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autosomal dominant cutis laxa 2

ICD-10 Codes

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Description

Autosomal Dominant Cutis Laxa (ADCL) is a rare genetic disorder characterized by loose skin, typical facial features, inguinal hernias, and aortic root dilatation [8]. The condition is caused by mutations in the ELN gene, which codes for elastin, a protein essential for skin elasticity [5].

Individuals with ADCL often present with wrinkled, redundant, and sagging inelastic skin, similar to premature aging [7]. They may also experience growth and developmental delays, as well as other systemic features such as inguinal hernias and aortic root dilatation [9].

The facial characteristics of individuals with ADCL typically include a flat face, prominent forehead, and a narrow nose [8]. Inguinal hernias are a common feature in both children and adults with ADCL.

It's worth noting that ADCL is a rare condition, and its exact prevalence is unknown. However, it is considered to be one of the most severe forms of cutis laxa, with significant impact on quality of life [5].

References: [8] by S Hadj-Rabia · 2013 · Cited by 49 [5] by S Gara · 2022 · Cited by 8 [7] [9]

Additional Characteristics

  • Prominent forehead
  • Loose skin
  • Wrinkled, redundant, and sagging inelastic skin
  • Inguinal hernias
  • Aortic root dilatation
  • Flat face
  • Narrow nose
  • Growth and developmental delays

Signs and Symptoms

Autosomal dominant cutis laxa type 2 (ADCL2) is a rare genetic disorder that affects the skin and other connective tissues in the body. The specific signs and symptoms present can vary greatly depending on the individual, but here are some common features associated with ADCL2:

  • Loose hanging skin: One of the hallmark signs of ADCL2 is loose, sagging skin, particularly around the face, neck, arms, legs, and torso [1].
  • Facial involvement: Facial changes are universal in individuals with ADCL2, including down-slanting palpebral fissures, a broad flat nasal bridge, short nose with anteverted nostrils, and large ears [8].
  • Skin elasticity loss: The skin loses its elasticity, making it appear loose and redundant [12].
  • Systemic involvement: In some cases, ADCL2 can also affect other organs and systems in the body, such as the cardiovascular, respiratory, and gastrointestinal systems [6].

It's worth noting that the severity and progression of symptoms can vary greatly from person to person, even within the same family. Some individuals may experience mild symptoms, while others may have more severe manifestations.

References:

[1] - Context result 4 [6] - Context result 6 [8] - Context result 8 [12] - Context result 12

Additional Symptoms

  • Loose hanging skin
  • Facial involvement
  • Skin elasticity loss
  • Systemic involvement

Diagnostic Tests

Based on the provided context, here are the diagnostic tests for autosomal dominant cutis laxa:

  • Clinical examination: A thorough physical examination is essential to diagnose autosomal dominant cutis laxa. The clinical features of this condition include loose and sagging skin, particularly in the face, neck, and hands [1].
  • Family history: A family history of cutis laxa or other similar conditions can support the diagnosis of autosomal dominant cutis laxa [4].
  • Skin biopsies: Histological analysis of skin biopsies is crucial to confirm the diagnosis. The characteristic findings include sparse, fragmented elastic fibers in the dermis [2].
  • Genetic testing: Genetic testing can confirm the diagnosis and identify the specific gene mutation responsible for autosomal dominant cutis laxa. This test is particularly useful when there is a family history of the condition or when the clinical features are suggestive of this disorder [7].

It's worth noting that genetic testing may not be necessary in all cases, especially if the clinical features are typical and there is no family history of the condition.

References: [1] - Context result 3 [2] - Context result 6 [4] - Context result 4 [7] - Context result 7

Additional Diagnostic Tests

  • Genetic testing
  • Clinical examination
  • Skin biopsies
  • Family history

Treatment

Based on the context provided, it appears that there is limited information available on the specific treatment for autosomal dominant cutis laxa (ADCL). However, I can provide some general information on the management and treatment options for this condition.

Management of ADCL

While there is no cure for ADCL, the symptoms and complications associated with this condition can be managed through various treatments. According to search result [6], the management of manifestations includes:

  • No specific treatment exists to prevent disease progression.
  • Treatment is directed at managing any complications that may arise.

Treatment Options

According to search result [9], dapsone can be used acutely to control swelling in persons with acquired cutis laxa. However, it is essential to note that this information might not be directly applicable to ADCL, as the context specifically mentions autosomal dominant cutis laxa.

Unfortunately, there is limited information available on the specific treatment options for ADCL. Further research and studies are needed to determine effective treatments for this condition.

Current Research

A study published in [2] highlights the importance of further research into the causes and treatment options for cutis laxa, including ADCL. The authors emphasize the need for more comprehensive studies to understand the underlying mechanisms of this condition and to develop targeted therapies.

In summary, while there is no specific treatment available for autosomal dominant cutis laxa (ADCL), management of symptoms and complications can be achieved through various treatments. Further research is necessary to determine effective treatments for this condition.

References:

[2] by S Gara · 2022 · Cited by 8 — Cutis laxa, also known as elastolysis, encompasses a spectrum of rare connective tissue disorders characterized by lax, redundant, and/or inelastic skin, as ...

[6] Apr 26, 2024 — There is no cure for cutis laxa, but symptoms and complications can managed with medications and surgery. ... Autosomal dominant cutis laxa (ADCL) ...

[9] Mar 4, 2022 — Treatment. No treatment exists to prevent disease progression, although dapsone can be used acutely to control swelling in persons with acquired ...

Recommended Medications

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Differential Diagnosis

The differential diagnosis for autosomal dominant cutis laxa (ADCL) includes other forms of cutis laxa, such as:

  • Autosomal recessive cutis laxa (ARCL)
  • X-linked cutis laxa
  • Gerodermia osteodysplastica
  • Wrinkly skin syndrome

These conditions can present with similar clinical features to ADCL, including loose and redundant skin. However, they may also have additional characteristics that distinguish them from ADCL.

Key points to consider:

  • Autosomal recessive cutis laxa (ARCL): This form of cutis laxa tends to be more severe than ADCL and is often associated with other systemic features.
  • X-linked cutis laxa: This condition is a rare genetic disorder that affects the skin and joints, and can present with similar clinical features to ADCL.
  • Gerodermia osteodysplastica: This is a rare genetic disorder characterized by loose and redundant skin, as well as skeletal abnormalities.
  • Wrinkly skin syndrome: This condition presents with wrinkled skin that resembles aged skin, but without the associated systemic features.

References:

  • [3] The differential diagnosis may include other forms of CL (ARC1 and ARCL2, and X-linked CL) and related syndromes (gerodermia osteodysplastica, wrinkly skin syndrome ...
  • [6] Differential diagnoses should include other forms of CL (ARCL type 1, autosomal dominant CL and X-linked CL), as well as the ...

Additional Differential Diagnoses

Additional Information

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