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X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome
ICD-10 Codes
Related ICD-10:
Description
X-linked Intellectual Disability-Cardiomegaly-Congestive Heart Failure Syndrome
This rare genetic disorder is characterized by a combination of intellectual disability, delayed psychomotor development, seizures, large joint contractures, and cardiomegaly (enlarged heart) leading to congestive heart failure.
- Intellectual Disability: Individuals with this syndrome typically have significant cognitive impairment, ranging from mild to severe [1][2].
- Delayed Psychomotor Development: Affected individuals often experience delayed development of motor skills, such as walking and talking [3].
- Seizures: Seizure activity is a common feature of this syndrome, affecting many individuals with varying frequencies and severities [4].
- Large Joint Contractures: Individuals with X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome often experience contractures (stiffening) of large joints, such as elbows and knees [5][6].
- Cardiomegaly and Congestive Heart Failure: The enlarged heart leads to congestive heart failure, which can result in symptoms like shortness of breath, fatigue, and swelling in the legs and feet [7].
This syndrome is inherited in an X-linked recessive pattern, meaning it primarily affects males who have only one X chromosome. Females with this condition are typically carriers, as they have two X chromosomes that can compensate for the mutated gene [8][9].
References: [1] - Context 1: Clinical features ยท Abnormality of the cardiovascular system. Cardiomegaly. [2] - Context 4: Definition: A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures... [3] - Context 5: A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures... [4] - Context 2: A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures... [5] - Context 8: A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures... [6] - Context 9: Description. A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures... [7] - Context 3: X-Linked Intellectual Disability-Cardiomegaly-Congestive Heart Failure Syndrome ... Additional features include facial dysmorphism, notably large ears with ... [8] - Context 7: X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome. Term ID: DOID:0060828; Synonyms. mental retardation, X-linked, syndromic [9] - Context 6: Disease Ontology Definition:A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development...
Additional Characteristics
- Seizures
- Intellectual Disability
- Delayed Psychomotor Development
- Large Joint Contractures
- Cardiomegaly and Congestive Heart Failure
Signs and Symptoms
Symptoms of X-linked Intellectual Disability-Cardiomegaly-Congestive Heart Failure Syndrome
X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome is a rare genetic disorder characterized by various physical and developmental symptoms. The following are some of the common signs and symptoms associated with this condition:
- Intellectual Disability: Individuals with X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome often have profound intellectual disability, which means they may have significant difficulties with learning, communication, and problem-solving [1].
- Global Developmental Delay: This condition is also characterized by global developmental delay, which refers to a significant delay in the development of physical, cognitive, and emotional skills [2].
- Absent Speech: Many individuals with X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome have absent speech or severe communication difficulties [3].
- Seizures: Seizures are another common symptom associated with this condition [4].
- Large Joint Contractures: Individuals with X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome may also experience large joint contractures, which refer to a permanent shortening of the joints [5].
- Abnormal Positioning of Thumbs: This condition is further characterized by abnormal positioning of thumbs, which can be a distinctive feature in some cases [6].
- Cardiomegaly and Atrioventricular Valve Abnormalities: The syndrome also involves cardiomegaly (enlarged heart) and atrioventricular valve abnormalities, which can lead to congestive heart failure [7].
These symptoms often become apparent during childhood or adolescence, although the exact age of onset may vary depending on individual cases. It's essential for parents or caregivers to seek medical attention if they notice any unusual signs or symptoms in their child.
References:
[1] Context 2 [2] Context 9 [3] Context 15 [4] Context 2 [5] Context 15 [6] Context 13 [7] Context 13
Additional Symptoms
- Seizures
- Intellectual Disability
- Global Developmental Delay
- Large Joint Contractures
- Absent Speech
- Abnormal Positioning of Thumbs
- Cardiomegaly and Atrioventricular Valve Abnormalities
Diagnostic Tests
Diagnostic Tests for X-linked Intellectual Disability-Cardiomegaly-Congestive Heart Failure Syndrome
There are several diagnostic tests available to identify X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome. Here are some of the tests mentioned in the search results:
- Clinical tests: 11 clinical tests are available for this condition, including molecular genetics tests (Source: [1])
- Genetic testing: Genetic testing is recommended to confirm the diagnosis of X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome. This test can help identify the genetic mutation responsible for the condition (Source: [5])
- Exercise testing: Exercise testing is a widely used method to identify myocardial ischemia and estimate maximal aerobic capacity (Source: [10])
It's worth noting that while these tests are available, access to them may vary depending on the location and healthcare system. Additionally, a comprehensive diagnosis of X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome requires a multidisciplinary approach involving medical professionals from various specialties.
References
[1] Clinical tests (11 available). Molecular Genetics Tests. [5] X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome? [10] Exercise testing is the most widely used testing for identifying the presence of myocardial ischemia and for estimating maximal aerobic capacity (usually ...
Additional Diagnostic Tests
- Genetic testing
- Clinical tests
- Exercise testing
Treatment
Based on the search results, it appears that there is limited information available on the specific treatment for X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome. However, I can provide some general information on the treatment of related conditions.
Treatment Overview
The treatment for Danon disease, which is a similar condition characterized by cardiomegaly and congestive heart failure, typically involves:
- Implantable cardioverter defibrillator (ICD) to treat symptoms of arrhythmia [6]
- Holter monitor to record your heart rhythm and detect any irregularities
- Medications such as beta-blockers to manage heart rate and blood pressure
Other Considerations
It's worth noting that the treatment for X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome may involve a multidisciplinary approach, including:
- Cardiac specialists to manage heart-related symptoms
- Neurologists or psychologists to address cognitive and developmental delays
- Genetic counselors to provide guidance on family planning and genetic testing
Current Research
While there is limited information available on the specific treatment for X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome, researchers are exploring new therapies and treatments through advances in cell and gene therapy and pharmaceuticals [5].
Please note that this information is based on a general understanding of related conditions and may not be directly applicable to X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome. If you have specific questions or concerns, I recommend consulting with a qualified healthcare professional for personalized guidance.
References:
[5] - [number 5 in the context] [6] - [number 6 in the context]
Recommended Medications
- Implantable cardioverter defibrillator (ICD)
- Holter monitor
- Medications such as beta-blockers
๐ Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis
X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome is a rare genetic disorder, and its differential diagnosis involves considering other conditions that may present with similar symptoms. Some of the conditions that should be considered in the differential diagnosis include:
- Danon Disease: Also known as Primary LAMP-2 Deficiency, this is an X-linked condition characterized by cardiomyopathy, myopathy, and intellectual disability [1]. It is caused by mutations in the LAMP2 gene.
- Barth Syndrome: This is another X-linked condition that presents with cardiomegaly, congestive heart failure, and intellectual disability [3].
- CFC syndrome: Also known as Cardiac, Facial, and Cerebral Abnormalities syndrome, this is a rare X-linked disorder characterized by intellectual disability, cardiac abnormalities, and facial dysmorphism [4].
- NAA10-related syndrome: This is an X-linked condition that presents with a broad spectrum of findings, including intellectual disability, cardiomyopathy, and other systemic features [6].
Key Features to Consider
When considering the differential diagnosis for X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome, it is essential to consider the following key features:
- Cardiac abnormalities: All of the conditions mentioned above present with cardiac abnormalities, including cardiomyopathy and congestive heart failure.
- Intellectual disability: Intellectual disability is a common feature in all these conditions.
- X-linked inheritance pattern: All these conditions are inherited in an X-linked manner, meaning they are caused by mutations on the X chromosome.
References
[1] Primary LAMP-2 Deficiency Causes X-Linked Vacuolar Cardiomyopathy and Myopathy (Danon Disease) [2] [3] Barth Syndrome: An X-Linked Cause of Fetal Congestive Heart Failure [3] [4] CFC syndrome was first described in 1986, based on the observation of eight unrelated patients who had intellectual disability and similar abnormalities in cardiac and facial features [4] [5] NAA10-related syndrome is an X-linked condition with a broad spectrum of findings ranging from a severe phenotype in males to milder symptoms in females [6]
Note: The above answer is based on the search results provided, which include brief descriptions of various conditions that may be relevant to the differential diagnosis of X-linked intellectual disability-cardiomegaly-congestive heart failure syndrome.
Additional Differential Diagnoses
Additional Information
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- IAO_0000115
- A syndromic X-linked intellectual disability characterized by intellectual disability, delayed psychomotor development, seizures, large joint contractures, cardiac abnormalities, and abnormal positioning of the thumbs that has_material_basis_in mutation in the CLIC2 gene on chromosome Xq28.
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- relatedICD
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- t345800
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