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Meckel syndrome 13
Description
Meckel syndrome 13 (MKS13) is a rare genetic disorder that affects multiple systems in the body. It is characterized by severe signs and symptoms, including:
- Occipital encephalocele: A congenital defect where the occipital bone of the skull fails to close properly, leading to a protrusion of brain tissue.
- Bilateral renal cystic dysplasia: A condition where both kidneys develop abnormally, leading to cysts and impaired kidney function.
- Hepatic ductal dilatation: An enlargement of the bile ducts in the liver.
Meckel syndrome 13 is inherited as an autosomal recessive condition, meaning that a person must inherit two copies of the mutated gene (one from each parent) to develop the disorder. The genetic heterogeneity of MKS13 means that it can be caused by mutations in different genes, including TMEM107 [7].
The symptoms of Meckel syndrome 13 typically become apparent during fetal development or shortly after birth. In some cases, the condition may not be diagnosed until later in life, although this is rare.
It's worth noting that Meckel syndrome 13 is a part of a larger group of disorders known as Meckel-Gruber syndrome (MGS), which includes several different loci and manifestations [4]. The exact cause and symptoms of MGS can vary depending on the specific locus involved.
Additional Characteristics
- Occipital encephalocele
- Bilateral renal cystic dysplasia
- Hepatic ductal dilatation
Signs and Symptoms
Meckel syndrome, also known as Meckel-Gruber syndrome, is a rare genetic disorder that affects multiple systems in the body. The signs and symptoms of Meckel syndrome can vary from person to person, but they often include:
- Developmental problems: Meckel syndrome can cause problems with development of various organs and tissues, including the eyes, facial features, heart, bones, urinary system, and genitalia [1].
- Cleft palate and lip: A cleft palate or lip is a common feature of Meckel syndrome [3].
- Polydactyly: Extra fingers or toes, often present on the outer edge of the small outer finger (pinky), are a frequent finding in individuals with Meckel syndrome [4].
- Enlarged kidneys with cysts: Large polycystic kidneys with cystic dysplasia are a constant feature of Meckel syndrome [2].
- Liver problems: Hepatic dysgenesis and liver fibrosis are also common in individuals with Meckel syndrome [2].
- Eye abnormalities: Microphthalmia, or small eyes, can be present in some cases [3].
- Renal cysts: Bile duct proliferation and renal cysts are other possible features of Meckel syndrome [3].
It's worth noting that the severity and combination of symptoms can vary widely among individuals with Meckel syndrome.
Additional Symptoms
- Polydactyly
- Eye abnormalities
- Developmental problems
- Liver problems
- Renal cysts
- Cleft palate and lip
- Enlarged kidneys with cysts
Diagnostic Tests
Meckel syndrome, also known as Meckel-Gruber syndrome, is a rare genetic disorder that can be diagnosed through various diagnostic tests.
- Chromosomal analysis: This test may be performed to rule out trisomy 13, which can have similar symptoms to Meckel syndrome [1].
- Prenatal ultrasound: Prenatal ultrasound examination can diagnose Meckel-Gruber syndrome as early as 11-14 weeks of gestation, when the three major manifestations (cystic kidney dysplasia, polydactyly, and central nervous system malformations) can be seen [4].
- DNA testing: Definitive diagnosis is often possible by using DNA testing to screen for mutations in the known MKS genes. Molecular diagnostic strategies involve analyzing DNA samples from affected individuals or their family members [5].
- Genetic testing: The definitive diagnosis of Meckel-Gruber syndrome is made by genetic testing, which can identify changes (mutations) in the genes responsible for the condition [7].
It's worth noting that differential diagnoses for MKS include autosomal recessive polycystic kidney disease, trisomy 13, Smith-Lemli-Opitz syndrome, hydrolethalus syndrome, Senior-Loken syndrome, and others [2][6]. A comprehensive diagnostic evaluation is necessary to rule out these conditions.
References: [1] - Context result 1 [2] - Context result 2 [4] - Context result 4 [5] - Context result 5 [6] - Context result 2 [7] - Context result 7
Additional Diagnostic Tests
- Genetic testing
- DNA testing
- Chromosomal analysis
- Prenatal ultrasound
Treatment
Unfortunately, there is no effective drug treatment for Meckel syndrome.
According to search result [9], "At present, treatment cannot cure or correct Meckel-Gruber syndrome." This suggests that the current medical understanding is that Meckel syndrome is a condition that cannot be treated with medication.
However, it's worth noting that some symptoms of Meckel syndrome, such as anemia, may be managed through iron supplements (search result [7]). But this does not address the underlying cause of the condition.
It's also mentioned in search result [8] that "The treatment of asymptomatic Meckel diverticulum is controversial (surgery versus observation)". This implies that there are ongoing debates and discussions among medical professionals about the best course of action for individuals with Meckel syndrome, but it does not provide any information on drug treatments.
In summary, while some symptoms associated with Meckel syndrome may be managed through medication, there is currently no effective drug treatment available for the condition itself.
Recommended Medications
- Unfortunately, there is no effective drug treatment for Meckel syndrome.
- At present, treatment cannot cure or correct Meckel-Gruber syndrome.
- In summary, while some symptoms associated with Meckel syndrome may be managed through medication, there is currently no effective drug treatment available for the condition itself.
💊 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 Diagnoses for Meckel Syndrome
Meckel syndrome, also known as Meckel-Gruber syndrome, is a rare genetic disorder characterized by multiple congenital anomalies. When diagnosing Meckel syndrome, it's essential to consider differential diagnoses that can mimic or present similar symptoms. Here are some of the key differential diagnoses for Meckel syndrome:
- Trisomy 13: Also known as Patau syndrome, trisomy 13 is a chromosomal disorder that can cause severe intellectual disability, heart defects, and other congenital anomalies.
- Bardet-Biedl Syndrome (BBS): BBS is a rare genetic disorder that affects multiple systems in the body. It can present with similar symptoms to Meckel syndrome, including polydactyly, renal abnormalities, and developmental delays.
- Hydrolethalus Syndrome: This is a rare genetic disorder characterized by severe congenital anomalies, including hydrocephalus, microphthalmia, and other craniofacial abnormalities.
- Senior-Loken Syndrome: Also known as nephronophthisis, Senior-Loken syndrome is a rare genetic disorder that affects the kidneys and eyes. It can present with similar symptoms to Meckel syndrome, including renal failure and eye abnormalities.
- Joubert Syndrome: This is a rare genetic disorder characterized by severe congenital anomalies, including brain malformations, intellectual disability, and other systemic abnormalities.
These differential diagnoses are essential to consider when diagnosing Meckel syndrome, as they can present with similar symptoms and require different management strategies. Accurate diagnosis and molecular testing are crucial for providing the best possible care for individuals affected by these conditions.
References:
- Chen CP. Meckel syndrome: genetics, perinatal findings, and differential diagnosis. Am J Hum Genet (2005) 76:493–504.
- Antenatal presentation of Bardet-Biedl syndrome may mimic Meckel syndrome. Am J Hum Genet (2005) 76:493–504.
- First-trimester diagnosis of Meckel-Gruber syndrome by transabdominal sonography in a low-risk case.
Additional Differential Diagnoses
Additional Information
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- owl#annotatedSource
- t353384
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- core#notation
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- oboInOwl#hasDbXref
- MIM:617562
- rdf-schema#label
- Meckel syndrome 13
- IAO_0000115
- A Meckel syndrome that has_material_basis_in homozygous or compound heterozygous mutation in the TMEM107 gene on chromosome 17p13 and that is characterized by occipital encephalocele, polydactyly, polycystic kidneys, micrognathia, contractures, and perinatal lethality.
- rdf-schema#subClassOf
- t353395
- IDO_0000664
- http://purl.obolibrary.org/obo/GENO_0000148
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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.