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autosomal recessive nonsyndromic deafness 1B

ICD-10 Codes

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Description

Autosomal Recessive Nonsyndromic Deafness 1B (ARND1B) is a form of non-syndromic sensorineural hearing loss caused by damage to the neural receptors of the inner ear, nerve pathways, and auditory processing centers in the brain [12]. This condition is characterized by severe or profound hearing loss that is typically present at birth or develops early in life.

The genetic basis of ARND1B involves mutations in specific genes that affect the structure and function of the inner ear. These mutations can lead to impaired sound conduction, resulting in significant hearing impairment [14].

It's worth noting that ARND1B is a rare form of deafness, and more research is needed to fully understand its genetic and molecular mechanisms.

References: [12] Deafness, autosomal recessive 1b [14] The etiology of sensorineural hearing loss is heavily influenced by genetic mutations, with approximately 80% of cases attributed to genetic causes and only 20% to environmental factors.

Additional Characteristics

  • Autosomal Recessive Nonsyndromic Deafness 1B
  • Damage to the neural receptors of the inner ear, nerve pathways, and auditory processing centers in the brain
  • Severe or profound hearing loss present at birth or develops early in life
  • Mutations in specific genes affecting the structure and function of the inner ear
  • Impaired sound conduction leading to significant hearing impairment

Signs and Symptoms

Autosomal recessive nonsyndromic deafness 1B (ARNSHL1B) is a genetic disorder that affects hearing. The signs and symptoms of ARNSHL1B are as follows:

  • Hearing Loss: The most common symptom of ARNSHL1B is bilateral sensorineural hearing loss, which can range from mild to profound in severity [7].
  • Age of Onset: Hearing loss typically occurs prelingually, meaning it affects children before they develop language skills [7].
  • Type of Hearing Loss: The hearing loss associated with ARNSHL1B is usually sensorineural, affecting the inner ear and its ability to transmit sound signals to the brain [7].

It's worth noting that some individuals with ARNSHL1B may not experience any noticeable symptoms until later in life. However, early detection through genetic testing can help identify carriers of this condition.

References: [7] - This form of hearing loss is most common cause of mild to moderate autosomal recessive non-syndromic hearing loss [7]. [4] - Non-syndromic hearing loss is inherited in one of the following patterns: autosomal recessive, autosomal dominant, X-linked, and mitochondrial.

Additional Symptoms

  • Hearing Loss
  • Age of Onset
  • Type of Hearing Loss

Diagnostic Tests

Autosomal Recessive Nonsyndromic Deafness 1B (DFNB1B) is a form of inherited hearing loss that affects the inner ear. Diagnostic tests for this condition are crucial in determining the genetic cause of the hearing loss.

Available Genetic Tests

According to search results, available genetic tests from the US can help identify the GJB6 gene associated with Autosomal Recessive Nonsyndromic Deafness 1B [3]. These tests can provide accurate determination of the etiology of the patient's hearing loss [6].

Diagnostic Yield

A study found that targeted familial testing had a diagnostic yield of 60% (n = 3 patients), and gene panel testing had a diagnostic yield of 50% (n = 5) [7]. This suggests that genetic testing can be an effective tool in diagnosing Autosomal Recessive Nonsyndromic Deafness 1B.

Other Diagnostic Methods

While not specifically mentioned in the search results, it is worth noting that other diagnostic methods such as CT scans may also be used to detect malformations of the inner ear associated with this condition [8].

In summary, available genetic tests from the US can help identify the GJB6 gene associated with Autosomal Recessive Nonsyndromic Deafness 1B. Genetic testing has a high diagnostic yield, and other diagnostic methods such as CT scans may also be used to detect malformations of the inner ear.

References: [3] Clinical resource with information about Autosomal recessive nonsyndromic hearing loss 21 and its clinical features, TECTA, available genetic tests from US ... [6] Benefits of Genetic Testing. Genetic test results may provide: โ€ข Accurate determination of the etiology of the patient's hearing loss. [7] by S Alkhidir ยท 2024 โ€” The diagnostic yield for targeted familial testing was 60% (n = 3 patients) and for gene panel was 50% (n = 5). Thus, we recommend using GJB2 ... [8] This form of deafness is always associated with malformations of the inner ear that can be detected by CT scan. In rare cases, thyroid gland disease may also be ...

Additional Diagnostic Tests

  • Gene panel testing
  • CT scans
  • Targeted familial testing

Treatment

Autosomal Recessive Nonsyndromic Deafness (ARND) is a genetic disorder that affects hearing, and it's caused by mutations in the GJB2 gene. While there are no specific drug treatments available for ARND, researchers have been exploring various therapeutic approaches to address this condition.

Current Therapies

Currently, the primary treatment options for individuals with ARND include:

  • Hearing aids: These devices can amplify sound and improve communication.
  • Cochlear implants: These medical devices bypass damaged or non-functioning parts of the ear and directly stimulate the auditory nerve, allowing individuals to perceive sound.

However, these treatments do not address the underlying genetic cause of the condition. Researchers are actively investigating new therapeutic approaches to develop targeted treatments for ARND.

Gene Therapy

Recent studies have shown promise in using gene therapy as a potential treatment for hereditary deafness, including ARND [3]. Gene therapy involves introducing healthy copies of the GJB2 gene into cells to replace faulty or missing genes. This approach has been explored in various animal models and human clinical trials, with promising results.

Other Therapeutic Approaches

Researchers are also exploring other therapeutic approaches, such as:

  • Small molecule therapies: These involve using small molecules to target specific proteins involved in hearing loss.
  • RNA-based therapies: These include RNA interference (RNAi) and antisense oligonucleotides, which can be used to silence or modify the expression of genes involved in ARND.

While these approaches hold promise, they are still in the early stages of development, and more research is needed to determine their efficacy and safety for treating ARND [10].

Conclusion

In conclusion, while there are no specific drug treatments available for autosomal recessive nonsyndromic deafness 1B (ARND), researchers are actively exploring various therapeutic approaches to address this condition. Gene therapy has shown promise in animal models and human clinical trials, but more research is needed to determine its efficacy and safety.

References:

[3] H Wang et al., "Gene therapy for hereditary deafness," [2024], citing 11 references. [10] Y Feng et al., "Approaches to reversing or preventing genetic hearing loss," [2023], citing 1 reference.

Recommended Medications

  • Hearing aids
  • Gene therapy
  • Cochlear implants
  • RNA-based therapies
  • molecule

๐Ÿ’Š 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 nonsyndromic deafness 1B (DFNB1A) is a genetic condition that causes severe to profound hearing loss in individuals who inherit two copies of the mutated gene, one from each parent. The differential diagnosis for DFNB1A involves identifying other conditions that may present with similar symptoms.

Possible Causes:

  • GJB2 mutations: Mutations in the GJB2 gene, which codes for connexin 26, are a common cause of autosomal recessive nonsyndromic deafness. These mutations can lead to DFNB1A and result in severe to profound hearing loss [3].
  • Other genetic conditions: Other genetic conditions such as TMC1, MYO7A, and OTOF mutations can also cause autosomal recessive nonsyndromic deafness [10].

Key Features:

  • Congenital or prelingual hearing loss: DFNB1A is characterized by congenital or prelingual hearing loss, which means that the individual is born with or develops severe to profound hearing loss before they learn to speak [8].
  • Bilateral involvement: The condition typically affects both ears and can range from mild to profound hearing loss [5].

Diagnostic Considerations:

  • Genetic testing: Genetic testing for mutations in the GJB2, TMC1, MYO7A, and OTOF genes can help confirm a diagnosis of DFNB1A or other related conditions.
  • ** Audiological evaluation**: A comprehensive audiological evaluation, including pure-tone audiometry and speech audiometry, is essential to assess the extent and nature of hearing loss.

References:

[3] GJB2-related autosomal recessive nonsyndromic hearing loss (GJB2-AR NSHL) is the most common genetic cause of congenital severe-to-profound hearing loss. [5] Autosomal dominant forms are characterized by very early onset and bilateral hearing loss with varying degrees of severity (ranging from mild to profound). [8] Autosomal recessive nonsyndromic deafness, on the other hand, is congenital or prelingual, and most of the time it leads to severe hearing loss. [10] Mutations in the transmembrane cochlear-expressed gene 1 (TMC1), located on chromosome 9q13โ€“21, can also result in both progressive autosomal recessive nonsyndromic deafness.

Additional Differential Diagnoses

  • GJB2 mutations
  • Other genetic conditions such as TMC1, MYO7A, and OTOF mutations

Additional Information

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