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autosomal recessive cutis laxa type II classic type

ICD-10 Codes

Related ICD-10:

Description

Autosomal Recessive Cutis Laxa Type II Classic Type is a rare genetic disorder characterized by a spectrum of clinical entities with variable severity of cutis laxa, abnormal growth, and developmental delay.

Key Features:

  • Generalized skin wrinkling [8]
  • Sparse subcutaneous fat [6]
  • Dysmorphic progeroid facial features [6]
  • Cardiovascular involvement [7]

This condition is caused by homozygous or compound heterozygous mutations in the ATP6V0A2 gene, which affects the function of lysosomes and leads to skin laxity and other systemic manifestations.

Clinical Presentation:

  • Generalized loose, redundant skin-folds with slow return on stretching [4]
  • Growth and developmental delay
  • Abnormal skeletal features

Autosomal Recessive Cutis Laxa Type II Classic Type is a rare and complex condition that requires careful evaluation and management by a multidisciplinary team of healthcare professionals.

Additional Characteristics

  • Sparse subcutaneous fat
  • Generalized skin wrinkling
  • Dysmorphic progeroid facial features
  • Cardiovascular involvement
  • Generalized loose, redundant skin-folds with slow return on stretching
  • Growth and developmental delay
  • Abnormal skeletal features

Signs and Symptoms

Autosomal Recessive Cutis Laxa Type II Classic (ARCL2C) is a rare genetic disorder characterized by several distinct signs and symptoms. Some of the key features include:

  • Generalized skin wrinkling: The skin lacks elasticity, leading to wrinkles and folds that are present at birth or develop early in life [4].
  • Dysmorphic progeroid facial appearance: Individuals with ARCL2C often have a characteristic facial appearance, including a broad flat nasal bridge, short nose with anteverted nostrils, and large ears [1].
  • Loose redundant skin folds: The skin has a loose, redundant quality, with slow return on stretching [2][3].
  • Reduced elasticity of the skin: The skin lacks elastic recoil, making it difficult to snap back into place after being stretched [7].
  • Sparse subcutaneous fat: Individuals with ARCL2C often have sparse subcutaneous fat, which can contribute to the appearance of wrinkled and sagging skin.
  • Dysmorphic features: In addition to the characteristic facial appearance, individuals with ARCL2C may also exhibit other dysmorphic features, such as reversed-V eyebrows and dental abnormalities [5].

It's worth noting that these signs and symptoms can vary in severity and presentation from one individual to another.

Additional Symptoms

  • Dysmorphic features
  • Sparse subcutaneous fat
  • Generalized skin wrinkling
  • Dysmorphic progeroid facial appearance
  • Loose redundant skin folds
  • Reduced elasticity of the skin

Diagnostic Tests

Autosomal recessive cutis laxa type II classic type, also known as Debré type, can be diagnosed through various diagnostic tests.

  • Electron microscopy is a key diagnostic tool for this condition, especially in the severe forms of ARCL I and II. It can help identify the characteristic ultrastructural changes in the skin (Morava et al., 2009) [5].
  • Genetic testing can also be used to confirm the diagnosis by identifying homozygous or compound heterozygous mutations in the ATP6V0A2 gene, which is responsible for this condition.
  • Clinical assessment of the typical skin features and associated extracutaneous findings is also essential for diagnosing autosomal recessive cutis laxa type II classic type. This includes evaluating the presence of generalized skin wrinkling, sparse subcutaneous fat, and dysmorphic progeroid facial features (ORDO) [10].
  • Prenatal diagnosis through molecular testing is feasible for families in which the disease-causing mutation has been identified.

It's worth noting that the diagnosis of autosomal recessive cutis laxa type II classic type can be challenging, and a combination of these diagnostic tests may be necessary to confirm the diagnosis.

References: [5] Morava et al. (2009) - Electron microscopy is diagnostic in most types of autosomal recessive cutis laxa, especially in the severe forms of ARCL I and II. [10] ORDO - The spectrum ranges from patients with classic autosomal recessive cutis laxa type 2 (ARCL2, Debré type) to patients with a milder form of the disease, wrinkled skin syndrome (WSS).

Additional Diagnostic Tests

  • Genetic testing
  • Electron microscopy
  • Prenatal diagnosis
  • Clinical assessment

Treatment

Autosomal recessive cutis laxa type II classic type, also known as classical cutis laxa, is a rare genetic disorder characterized by wrinkled, redundant, and sagging inelastic skin. While there are no specific treatments that can cure the condition, various medications and interventions may be used to manage its symptoms.

Standard treatment for manifestations

According to search result [2], standard treatment for congenital hip dislocation, inguinal hernias, high myopia, and seizure disorders associated with cutis laxa type II classic type includes:

  • Treatment of congenital hip dislocation: This may involve surgical correction or other interventions.
  • Inguinal hernia repair: Surgical repair is often necessary to prevent complications.
  • High myopia treatment: This may include corrective eyewear, surgery, or other interventions.
  • Seizure disorder management: Medications and other treatments are available to manage seizures.

Other potential treatments

Search result [8] mentions that plastic surgery, lipofilling, or botox infiltration may provide temporary cosmetic improvement for skin manifestations. However, these treatments are not specifically mentioned as standard treatment for the manifestations associated with cutis laxa type II classic type.

Integrated disease information

According to search result [9], integrated disease information for Cutis Laxa includes associated genes, mutations, phenotypes, pathways, drugs, and more. While this resource may provide valuable information on potential treatments or management strategies, it is not specifically focused on drug treatment of autosomal recessive cutis laxa type II classic type.

Consult a healthcare professional

It's essential to consult with a healthcare professional for medical advice and treatment specific to the individual case. Search result [3] emphasizes this point, stating that "Please consult with a healthcare professional for medical advice and treatment."

In summary, while there are no specific drugs or treatments mentioned as standard treatment for autosomal recessive cutis laxa type II classic type, various medications and interventions may be used to manage its symptoms. Consultation with a healthcare professional is essential for personalized guidance.

References:

[2] - Standard treatment for congenital hip dislocation, inguinal hernias, high myopia, and seizure disorders. [3] - Please consult with a healthcare professional for medical advice and treatment. [8] - Plastic surgery, lipofilling, or botox infiltration may provide temporary cosmetic improvement.

Recommended Medications

  • Treatment of congenital hip dislocation
  • Inguinal hernia repair
  • High myopia treatment
  • Seizure disorder management
  • Plastic surgery
  • Lipofilling
  • Botox infiltration

💊 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

Autosomal recessive cutis laxa type II (ARCL type II) classic type is a rare genetic disorder characterized by wrinkled, redundant, and sagging inelastic skin associated with skeletal abnormalities. When considering the differential diagnosis for ARCL type II classic type, it's essential to include other forms of cutis laxa, as well as conditions that may present with similar clinical features.

Differential diagnoses:

  • Autosomal dominant cutis laxa: This form of cutis laxa is characterized by a milder presentation compared to the recessive type. Patients may exhibit wrinkled skin, but it's not as severe as in ARCL type II classic type.
  • X-linked cutis laxa: This rare form of cutis laxa is inherited in an X-linked pattern and typically presents with more severe symptoms than autosomal dominant cutis laxa.
  • Ehlers-Danlos Syndrome: This group of genetic disorders affects the body's connective tissue, leading to skin hyperextensibility, joint laxity, and tissue fragility. Ehlers-Danlos Syndrome may be considered in the differential diagnosis due to its overlapping clinical features with cutis laxa.
  • Other autosomal recessive syndromes: Several other clinically similar autosomal recessive syndromes should also be considered in the differential diagnosis, as they may present with variable severity of cutis laxa and developmental delays.

Key diagnostic criteria:

To diagnose ARCL type II classic type, it's crucial to detect abnormal elastin fibers. This can be achieved through various diagnostic tests, including:

  • Histopathological examination: Abnormal elastin fibers are a major diagnostic criterion for ARCL type II classic type.
  • Biochemical analysis: Specific biochemical abnormalities may also be present in patients with ARCL type II classic type.

References:

  • [1] É Morava (2009) - The clinical diagnosis is relatively easy in most patients; however, Ehlers–Danlos Syndrome are frequently considered in the differential diagnosis due to the overlapping clinical features.
  • [2] L Van Maldergem (2023) - ATP6V0A2-related cutis laxa is characterized by generalized cutis laxa, findings associated with generalized connective tissue disorder, developmental delays, and abnormal elastin fibers.
  • [4] É Morava (2009) - One of the major diagnostic criteria is to detect abnormal elastin fibers. In several other clinically similar autosomal recessive syndromes, abnormal elastin fibers are also a key diagnostic criterion.

Note: The above information is based on the search results provided in the context block.

Additional Differential Diagnoses

Additional Information

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