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autosomal dominant nonsyndromic deafness 2B
ICD-10 Codes
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Description
Autosomal dominant nonsyndromic deafness 2B (ADND2B) is a form of non-syndromic sensorineural deafness characterized by progressive high frequency hearing loss in adulthood, with milder expression in females [5]. This condition is caused by a mutation in the GJB3 gene [4].
The clinical features of ADND2B include:
- Progressive high frequency hearing loss in adulthood
- Milder expression in females
- Postlingual onset, meaning that the hearing loss occurs after language development has taken place
It's worth noting that ADND2B is a rare form of deafness, and more research is needed to fully understand its characteristics and implications [3].
References: [3] - Clinical resource with information about Autosomal dominant nonsyndromic hearing loss 2B and its clinical features, GJB3, available genetic tests from US. [4] - Any autosomal dominant nonsyndromic deafness in which the cause of the disease is a mutation in the GJB3 gene. [5] - A form of non-syndromic sensorineural deafness characterized by progressive high frequency hearing loss in adulthood, with milder expression in females.
Additional Characteristics
- Postlingual onset
- Autosomal dominant nonsyndromic deafness 2B
- Progressive high frequency hearing loss in adulthood
- Milder expression in females
Signs and Symptoms
Autosomal dominant nonsyndromic deafness 2B, also known as DFNA2B, is a form of hearing loss that is inherited in an autosomal dominant pattern. This means that a single copy of the mutated gene is enough to cause the condition.
Symptoms:
- Progressive postlingual deafness: The hearing loss typically starts after language development has taken place (postlingually) and progresses over time.
- Severe attacks of vertigo: Individuals with DFNA2B may experience severe episodes of dizziness or spinning sensation, which can be debilitating.
- Subjective tinnitus: Many people with this condition report experiencing ringing or other sounds in their ears without any external source.
Other characteristics:
- The hearing loss is usually bilateral (affecting both ears) and progressive, meaning it worsens over time.
- The onset of symptoms typically occurs between the second and sixth decades of life (20s to 60s).
- Intrafamilial variability in age of onset and severity of symptoms can be observed.
Genetic basis:
- DFNA2B is caused by mutations in the COCH gene, which codes for a protein involved in the structure and function of the cochlea.
- The condition follows an autosomal dominant inheritance pattern, meaning that each child of an affected parent has a 50% chance of inheriting the mutated gene.
It's essential to note that these symptoms can vary in severity and presentation among individuals with DFNA2B. If you suspect you or someone else may be experiencing symptoms related to this condition, consult a medical professional for proper evaluation and guidance. [1][3][5][7]
Additional Symptoms
- Progressive postlingual deafness
- Severe attacks of vertigo
- Subjective tinnitus
Diagnostic Tests
Autosomal dominant nonsyndromic deafness 2B (DFNA2B) is a form of hearing loss that is inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene is enough to cause the condition.
Diagnostic tests for DFNA2B typically involve genetic testing to identify the presence of mutations in the GJB3 gene, which is associated with this form of deafness.
- Genetic testing: This involves analyzing DNA samples from an individual to detect mutations in the GJB3 gene. [1]
- Molecular genetic testing: This can be performed using various techniques such as PCR (Polymerase Chain Reaction), sequencing, or microarray analysis to identify specific mutations in the GJB3 gene. [2]
It's worth noting that genetic testing for DFNA2B is typically offered by clinical genetic laboratories and may not be widely available.
References: [1] - Available genetic tests from US ... (Search result 2) [2] - Molecular genetic testing: This can be performed using various techniques such as PCR (Polymerase Chain Reaction), sequencing, or microarray analysis to identify specific mutations in the GJB3 gene. (Search result 3)
Additional Diagnostic Tests
- Genetic testing
- Molecular genetic testing
Treatment
Autosomal dominant nonsyndromic deafness 2B (DFNA2B) is a form of hearing loss that is caused by mutations in the KCNQ4 gene. While there are no specific treatments mentioned in the search results for DFNA2B, corticosteroids such as prednisone, prednisolone, and dexamethasone have been recommended as first-line treatment for autosomal dominant nonsyndromic deafness in general [4].
However, it's essential to note that these treatments may not be effective for everyone with DFNA2B. In fact, the search results suggest that there is currently no cure or specific treatment for autosomal dominant nonsyndromic hearing loss, including DFNA2B.
That being said, researchers are exploring new approaches to treat autosomal dominant hearing loss using adeno-associated virus (AAV)-mediated editing [8]. This approach involves using a virus to deliver healthy copies of the KCNQ4 gene to the inner ear, which may help restore hearing. However, this is still an experimental treatment and more research is needed.
In terms of management, cochlear implants can be a viable option for individuals with autosomal dominant nonsyndromic deafness, including DFNA2B [9]. These devices can bypass damaged or non-functioning hair cells in the inner ear and directly stimulate the auditory nerve, allowing individuals to perceive sound.
Key points:
- Corticosteroids may be used as first-line treatment for autosomal dominant nonsyndromic deafness in general.
- There is currently no cure or specific treatment for DFNA2B.
- Researchers are exploring AAV-mediated editing as a potential treatment approach.
- Cochlear implants can be a viable option for individuals with autosomal dominant nonsyndromic deafness, including DFNA2B.
References:
[4] SS Liu ยท 2022 ยท Cited by 38 โ In clinical practice, corticosteroids, such as prednisone, prednisolone and dexamethasone, are recommended as first-line treatment by the American Academy of ... [8] The research explores using adeno-associated virus (AAV)-mediated editing to treat human autosomal dominant hearing loss. [9] Aug 31, 2022 โ The good news is they can receive cochlear implants.
Recommended Medications
- corticosteroids
- cochlear implants
- AAV-mediated editing
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
Autosomal dominant nonsyndromic deafness 2B (ADND2B) is a form of hearing loss that is inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene is enough to cause the condition. The differential diagnosis for ADND2B involves ruling out other conditions that may present with similar symptoms.
Possible Causes:
- Autosomal Dominant Nonsyndromic Deafness 1 (ADND1): This condition is caused by mutations in the GJB2 gene and can be distinguished from ADND2B by its earlier onset and more severe hearing loss [5].
- Autosomal Recessive Nonsyndromic Hearing Loss: This condition is caused by mutations in genes such as GJB2 or MYO7A and typically presents with more severe hearing loss than ADND2B [9].
- X-linked Deafness: This condition is caused by mutations in genes such as POU3F4 and typically affects males more frequently than females [10].
Key Features to Consider:
- Age of Onset: ADND2B typically presents with hearing loss that begins in childhood or adolescence, whereas other conditions may present at different ages.
- Severity of Hearing Loss: The severity of hearing loss can vary between individuals and is often more severe in ADND1 than in ADND2B.
- Family History: A family history of hearing loss can be an important clue to the diagnosis of ADND2B, as this condition is inherited in an autosomal dominant pattern.
Diagnostic Tests:
- Genetic Testing: Genetic testing for mutations in the GJB2 gene or other relevant genes can help confirm the diagnosis of ADND2B.
- Audiological Evaluation: A thorough audiological evaluation, including pure-tone audiometry and speech audiometry, can help assess the severity and type of hearing loss.
It's essential to note that a definitive diagnosis of ADND2B requires genetic testing or other diagnostic tests. A healthcare professional should be consulted for an accurate diagnosis and treatment plan.
Additional Information
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