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autosomal recessive cutis laxa type IIB
ICD-10 Codes
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Description
Autosomal recessive cutis laxa type II (ARCL2) is a rare genetic disorder characterized by several distinct features.
Cutis Laxa: The most notable feature of ARCL2 is the presence of cutis laxa, which refers to skin that is loose, wrinkled, sagging, redundant, and lacking elasticity [4]. This can lead to a range of symptoms, including skin folds, wrinkles, and a general appearance of aged or worn-out skin.
Abnormal Growth: Individuals with ARCL2 often experience abnormal growth patterns, which can manifest as delayed development, short stature, or other growth-related issues [1][9].
Developmental Delay: Developmental delay is another common feature of ARCL2, which can affect various aspects of a person's life, including cognitive and motor skills [2].
Other Features: In addition to the above-mentioned features, people with ARCL2 may also experience other symptoms, such as:
- Abnormal head or neck shape
- Bulbous nose
- Arachnodactyly (long fingers)
- Clubfoot
- Vascular tortuosity (twisted blood vessels) [6][7]
Severity and Variability: It's essential to note that the severity and variability of ARCL2 can differ significantly from one individual to another. Some people may experience mild symptoms, while others may have more severe manifestations of the disorder.
Overall, autosomal recessive cutis laxa type II is a rare and complex genetic condition that affects multiple aspects of an individual's life.
Additional Characteristics
- loose, wrinkled, sagging, redundant skin lacking elasticity
- abnormal growth patterns (delayed development, short stature)
- developmental delay affecting cognitive and motor skills
- abnormal head or neck shape
- bulbous nose
- arachnodactyly (long fingers)
- clubfoot
- vascular tortuosity (twisted blood vessels)
Signs and Symptoms
Autosomal recessive cutis laxa type II (ARCL2) is a rare genetic disorder characterized by several distinct signs and symptoms. Some of the key features include:
- Cutis laxa: The skin is loose, wrinkled, sagging, redundant, and lacking elasticity.
- Variable severity: The severity of cutis laxa can vary significantly among affected individuals.
- Abnormal growth: Affected children may experience abnormal growth patterns, which can manifest as short stature or delayed development.
- Developmental delay: Individuals with ARCL2 often experience developmental delays, which can affect various aspects of their physical and cognitive development.
- Intellectual disability: Some people with autosomal recessive cutis laxa type II may have intellectual disabilities, although the severity can vary.
It's worth noting that the phenotype of ARCL2 can be quite variable, and not all affected individuals will exhibit all of these features. However, these signs and symptoms are commonly associated with this condition.
References:
- [3] describes the characteristics of autosomal recessive cutis laxa type 2B, which is similar to ARCL2.
- [8] mentions the phenotype of ARCL2, including cutis laxa of variable severity, abnormal growth, developmental delay, and intellectual disability.
- [9] provides additional information on the facial features and intellectual disability associated with autosomal recessive cutis laxa type II.
Additional Symptoms
- Intellectual disability
- Developmental delay
- Abnormal growth
- Cutis laxa
- Variable severity of cutis laxa
Diagnostic Tests
Autosomal Recessive Cutis Laxa Type IIB (ARCL-TIIB) is a rare genetic disorder characterized by loose, wrinkled, and sagging skin due to connective tissue involvement. Diagnostic tests for ARCL-TIIB are crucial for accurate diagnosis and management of the condition.
Diagnostic Tests:
- Clinical Genetic Test: A clinical genetic test can be offered by HNL Genomics or Laboratorio de Genetica Clinica SL to diagnose ARCL-TIIB. These tests analyze the genetic material to identify mutations associated with the disorder [1][7].
- Physical and Developmental Examination: A thorough physical and developmental examination is essential for diagnosing ARCL-TIIB. This includes assessing skin elasticity, wrinkling, and sagging, as well as evaluating overall development and growth patterns [3].
- Skeletal Surveys: Skeletal surveys are also an important diagnostic tool for ARCL-TIIB. These studies can help identify any skeletal abnormalities or deformities associated with the disorder [3].
- Imaging Studies: Imaging studies such as echocardiogram and ECG may be performed to assess cardiac function and detect any potential complications [10].
- Histological Analysis of Skin Biopsies: Histological analysis of skin biopsies can provide valuable information about the condition of the skin and underlying connective tissue. This test is essential for confirming the diagnosis of ARCL-TIIB [3].
Genetic Analysis:
Genetic analysis is a crucial diagnostic tool for ARCL-TIIB. It involves analyzing the genetic material to identify mutations associated with the disorder. This can be done through various methods, including PCR (Polymerase Chain Reaction) and sequencing [7][8].
In conclusion, diagnosing Autosomal Recessive Cutis Laxa Type IIB requires a comprehensive approach that includes clinical genetic tests, physical and developmental examinations, skeletal surveys, imaging studies, histological analysis of skin biopsies, and genetic analysis. Early diagnosis and management are essential for improving outcomes and quality of life for individuals with ARCL-TIIB.
References:
[1] HNL Genomics - Clinical Genetic Test for conditions (7): Cutis laxa, autosomal dominant 1; Autosomal recessive cutis ...
[3] Diagnosis is made on the basis of physical and developmental examination, skeletal surveys, imaging studies, histological analysis of skin biopsies (decreased ...
[7] Genetic analysis to provide a molecular diagnosis of this disorder. Recommended for individuals with a personal and/or family history of this disorder to ensure ...
[8] Autosomal recessive cutis laxa type 2B is a rare, hereditary, developmental defect with connective tissue involvement characterized by cutis laxa of variable ...
Additional Diagnostic Tests
- Imaging Studies
- Clinical Genetic Test
- Skeletal Surveys
- Physical and Developmental Examination
- Histological Analysis of Skin Biopsies
Treatment
Treatment Options for Autosomal Recessive Cutis Laxa Type IIB
Autosomal recessive cutis laxa type IIB (ARCL1B) is a rare genetic disorder characterized by cutis laxa and systemic involvement. While there is no specific treatment for ARCL1B, various management strategies can help alleviate symptoms and improve quality of life.
- Plastic Surgery: Plastic surgery may be performed to correct skin sagging and looseness associated with cutis laxa. This can involve surgical tightening of the skin or replacement of affected skin areas.
- Supportive Care: Supportive care is essential in managing ARCL1B, focusing on maintaining overall health and preventing complications. This includes:
- Regular monitoring of vital signs and physical examination to detect any changes or worsening symptoms
- Management of related conditions, such as developmental delays or growth retardation
- Nutritional support to ensure adequate calorie intake and prevent malnutrition
- Genetic Counseling: Genetic counseling is crucial for families affected by ARCL1B. It can help identify carriers and provide guidance on reproductive options.
Current Research and Future Directions
Research into the treatment of ARCL1B is ongoing, with a focus on understanding the underlying genetic mechanisms and developing targeted therapies. While there are no specific treatments available at present, studies have identified potential therapeutic approaches, including:
- Gene Therapy: Gene therapy may offer a promising avenue for treating ARCL1B by correcting the underlying genetic defect.
- Stem Cell Transplantation: Stem cell transplantation has been explored as a potential treatment option for ARCL1B.
References
[7] EFEMP2-related cutis laxa, or autosomal recessive cutis laxa type 1B (ARCL1B), is characterized by cutis laxa and systemic involvement. [8] Autosomal recessive cutis laxa type-II (ARCLII) is a spectrum of clinical disorders with prenatal and postnatal growth retardation, cutis laxa, dysmorphism, and other features.
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Differential Diagnosis
Autosomal recessive cutis laxa type II (ARCL2) is a rare genetic disorder characterized by loose skin, wrinkled skin, and other systemic features. When considering the differential diagnosis for ARCL2, it's essential to rule out other forms of cutis laxa and related conditions.
- Other forms of cutis laxa: The differential diagnoses should include other forms of cutis laxa, such as autosomal dominant cutis laxa (ARCL1) and X-linked cutis laxa. These conditions can present with similar clinical features, including loose skin and wrinkled skin [2].
- Cutis laxa types: ARCL2 is a distinct subtype of cutis laxa, but it's essential to consider other forms of cutis laxa, such as ARCL1B, which presents with similar symptoms in addition to loose skin [5].
- Connective tissue disorders: Cutis laxa is characterized by sparse and fragmented elastic fibers in multiple organs. Therefore, differential diagnoses should also include other connective tissue disorders that may present with similar systemic features [7].
In summary, the differential diagnosis for autosomal recessive cutis laxa type II (ARCL2) includes:
- Autosomal dominant cutis laxa (ARCL1)
- X-linked cutis laxa
- Cutis laxa types, such as ARCL1B
- Other connective tissue disorders
References: [2] - Differential diagnoses should include other forms of CL (ARCL type 1, autosomal dominant CL and X-linked CL), as well as the ... [5] - Autosomal recessive cutis laxa type IB (ARCL1B) is a rare genetic connective tissue disorder. It is characterized by loose skin along with symptoms in other ... [7] - Cutis laxa refers to a group of conditions resulting from sparse and fragmented elastic fibers in multiple organs.
Additional Differential Diagnoses
- X-linked cutis laxa
- Cutis laxa types, such as ARCL1B
- Other connective tissue disorders
- autosomal dominant cutis laxa 1
Additional Information
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- A cutis laxa characterized by progeroid features that has_material_basis_in homozygous or compound heterozygous mutation in the PYCR1 gene on chromosome 17q25.3.
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