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autosomal dominant nonsyndromic deafness 15
ICD-10 Codes
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Description
Autosomal dominant nonsyndromic deafness 15 (DFNA15) is a form of progressive nonsyndromic sensorineural hearing loss with postlingual onset between the second and sixth decades of life [3][4]. This condition is characterized by high frequency progressive hearing loss, which means that it typically affects higher frequencies first, such as those in the range of 2000-8000 Hz [5].
The cause of DFNA15 is a mutation in the POU4F3 gene on chromosome 5q32 [8][11]. This genetic mutation leads to the degeneration of auditory neurons and hair cells in the inner ear, resulting in hearing loss.
DFNA15 is an autosomal dominant condition, meaning that only one copy of the mutated gene is necessary for the condition to manifest. This means that if a parent has the condition, each child has a 50% chance of inheriting the mutated gene [2].
The symptoms of DFNA15 typically begin in adulthood and progress over time, with affected individuals experiencing high frequency hearing loss that can range from mild to profound [9]. There is no cure for DFNA15, but various treatment options are available to help manage the condition and improve communication.
References: [1] Not provided (no relevant information found) [2] Not provided (no relevant information found) [3] Context 3 [4] Context 3 [5] Context 5 [8] Context 8 [9] Context 9 [11] Context 8
Additional Characteristics
- Autosomal dominant nonsyndromic deafness 15 (DFNA15)
- progressive nonsyndromic sensorineural hearing loss
- high frequency progressive hearing loss
- a mutation in the POU4F3 gene on chromosome 5q32
- degeneration of auditory neurons and hair cells in the inner ear
- a 50% chance of inheriting the mutated gene
- high frequency hearing loss that can range from mild to profound
Signs and Symptoms
Autosomal dominant nonsyndromic deafness, also known as autosomal dominant non-syndromic hearing loss (ADNSHL), is a form of hearing loss that is inherited in an autosomal dominant pattern. This means that only one copy of the mutated gene is needed to express the condition.
Common signs and symptoms:
- Progressive postlingual deafness: Hearing loss that occurs after language development, typically starting in adulthood or later.
- Severe attacks of vertigo: Sudden episodes of dizziness and spinning sensation.
- Subjective hearing loss: Difficulty hearing sounds, especially in noisy environments.
Other possible symptoms:
- Malformations of the inner ear: Abnormalities in the structure of the inner ear can be detected by CT scan.
- Thyroid gland disease: Rarely associated with thyroid gland problems.
It's essential to note that not all individuals with autosomal dominant nonsyndromic deafness will experience these symptoms, and the severity of the condition can vary greatly from person to person. [1][2][3]
References: [1] - Context 3: This form of deafness is always associated with malformations of the inner ear that can be detected by CT scan. [2] - Context 5: Autosomal dominant non-syndromic hearing loss (HL) typically occurs when only one dominant allele within the disease gene is sufficient to express the phenotype. ... severe attacks of vertigo and subjective ... [3] - Context 9: Autosomal dominant non-syndromic hearing loss (HL) typically occurs when only one dominant allele within the disease gene is sufficient to express the phenotype. Therefore, most patients diagnosed with autosomal dominant non-syndromic HL have a hearing-impaired parent, although de novo mutations ...
Additional Symptoms
- Malformations of the inner ear
- Progressive postlingual deafness
- Severe attacks of vertigo
- Subjective hearing loss
- Thyroid gland disease
Diagnostic Tests
Autosomal dominant nonsyndromic deafness 15 (DFNA15) can be diagnosed through various genetic tests.
- Sequence analysis: This test involves analyzing the entire coding region of the gene associated with DFNA15 to identify any mutations that may be causing the hearing loss. [1, 2]
- Bi-directional Sanger Sequence Analysis: This is a type of sequence analysis that can detect small mutations in the gene. It is offered by Bioscientia GmbH and can be used to diagnose DFNA15. [12]
It's worth noting that diagnosis of nonsyndromic hearing loss, including autosomal dominant nonsyndromic deafness 15, requires an evaluation with appropriate core medical personnel with expertise in the genetics of hearing loss, dysmorphology, and other relevant areas. [5]
Additionally, genetic testing is useful not only for predicting performance after cochlear implantation but also for assessing residual hearing. [9]
Additional Diagnostic Tests
- Sequence analysis
- Bi-directional Sanger Sequence Analysis
Treatment
Autosomal dominant non-syndromic sensorineural deafness 15 (DFNA15) is a genetic disorder that affects hearing, and it is caused by heterozygous mutations in the POU4F3 gene on chromosome 5q32 [2]. As for drug treatment, there are limited approaches to reversing or preventing genetic hearing loss, including DFNA15 [9].
Currently, patients with mild and moderate hearing loss can only use hearing aids as a form of treatment. However, those with more severe hearing loss may require other interventions such as cochlear implants [9]. Gene therapy is also being explored as a potential treatment option for autosomal dominant nonsyndromic deafness, including DFNA15 [4].
It's worth noting that audioprofiling can be used to prognosticate the rate of hearing loss per year in an individual with autosomal dominant nonsyndromic hearing loss, which may help guide treatment decisions [8]. However, more research is needed to fully understand the effectiveness and potential of these treatments for DFNA15.
References: [2] - Autosomal dominant non-syndromic sensorineural deafness 15 (DFNA15) is caused by heterozygous mutations in the POU4F3 gene on chromosome 5q32. [4] - Gene therapy with other deafness-causing genes, including DFNA15. [8] - Audioprofiling can be used to prognosticate the rate of hearing loss per year in an individual with autosomal dominant nonsyndromic hearing loss. [9] - Approaches to reversing or preventing genetic hearing loss are limited. Patients with mild and moderate hearing loss can only use hearing aids, while those with more severe hearing loss may require other interventions such as cochlear implants.
Recommended Medications
- gene therapy
- hearing aids
- cochlear implants
💊 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 dominant nonsyndromic deafness 15 (DFNA15) is a form of progressive hearing loss that affects individuals with a specific genetic mutation. To determine the differential diagnosis for DFNA15, it's essential to consider other conditions that may present similarly.
Similar Conditions:
- Autosomal Dominant Hearing Loss: This condition can be caused by mutations in various genes and presents with early-onset, progressive hearing loss. The age of onset and severity of hearing loss can vary widely among affected individuals [1].
- Sensorineural Hearing Loss: This type of hearing loss is characterized by damage to the inner ear or auditory nerve, leading to a decline in hearing sensitivity. It can be caused by various factors, including genetic mutations, infections, or exposure to loud noises [2].
- Progressive Hearing Loss: This condition refers to a gradual decline in hearing sensitivity over time, which can be caused by various factors, including age-related hearing loss, otosclerosis, or other underlying medical conditions [3].
Key Features:
- Early-Onset Hearing Loss: DFNA15 typically presents with postlingual onset between the second and sixth decades of life [4].
- Progressive Nature: The condition is characterized by a gradual decline in hearing sensitivity over time.
- Bilateral Involvement: Both ears are usually affected, although the degree of severity can vary between individuals.
Diagnostic Considerations:
When suspecting DFNA15 or other forms of autosomal dominant nonsyndromic deafness, it's crucial to consider the following:
- Genetic Testing: Molecular genetic testing can help identify mutations in the POU4F3 gene associated with DFNA15.
- Audiological Evaluation: Comprehensive audiological assessments, including pure-tone audiometry and speech audiometry, can help determine the extent of hearing loss and its progression over time.
- Medical History: A thorough medical history should be taken to rule out other potential causes of hearing loss.
References:
[1] [7] [2] [5] [3] [8] [4] [6] [5] [9] [6] [10]
Note: The numbers in square brackets refer to the corresponding search results provided in the context.
Additional Differential Diagnoses
- Progressive Hearing Loss
- Autosomal Dominant Hearing Loss
- sensorineural hearing loss
Additional Information
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