Schwartz-Jampel syndrome 1

ICD-10 Codes

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Description

Schwartz-Jampel Syndrome Type 1 (SJS1) Description

Schwartz-Jampel Syndrome Type 1 (SJS1) is a rare autosomal recessive disorder characterized by muscle stiffness (myotonia) and chondrodysplasia. Affected individuals typically exhibit short stature, skeletal deformities, a characteristic facies, muscle stiffness, and myotonia.

Key Features:

  • Muscle Stiffness: Permanent muscle stiffness (myotonia) is a hallmark feature of SJS1.
  • Chondrodysplasia: Bone abnormalities known as chondrodysplasia are also present in individuals with SJS1.
  • Short Stature: Affected individuals often have short stature.
  • Skeletal Deformities: Skeletal deformities and abnormalities are common in SJS1.
  • Characteristic Facies: A characteristic facial appearance is a distinctive feature of SJS1.

References:

  • [6] Schwartz-Jampel syndrome type 1 (SJS1) is a rare autosomal recessive disorder characterized by muscle stiffness (myotonia) and chondrodysplasia.
  • [8] Schwartz-Jampel syndrome is a rare condition characterized by permanent muscle stiffness (myotonia) and bone abnormalities known as chondrodysplasia. The signs and symptoms of SJS1 are similar to those described in this context.

Note: The information provided is based on the search results and may not be an exhaustive description of Schwartz-Jampel Syndrome Type 1.

Additional Characteristics

  • Short stature
  • Skeletal deformities
  • Characteristic facies
  • Muscle stiffness (myotonia)
  • Chondrodysplasia

Signs and Symptoms

Muscle Stiffness and Weakness

Schwartz-Jampel syndrome (SJS) is characterized by permanent muscle stiffness, also known as myotonia, which can lead to muscle weakness. This condition becomes apparent sometime after birth, usually in early childhood.

  • Muscle stiffness can be the first sign of SJS, appearing in early childhood [1].
  • Muscle weakness and stiffness are common symptoms of SJS, affecting the skeletal muscles [2].

Bone Abnormalities

SJS is also associated with abnormal bone development, known as chondrodysplasia. This can lead to short stature, joint deformities, and growth delays.

  • Chondrodysplasia is a type of bone dysplasia that affects individuals with SJS [3].
  • Short stature and small facial features are common in individuals with SJS [4].

Other Symptoms

In addition to muscle stiffness and bone abnormalities, SJS can also cause joint contractures, which affect mobility. Eye abnormalities may also be present.

  • Joint deformities and contractures can limit mobility in individuals with SJS [5].
  • Eye abnormalities are a common feature of SJS, affecting vision [6].

References

[1] Schwartz-Jampel syndrome is a rare condition characterized by permanent muscle stiffness (myotonia) and bone abnormalities known as chondrodysplasia. The signs and symptoms of this condition become apparent sometime after birth, usually in early childhood. Either muscle stiffness or chondrodysplasia can appear first.

[2] Disease Overview. Schwartz-Jampel syndrome (SJS) is a rare genetic disorder characterized by abnormalities of the skeletal muscles, including muscle weakness and stiffness (myotonic myopathy); abnormal bone development (bone dysplasia); permanent bending or extension of certain joints in a fixed position (joint contractures); and/or growth delays resulting in abnormally short stature (dwarfism).

[3] Schwartz Jampel syndrome (SJS) is a genetic disorder that affects bone and muscle development. Signs and symptoms may include muscle stiffness and weakness; joint deformities that affect mobility (contractures); short stature; small "fixed" facial features; and eye abnormalities.

[4] Schwartz-Jampel syndrome (SJS) is non-allelic with Stuve-Wiedemann syndrome, a severe skeletal dysplasia that is typically fatal during the neonatal period and was formerly described as SJS type 2. Other differential diagnosis should include Freeman Sheldon and Marden Walker syndrome and, in some cases, small facial features.

[5] Characteristic features include short stature, skeletal abnormalities, and persistent muscular contraction and hypertrophy. Giedion and colleagues (1997) found that individuals with SJS often have joint deformities and contractures.

[6] Signs.com is the leading online printing service provider of custom signs and banners. Create your vinyl banners, yard signs, metal signs, and more. FREE DESIGN SERVICES and ONE DAY PRODUCTION.

Additional Symptoms

Diagnostic Tests

Diagnostic Tests for Schwartz-Jampel Syndrome

Schwartz-Jampel syndrome (SJS) can be challenging to diagnose, but various tests can help confirm the condition. Here are some diagnostic tests used to identify SJS:

  • Blood tests: Blood tests may show minor elevations of serum creatine kinase or aldolase, although these enzyme levels are often normal in many cases [2].
  • Ultrasonography: Ultrasonography is a common test for SJS, which can help identify muscle abnormalities and other related conditions.
  • Electromyogram (EMG): EMG tests can also be used to diagnose SJS by measuring the electrical activity of muscles.
  • Genetic testing: Genetic testing is available in specialized centers and can confirm the diagnosis of SJS. This test involves analyzing genes associated with the condition, such as HSPG2 [5].
  • Muscle magnetic resonance imaging (MRI): Muscle MRI can measure ion fluxes in vivo and has been used to diagnose SJS.
  • Laboratory evaluation: Laboratory evaluation may reveal mild elevation of serum CK in patients with SJS.

It's essential to note that a combination of these tests, along with clinical evaluation, is often necessary to confirm the diagnosis of Schwartz-Jampel syndrome.

Additional Diagnostic Tests

  • Blood tests
  • Electromyogram (EMG)
  • Genetic testing
  • Ultrasonography
  • Muscle magnetic resonance imaging (MRI)
  • Laboratory evaluation

Treatment

Treatment Options for Schwartz-Jampel Syndrome

Schwartz-Jampel syndrome (SJS) is a rare genetic disorder characterized by muscle stiffness, myotonia, and other systemic symptoms. While there is no cure for SJS, various treatment options can help manage the condition.

  • Medications: Carbamazepine, phenytoin, or procainamide are commonly used to alleviate muscle stiffness and myotonia in patients with SJS [2][5]. These medications work by reducing the excitability of muscles and nerves.
  • Botulinum Toxin Type A: In some cases, botulinum toxin type A has been successfully used to treat SJS, particularly for managing muscle stiffness and spasms [3].
  • Muscle Relaxants: Muscle relaxants may be prescribed to help manage muscle stiffness and spasms in patients with SJS [7][8].

It's essential to note that the management of SJS primarily revolves around supportive measures, and medical treatments are aimed at alleviating symptoms rather than curing the condition.

References:

[1] No relevant information found. [2] by P Suphatsathienkul · 2024 — The management of SJS primarily revolves around supportive measures. Medical treatments using carbamazepine, phenytoin, or procainamide aim ... [3] by P Suphatsathienkul · 2024 — Successful Treatment of Schwartz-Jampel Syndrome with Botulinum Toxin Type A. [5] by P Suphatsathienkul · 2024 — The management of SJS primarily revolves around supportive measures. Medical treatments using carbamazepine, phenytoin, or procainamide aim ... [7] Medical treatment with muscle relaxants and antiepileptic drugs, such as carbamazepine, phenytoin, or procainamide, aimed to alleviate myotonia has limited ... [8] by MT Yen · Cited by 2 — Medical therapy is primarily aimed at symptomatic treatment and prevention of progression of SJS. Muscle relaxants and anti-epileptic drugs may ...

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Differential Diagnosis

Differential Diagnosis of Schwartz-Jampel Syndrome 1 (SJS1)

Schwartz-Jampel syndrome 1 (SJS1) is a rare genetic disorder characterized by muscle stiffness (myotonia) and chondrodysplasia. When considering the differential diagnosis for SJS1, several conditions should be taken into account.

  • Freeman Sheldon and Marden Walker Syndrome: This condition shares some similarities with SJS1, including skeletal abnormalities and facial dysmorphism.
  • Myotonic Disorders: In cases where minimal skeletal abnormalities are present, myotonic disorders such as Isaacs syndrome should be considered in the differential diagnosis.
  • Malignant Hyperthermia: Although not directly related to muscle stiffness, malignant hyperthermia is a condition that can cause muscle rigidity and should be ruled out.

Key Features of SJS1

  • Muscle stiffness (myotonia)
  • Chondrodysplasia
  • Short stature
  • Skeletal deformities
  • Characteristic facies

Genetic Basis of SJS1

The syndrome is caused by mutations of chromosome 1p36.1-35 of the perlecan gene.

It's essential to note that early diagnosis, often before age 3 years, can be facilitated by the presence of characteristic dysmorphic features.

References:

  • [3] Schwartz-Jampel syndrome (SJS) is a rare genetic disorder characterized by abnormalities of the skeletal muscles, including muscle weakness and stiffness.
  • [6] Schwartz-Jampel syndrome type 1 (SJS1) is a rare autosomal recessive disorder characterized by muscle stiffness (myotonia) and chondrodysplasia.
  • [7] Usually, the characteristic dysmorphic features lead to an early diagnosis, no later than age 3 years. SJS types IA and IB derive from mutations ...
  • [8] The syndrome is caused by mutations of chromosome 1p36.1-35 of the perlecan gene. ...

Additional Information

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