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achondrogenesis type IB
Description
Achondrogenesis type 1B (ACG1B) is a rare and severe form of skeletal dysplasia that affects cartilage and bone development. It is characterized by extremely short limbs with short fingers and toes, a flat face, a short neck, and thickened soft tissue [1]. This condition is typically fatal in the perinatal period, meaning it usually results in death before or shortly after birth [7].
Some key features of ACG1B include:
- Severe micromelia: Extremely short limbs with short fingers and toes
- Flat face: A flat facial structure
- Short neck: A significantly shorter neck than average
- Thickened soft tissue: Excessively thick skin and soft tissues
ACG1B is a subtype of achondrogenesis, which is a group of rare skeletal dysplasias characterized by extreme shortening of the arms and legs in relation to the trunk [6]. It is an autosomal recessive condition, meaning that it is inherited in an autosomal recessive pattern, where a person must inherit two copies of the mutated gene (one from each parent) to express the condition [7].
It's worth noting that ACG1B is one of the most severe forms of chondrodysplasia, with death occurring prenatally or shortly after birth [3].
Additional Characteristics
- Short neck
- Flat face
- Severe micromelia
- Thickened soft tissue
Signs and Symptoms
Achondrogenesis type IB, also known as Parenti-Fraccaro type, is a rare and severe form of skeletal dysplasia characterized by several distinct signs and symptoms.
Physical Characteristics:
- Extremely short limbs with short fingers and toes [5]
- Hypoplasia of the thorax (underdeveloped chest) [5]
- Elongated, spherical midsection with a small chest [6]
- Short neck [3]
- Thickened soft tissue in the neck [3]
Additional Symptoms:
- Narrow chest [9]
- Prominent abdomen [9]
- Umbilical or inguinal hernia (a protrusion of the intestine through a weakened area in the abdominal wall) [9]
- Inward-turned feet with clubfoot deformity [6, 9]
Clinical Features:
- The face is flat and the neck is short [8]
- Death occurs prenatally or shortly after birth due to respiratory complications [8]
It's essential to note that achondrogenesis type IB is a rare and severe condition, and these symptoms may vary in severity from one individual to another.
Additional Symptoms
- Narrow chest
- Short neck
- Flat face
- Extremely short limbs with short fingers and toes
- Hypoplasia of the thorax (underdeveloped chest)
- Elongated, spherical midsection with a small chest
- Thickened soft tissue in the neck
- Prominent abdomen
- Umbilical or inguinal hernia
- Inward-turned feet with clubfoot deformity
- Respiratory complications leading to prenatal or early postnatal death
Diagnostic Tests
Achondrogenesis type 1B, also known as the Parenti-Fraccaro type, is a severe and lethal skeletal disorder characterized by extremely short limbs, a narrow chest, and a prominent, rounded abdomen [4]. To diagnose this condition, several diagnostic tests can be employed.
Molecular Genetics Tests
- Mutation scanning of select exons to identify specific genetic mutations associated with achondrogenesis type 1B [3].
- Sequence analysis of the entire coding region to detect any genetic abnormalities in the ACG1B gene [3].
- Deletion/duplication analysis to determine if there are any deletions or duplications in the ACG1B gene that may be contributing to the condition [3].
Physical Examination and Imaging
- Physical examination by a pediatrician or geneticist to observe characteristic features such as extremely short limbs, flat face, short neck, and thickened soft tissue [6].
- Radiographic findings, including X-rays of the limbs and spine, to confirm the presence of skeletal abnormalities [9].
- Histopathologic examination of tissue samples under a microscope to confirm the diagnosis [1].
Other Diagnostic Tests
- Prenatal ultrasound examination can detect achondrogenesis type 1B as early as week 14-17 of gestational age [2].
- Genetic analysis, including mutation scanning and sequence analysis, can provide a molecular diagnosis of this disorder [5].
Additional Diagnostic Tests
- Other Diagnostic Tests
- Molecular Genetics Tests
- Mutation scanning of select exons to identify specific genetic mutations associated with achondrogenesis type 1B
- Sequence analysis of the entire coding region to detect any genetic abnormalities in the ACG1B gene
- duplication analysis to determine if there are any deletions or duplications in the ACG1B gene that may be contributing to the condition
- Physical Examination and Imaging
- Physical examination by a pediatrician or geneticist to observe characteristic features such as extremely short limbs, flat face, short neck, and thickened soft tissue
- Radiographic findings, including X-rays of the limbs and spine, to confirm the presence of skeletal abnormalities
- Histopathologic examination of tissue samples under a microscope to confirm the diagnosis
- Prenatal ultrasound examination can detect achondrogenesis type 1B as early as week 14-17 of gestational age
- Genetic analysis, including mutation scanning and sequence analysis, can provide a molecular diagnosis of this disorder
Treatment
Unfortunately, it appears that there is no effective drug treatment for achondrogenesis type IB (ACG1B). According to the search results:
- There is no treatment that can cure achondrogenesis in most cases, and the baby often dies before or shortly after birth (#4).
- In some cases, the baby may be stillborn (#4).
- There is no treatment mentioned for ACG1B specifically, except for consulting with a healthcare professional for medical advice and treatment (#7).
However, it's worth noting that while there may not be a specific drug treatment for ACG1B, medical professionals may provide supportive care to manage the symptoms and complications associated with this condition.
It's also important to note that research is ongoing in the field of genetic disorders, and new treatments or therapies may become available in the future. However, at present, there does not seem to be a specific drug treatment for achondrogenesis type IB.
References: * #4 * #7
Recommended Medications
- There is no effective drug treatment for achondrogenesis type IB (ACG1B).
- In some cases, the baby may be stillborn.
- There is no treatment that can cure achondrogenesis in most cases,
💊 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 of Achondrogenesis Type IB
Achondrogenesis type IB, also known as the Parenti-Fraccaro type, is a rare and severe genetic disorder characterized by extremely short limbs, a narrow chest, and a prominent abdomen. When diagnosing this condition, it's essential to consider other skeletal dysplasias that may present with similar clinical features.
Other Skeletal Dysplasias to Consider:
- Hypochondroplasia: A milder form of achondroplasia, which is characterized by short stature and short limbs. However, the limb shortening in hypochondroplasia is typically less severe than in
Additional Differential Diagnoses
Additional Information
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- An achondrogenesis that has_material_basis_in mutation in the SLC26A2 gene which results_in umbilical or inguinal hernia and a prominent rounded abdomen.
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.