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Van Maldergem syndrome 1
Description
Van Maldergem syndrome 1, also known as Cerebrofacioarticular syndrome, is a rare autosomal recessive disorder characterized by intellectual disability and distinct craniofacial features.
Key Features:
- Intellectual disability
- Typical craniofacial features, including:
- Blepharophimosis (drooping eyelids)
- Telecanthus (increased distance between the eyes)
- Broad nasal bridge
- Flat facial profile (maxillary hypoplasia)
- Auditory malformations
Causes:
Van Maldergem syndrome 1 is caused by a mutation in the DCHS1 gene. This genetic mutation leads to the development of the characteristic craniofacial features and intellectual disability.
References:
- [4] describes Van Maldergem syndrome 1 as an autosomal recessive disorder characterized by intellectual disability, typical craniofacial features, auditory malformations.
- [7] states that any van Maldergem syndrome in which the cause of the disease is a mutation in the DCHS1 gene is referred to as Van Maldergem syndrome 1.
Note: The information provided is based on the search results and may not be an exhaustive list of all features or causes of Van Maldergem syndrome 1.
Additional Characteristics
- Intellectual disability
- Auditory malformations
- Broad nasal bridge
- Blepharophimosis (drooping eyelids)
- Flat facial profile (maxillary hypoplasia)
- Telecanthus (increased distance between the eyes)
Signs and Symptoms
Intellectual Disability and Craniofacial Features
Van Maldergem syndrome is characterized by intellectual disability, which affects cognitive function and daily life activities [3]. The craniofacial features are a distinctive aspect of this condition. They include:
- Blepharophimosis: A condition where the eyelids are abnormally small or closed [2]
- Telecanthus: An abnormal distance between the inner corners of the eyes [2]
- Broad nasal bridge: A flat and broad shape of the nose [2]
- Flat facial profile (maxillary hypoplasia): A condition where the upper jaw is underdeveloped, resulting in a flat facial appearance [2]
Auditory Malformations
Van Maldergem syndrome also involves auditory malformations, which can lead to hearing impairment and other related issues [3].
Additional Symptoms
Other symptoms associated with Van Maldergem syndrome include:
- Joint laxity: A condition where the joints are excessively flexible or loose
- Osteopenia: A condition characterized by low bone density
- Limb deformities: Such as subluxation of the radial heads, clinodactyly, syndactyly, and talipes [8]
- Neurological signs: Including torsion dystonia, increased deep tendon reflexes, poor coordination, positive Babinski sign, hearing impairment, and developmental delays [6][9]
References
[1] - Not provided (initial query) [2] - Search result 2 [3] - Search result 3 [4] - Not provided (initial query) [5] - Not provided (initial query) [6] - Search result 6 [7] - Not provided (initial query) [8] - Search result 8 [9] - Search result 9
Additional Symptoms
- Blepharophimosis
- Intellectual disability
- Poor coordination
- Limb deformities
- Auditory malformations
- Telecanthus
- Broad nasal bridge
- Osteopenia
- Joint laxity
- Flat facial profile (maxillary hypoplasia)
- Torsion dystonia
- Increased deep tendon reflexes
- Positive Babinski sign
Diagnostic Tests
Diagnostic Tests for Van Maldergem Syndrome 1
Van Maldergem syndrome 1 is a rare genetic disorder that can be diagnosed through various clinical and laboratory tests.
- Genetic analysis: A molecular diagnosis of this disorder can be provided through genetic analysis, which is recommended for individuals with a personal and/or family history of this disorder (2).
- Clinical Genetic Test: Intergen offers a Clinical Genetic Test for Van Maldergem syndrome 1, which includes testing the DCHS1 gene (1). This test provides full coverage of all coding exons of the DCHS1 gene plus 10 bases of flanking noncoding DNA in all available transcripts (4).
- Blood or DNA sample: A diagnostic aid for Van Maldergem syndrome 1 can be obtained from a 5 mL whole blood or DNA sample (5).
It's essential to consult with a healthcare professional for medical advice and treatment, as they can help determine the best course of action for diagnosis and management.
References:
- [1] Clinical Genetic Test offered by Intergen
- [2] Genetic analysis to provide a molecular diagnosis of this disorder
- [4] This test provides full coverage of all coding exons of the DCHS1 gene plus 10 bases of flanking noncoding DNA in all available transcripts
- [5] Disease code: OMIM:601390 ยท Associated therapeutic area(s):. Abnormality of the respiratory system (HP:0002086)
Additional Diagnostic Tests
- Genetic analysis
- Clinical Genetic Test offered by Intergen
- Blood or DNA sample
Treatment
Treatment Options for Van Maldergem Syndrome 1
Van Maldergem syndrome 1 (VMS1) is a rare genetic disorder characterized by intellectual disability, craniofacial abnormalities, and auditory malformations. While there is no cure for VMS1, various treatment options can help manage its symptoms and improve the quality of life for affected individuals.
- Genetic counseling: Genetic testing can confirm the diagnosis of VMS1, and genetic counseling can provide families with information about the condition's inheritance pattern and recurrence risk.
- Hearing aids and cochlear implants: Individuals with VMS1 often experience hearing loss, which can be addressed with hearing aids or cochlear implants. These devices can significantly improve communication skills and overall quality of life.
- Speech therapy: Speech therapists can help individuals with VMS1 develop effective communication strategies, such as using alternative methods like sign language or augmentative and alternative communication (AAC) devices.
- Physical therapy: Physical therapy can help manage any physical symptoms associated with VMS1, such as muscle weakness or joint problems.
- Psychological support: Individuals with VMS1 may experience emotional challenges due to their condition. Psychological support from a therapist or counselor can provide them with coping strategies and emotional well-being.
Current Research and Future Directions
While there is no specific treatment for VMS1, researchers are exploring various therapeutic approaches to manage its symptoms. For example:
- Gene therapy: Researchers are investigating gene therapy as a potential treatment option for VMS1. This approach involves introducing healthy copies of the mutated gene into cells to correct the genetic defect.
- Stem cell therapy: Stem cell therapy is another area of research that may hold promise for treating VMS1. This approach involves using stem cells to repair or replace damaged tissues.
Conclusion
While there is no cure for Van Maldergem syndrome 1, various treatment options can help manage its symptoms and improve the quality of life for affected individuals. Ongoing research into gene therapy and stem cell therapy may lead to new therapeutic approaches in the future.
References:
- [7] describes VMS1 as an autosomal recessive disorder characterized by intellectual disability, craniofacial features, auditory malformations, and developmental delay.
- [8] highlights the importance of careful assessment of the airway to rule out difficult airway management due to hearing impairment.
- [9] discusses PCR amplification and bi-directional sequencing using BigDye1Terminator Cycle for genetic analysis.
- [11] provides information on treatment options for mental health conditions, which may be relevant for individuals with VMS1 who experience emotional challenges.
Recommended Medications
- Hearing aids
- Gene therapy
- Stem cell therapy
- Cochlear implants
๐ 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 Van Maldergem Syndrome 1
Van Maldergem syndrome 1 (VMLDS1) is a rare autosomal recessive disorder characterized by intellectual disability, typical craniofacial features, auditory malformations resulting in hearing loss, and skeletal and limb malformations. When considering the differential diagnosis for VMLDS1, several conditions should be taken into account.
- Winter-Tsukahara syndrome: This condition is a rare autosomal recessive disorder that presents with pachygyria (a type of brain abnormality), joint contractures, and facial abnormalities. It lies within the differential diagnosis for VMLDS1 [3].
- Hennekam syndrome: Biallelic variants in the FAT4 gene are associated with both Van Maldergem syndrome 1 (VMLDS1) and Hennekam syndrome (HS). This suggests a possible overlap between the two conditions [7][9].
- Blepharo-naso-facial syndrome: Although some features of this condition, such as telecanthus, syndactyly, joint laxity, and intellectual disability, may overlap with VMLDS1, it is not considered a differential diagnosis due to the absence of ear malformations and camptodactyly [15].
It's essential to note that the differential diagnosis for VMLDS1 can be complex and requires careful consideration of various conditions. A thorough evaluation by a qualified physician or geneticist is necessary to determine the correct diagnosis.
References: [3] Winter et al (2005) described a male neonate with dysmorphic features, joint contractures, cystic pinnae of the ears, and pachygyria.
Additional Information
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:0080585
- core#notation
- DOID:0080585
- oboInOwl#hasDbXref
- MIM:601390
- IAO_0000115
- A Van Maldergem syndrome that has_material_basis_in homozygous mutation in the DCHS1 gene on chromosome 11p15.
- rdf-schema#label
- Van Maldergem syndrome 1
- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_0060238
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_3455
- owl#annotatedSource
- t357900
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