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autosomal recessive nonsyndromic deafness 9
ICD-10 Codes
Related ICD-10:
Description
Autosomal Recessive Nonsyndromic Deafness 9 (DFNB9) is a form of inherited hearing loss that affects individuals who have two copies of the mutated gene, one from each parent. This condition is characterized by prelingual onset, meaning it typically manifests before speech development.
- The hearing loss associated with DFNB9 is usually severe to profound and stable, indicating little to no improvement over time [6].
- It is a type of autosomal recessive nonsyndromic deafness, which means that the condition is inherited in an autosomal recessive pattern and does not occur as part of a larger syndrome [8][9].
It's worth noting that DFNB9 is one of several forms of autosomal recessive nonsyndromic deafness, each with its own distinct characteristics.
Additional Characteristics
- autosomal recessive inheritance
- prelingual onset
- severe to profound hearing loss
- stable over time
- nonsyndromic condition
Signs and Symptoms
Autosomal recessive nonsyndromic deafness refers to a type of hearing loss that occurs without any other signs or symptoms affecting the body. In the case of autosomal recessive nonsyndromic deafness, there are no specific signs and symptoms associated with this condition.
However, it's worth noting that some individuals may experience early-onset, usually bilateral (but sometimes asymmetric) hearing loss with autosomal recessive transmission [5]. The condition typically presents with prelingual onset and severe to profound, stable hearing loss [6].
It's also mentioned in the context that otoferlin, the protein encoded by the OTOF gene, plays a crucial role in this condition. However, there are no specific signs or symptoms associated with otoferlin mutations.
In general, individuals with autosomal recessive nonsyndromic deafness may not exhibit any noticeable signs or symptoms beyond hearing loss. The condition is often identified through genetic testing and family history [11].
Here are some key points to summarize:
- Autosomal recessive nonsyndromic deafness does not have specific signs and symptoms.
- Early-onset, usually bilateral (but sometimes asymmetric) hearing loss with autosomal recessive transmission may occur in some cases [5].
- The condition typically presents with prelingual onset and severe to profound, stable hearing loss [6].
- Otoferlin mutations play a crucial role in this condition, but there are no specific signs or symptoms associated with them.
References:
[5] - Early-onset, usually bilateral (but sometimes asymmetric) hearing loss with autosomal recessive transmission. [6] - The condition typically presents with prelingual onset and severe to profound, stable hearing loss.
Additional Symptoms
- prelingual onset
- severe to profound hearing loss
- bilateral hearing loss
- early-onset hearing loss
- asymmetric hearing loss
Diagnostic Tests
Autosomal recessive nonsyndromic deafness 9 (DFNB9) is a form of sensorineural hearing loss caused by mutations in the OTOF gene. Diagnostic tests for this condition typically involve genetic testing to identify the specific mutation responsible for the hearing loss.
- Genetic Testing: This test provides full coverage of all coding exons of the OTOF gene plus 10 bases of flanking noncoding DNA in all available transcripts [5]. The goal is to detect mutations in the OTOF gene that are associated with DFNB9.
- Molecular Genetic Testing: This type of testing can be used to identify carriers of the mutation, as well as individuals who have already developed hearing loss. It involves analyzing DNA samples from family members to determine if they carry the mutated gene [9].
- Diagnostic Tests for Hearing Loss: In addition to genetic testing, diagnostic tests for hearing loss may also include audiometric evaluations, tympanometry, and other assessments to determine the extent of hearing impairment.
It's worth noting that early diagnosis through molecular genetic testing can facilitate early intervention and treatment options for individuals with DFNB9 [9].
Additional Diagnostic Tests
- Genetic Testing
- Molecular Genetic Testing
- Tympanometry
- Audiometric evaluations
Treatment
Autosomal recessive nonsyndromic deafness 9 (DFNB9) is a genetic disorder characterized by severe-to-complete, congenital or prelingual, bilateral hearing loss. Unfortunately, there is no pharmacological treatment currently available for this condition.
However, recent studies have shown promise in the use of gene therapy as a potential treatment option for DFNB9. A study published in Molecular Therapy Nucleic Acids demonstrated the efficacy of a tissue-specific gene therapy in a model of autosomal recessive hearing loss 9 (DFNB89), caused by a pathogenic mutation of the OTOF gene [1].
Gene therapy involves using a virus to deliver a healthy copy of the OTOF gene to the inner ear, where it can produce functional otoferlin protein. This approach has shown potential in restoring hearing in animal models and human clinical trials [2-4]. However, more research is needed to fully understand its efficacy and safety for treating DFNB9.
It's essential to note that any treatment or therapy should be discussed with a healthcare professional, as they can provide personalized advice and guidance on the best course of action. For now, gene therapy remains
Recommended Medications
- Gene Therapy
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Differential Diagnosis
Autosomal recessive nonsyndromic deafness 9 (NSRD9) is a genetic disorder that causes severe to profound hearing loss in individuals who inherit two copies of the mutated gene, one from each parent. To determine the differential diagnosis for NSRD9, it's essential to consider other conditions that may present with similar symptoms.
- Other forms of autosomal recessive nonsyndromic deafness: Conditions like DFNB1, DFNB2, and DFNB3 can also cause severe hearing loss in individuals who inherit two copies of the mutated gene. These conditions are caused by mutations in different genes, but they share similarities with NSRD9 in terms of their autosomal recessive inheritance pattern [5].
- Autosomal dominant forms of nonsyndromic deafness: Some forms of autosomal dominant nonsyndromic deafness can cause severe hearing loss, although the onset is typically later than in NSRD9. Conditions like DFNA1 and DFNA2 are caused by mutations in different genes and may present with similar symptoms [7].
- Sensory neural hearing loss: This condition refers to a type of hearing loss that affects the inner ear's ability to transmit sound signals to the brain. It can be caused by various factors, including genetic mutations, infections, or exposure to loud noises. Sensory neural hearing loss may present with symptoms similar to NSRD9 [1].
- Other genetic disorders: Certain genetic disorders, such as Usher syndrome and Jervell and Lange-Nielsen syndrome, can also cause severe hearing loss in addition to other systemic symptoms. These conditions are caused by mutations in different genes and should be considered in the differential diagnosis for NSRD9 [8].
It's essential to note that a definitive diagnosis of NSRD9 typically requires genetic testing to confirm the presence of the mutated gene. A comprehensive medical history, physical examination, and audiometric evaluation can also help differentiate NSRD9 from other conditions.
References: [1] - Context result 1 [5] - Context result 5 [7] - Context result 7 [8] - Context result 8
Additional Differential Diagnoses
- Other genetic disorders
- Sensory neural hearing loss
- autosomal dominant nonsyndromic deafness
- autosomal recessive nonsyndromic deafness
Additional Information
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- MIM:601071
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- DOID:0110535
- IAO_0000115
- An autosomal recessive nonsyndromic deafness that is characterized by prelingual onset with usually severe to profound, stable hearing loss and has_material_basis_in mutation in the OTOF gene on chromosome 2p23.
- oboInOwl#hasExactSynonym
- NRSD9
- rdf-schema#label
- autosomal recessive nonsyndromic deafness 9
- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_0050565
- relatedICD
- http://example.org/icd10/H90.3
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_4889
- owl#annotatedSource
- t370275
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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.