=2006 | issn=1059-7794 | doi=10.1002/humu.20348 | pages=705–710| pmid=16752402 }}{{cite journal | last1=Li | first1=Ben C. | last2=Hogue | first2=Jacob | last3=Eilers | first3=Meg | last4=Mehrotra | first4=Pavni | last5=Hyland | first5=James | last6=Holm | first6=Tara | last7=Prosen | first7=Tracy | last8=Slavotinek | first8=Anne M. | title=Clinical report: Two patients with atelosteogenesis type I caused by missense mutations affecting the same FLNB residue | journal=American Journal of Medical Genetics Part A | volume=161 | issue=3 | date=2013 | issn=1552-4825 | doi=10.1002/ajmg.a.35792 | pages=619–625| pmid=23401428 }}{{cite journal | last1=Jeon | first1=Ga Won | last2=Lee | first2=Mi-Na | last3=Jung | first3=Ji Mi | last4=Hong | first4=Seong Yeon | last5=Kim | first5=Young Nam | last6=Sin | first6=Jong Beom | last7=Ki | first7=Chang-Seok | title=Identification of a De Novo Heterozygous Missense FLNB Mutation in Lethal Atelosteogenesis Type I by Exome Sequencing | journal=Annals of Laboratory Medicine | volume=34 | issue=2 | date=2014-03-01 | issn=2234-3806 | pmid=24624349 | pmc=3948826 | doi=10.3343/alm.2014.34.2.134 | pages=134–138}}
Diagnosis
This condition is evident at birth and may be diagnosed antenatally with ultrasound or magnetic resonance imaging. The infants may be still born. Those that are live born do not survive long.{{cite journal |last1=Stevenson |first1=R.E |last2=Wilkes |first2=G |title=Atelosteogenesis with survival beyond the neonatal period |journal=Proc. Greenwood Genet. Center 2 |date=1983 |pages=32–38}}
- Severe platyspondyly
- Distally tapered, shortened, incomplete or absent humeri and femurs
- Shortened or bowed radii, ulnas and tibias
- Hypoplastic pelvis and fibulas
- Deficient ossification of the metacarpals, middle and proximal phalanges
=Differential diagnosis=
Treatment
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Epidemiology
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History
This condition was first described by Maroteaux et al. in 1982.{{cite journal | last1=Maroteaux | first1=P. | last2=Spranger | first2=J. | last3=Stanescu | first3=V. | last4=Le Marec | first4=B. | last5=Pfeiffer | first5=R. A. | last6=Beighton | first6=P. | last7=Mattei | first7=J. F. | last8=Opitz | first8=John M. | title=Atelosteogenesis | journal=American Journal of Medical Genetics | publisher=Wiley | volume=13 | issue=1 | year=1982 | issn=0148-7299 | doi=10.1002/ajmg.1320130106 | pages=15–25| pmid=7137218 }}
References
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