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autosomal dominant nonsyndromic deafness 51

ICD-10 Codes

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Description

Autosomal dominant nonsyndromic deafness 51 (DFNA51) is a type of hearing loss disorder that affects both ears and tends to be progressive in nature [8]. It is characterized by postlingual onset, meaning the hearing loss occurs after language development has taken place, typically in the fourth decade of life [2, 5, 7, 10].

The hearing loss associated with DFNA51 is high frequency and bilateral, affecting both ears equally [2, 5, 7, 10]. This means that individuals with this condition may experience difficulty hearing high-pitched sounds or frequencies.

Research suggests that the genetic basis of DFNA51 involves a 269-kb duplication of chromosome 9q21.11, which includes the TJP2 and FAM189A2 genes [10].

It's worth noting that autosomal dominant nonsyndromic deafness is relatively rare compared to other forms of hearing loss, accounting for approximately 15% of all cases [11]. However, further research is needed to fully understand the characteristics and genetic basis of DFNA51.

Additional Characteristics

  • High frequency and bilateral hearing loss
  • Difficulty hearing high-pitched sounds or frequencies
  • Affects both ears equally
  • Typically occurs in the fourth decade of life
  • Progressive in nature

Signs and Symptoms

Autosomal dominant nonsyndromic deafness, also known as DFNA2, is a type of hearing loss that is inherited in an autosomal dominant pattern. The signs and symptoms of this condition are typically bilateral and progressive, affecting both ears.

Characteristics:

  • Bilateral hearing loss: Hearing loss affects both ears, with the majority of cases being symmetric.
  • High-frequency sensorineural hearing loss (SNHL): The hearing loss is predominantly in the high-frequency range, which can make it difficult to understand speech and other sounds.
  • Progressive hearing loss: The hearing loss tends to worsen over time, affecting all frequencies.
  • Post-lingual onset: In most cases, the hearing loss occurs after language development has taken place.

Other symptoms:

  • No additional signs or symptoms: Unlike syndromic hearing loss, autosomal dominant nonsyndromic deafness is not associated with other signs and symptoms.
  • Normal physical examination: Individuals with this condition typically have a normal physical examination, with no visible abnormalities.

Genetic inheritance: Autosomal dominant nonsyndromic deafness is inherited in an autosomal dominant pattern, meaning that only one copy of the mutated gene is necessary to express the condition. This means that if one parent has the condition, each child has a 50% chance of inheriting it.

References:

  • [1] DFNA2 nonsyndromic hearing loss is characterized by symmetric, predominantly high-frequency sensorineural hearing loss (SNHL) that is progressive across all frequencies.
  • [4] Autosomal dominant non-syndromic HL tends to be bilateral, post-lingual in onset, and has a heterogeneous presentation.
  • [6] The characteristics of autosomal dominant non-syndromic HL are heterogenous. However, in most cases, HL tends to be bilateral, post-lingual in onset, and progressive across all frequencies.
  • [8] Hereditary HL can be syndromic (if other signs and symptoms are present) or non-syndromic (in the absence of additional signs or symptoms).

Additional Symptoms

  • Progressive hearing loss
  • Bilateral hearing loss
  • Post-lingual onset
  • High-frequency sensorineural hearing loss (SNHL)
  • No additional signs or symptoms
  • Normal physical examination

Diagnostic Tests

Autosomal dominant nonsyndromic deafness 51, also known as DFNA51, is a genetic disorder that affects hearing. Diagnostic tests for this condition are crucial in identifying the underlying cause of the hearing loss.

Available Genetic Tests

According to search results [1], PreventionGenetics offers a clinical genetic test for conditions including autosomal dominant nonsyndromic hearing loss 51. This test provides full coverage of all coding exons of the TJP2 gene, which is associated with DFNA51 [6].

Additionally, the Blueprint Genetics Comprehensive Hearing Loss and Deafness Panel (test code EA0501) includes assessment of non-coding variants and covers a wide range of genes associated with hearing loss, including those responsible for autosomal dominant nonsyndromic deafness 51 [11].

Other Diagnostic Tests

While specific diagnostic tests for DFNA51 are not widely available, genetic testing can help identify the underlying cause of the hearing loss. Genetic counselors or specialists may recommend genetic testing to determine if a family member has a mutation in one of the genes associated with autosomal dominant nonsyndromic deafness 51.

Genes Associated with Autosomal Dominant Nonsyndromic Deafness 51

Research suggests that mutations in the TJP2 gene are associated with DFNA51 [6, 12]. However, it's essential to note that none of the genes associated with autosomal dominant nonsyndromic hearing loss accounts for a preponderance of cases [15].

Conclusion

Diagnostic tests for autosomal dominant nonsyndromic deafness 51 are available through specialized genetic testing services. While specific tests may not be widely available, genetic counseling and testing can help identify the underlying cause of the hearing loss. It's essential to consult with a genetic specialist or counselor to determine the best course of action for diagnosis and management.

References:

[1] PreventionGenetics [6] Blueprint Genetics Comprehensive Hearing Loss and Deafness Panel (test code EA0501) [11] TJP2 gene associated with DFNA51 [12] Autosomal dominant nonsyndromic deafness 51, also known as DFNA51

Treatment

Current Treatment Options for Autosomal Dominant Nonsyndromic Deafness

While there are no specific treatments that can cure autosomal dominant nonsyndromic deafness, various management options and therapies can help alleviate symptoms and improve quality of life. Here are some current treatment options:

  • Hearing Aids: Amplification devices that can be customized to an individual's hearing needs. They can significantly improve communication and overall well-being.
  • Cochlear Implants: Surgical devices that directly stimulate the auditory nerve, bypassing damaged or non-functioning hair cells. This technology has revolutionized hearing rehabilitation for many individuals with severe-to-profound hearing loss.
  • Gene Therapy: A promising area of research focused on genetic modification to produce therapeutic effects or treat diseases by repairing or reconstructing genetic material. While still in its early stages, gene therapy holds potential for treating the underlying causes of autosomal dominant nonsyndromic deafness.

Audioprofiling and Prognosis

Audioprofiling can be used to predict the rate of hearing loss per year in individuals with autosomal dominant nonsyndromic hearing loss. This information is crucial for healthcare providers to develop personalized treatment plans and make informed decisions about the most effective management strategies.

Current Research and Future Directions

Research continues to uncover new insights into the genetic mechanisms underlying autosomal dominant nonsyndromic deafness. Gene therapy, in particular, shows promise as a potential treatment approach. As our understanding of this complex condition evolves, so too will the available treatment options and management strategies.

References:

  • [1] by RJH Smith · Cited by 240 — Audioprofiling can be used to prognosticate the rate of hearing loss per year in an individual with autosomal dominant nonsyndromic hearing ...
  • [6] by L Jiang · 2023 · Cited by 55 — Gene therapy focuses on genetic modification to produce therapeutic effects or treat diseases by repairing or reconstructing genetic material, ...
  • [7] by L Jiang · 2023 · Cited by 55 — Gene therapy holds potential for treating the underlying causes of autosomal dominant nonsyndromic deafness.

Differential Diagnosis

Autosomal dominant nonsyndromic deafness (ADNSHL) can be challenging to diagnose, as it often presents with a wide range of symptoms and varying degrees of hearing loss. However, there are several key factors that can help guide the differential diagnosis:

  • Family history: A positive family history is a crucial factor in diagnosing ADNSHL. Most patients diagnosed with ADNSHL have a hearing-impaired parent or other relatives with similar symptoms [5][15].
  • Age of onset: ADNSHL typically presents postlingually, meaning that the hearing loss occurs after language development has taken place [11]. In contrast, autosomal recessive nonsyndromic deafness often presents prelingually.
  • Progression and severity: The progression and severity of hearing loss can vary widely in ADNSHL. Some individuals may experience a gradual decline in hearing over time, while others may have more rapid or severe losses [5].
  • Genetic testing: Genetic testing is an essential tool for diagnosing ADNSHL. Over 50 genes have been associated with this condition, and identifying the specific gene involved can help guide treatment decisions [4][14].

In terms of differential diagnosis, it's essential to consider other conditions that may present similarly to ADNSHL, such as:

  • Autosomal recessive nonsyndromic deafness: This condition often presents prelingually and is typically more severe than ADNSHL.
  • Syndromic hearing loss: Certain syndromes, such as Usher syndrome or Pendred syndrome, can also present with hearing loss. However, these conditions are often associated with other systemic symptoms or physical characteristics.
  • Other genetic disorders: Various genetic disorders, such as mitochondrial or X-linked inheritance, can also cause hearing loss.

To accurately diagnose ADNSHL, a comprehensive evaluation should include:

  • Medical history and physical examination
  • Audiological assessment, including pure-tone audiometry and speech audiometry
  • Genetic testing to identify the specific gene involved
  • Family history and pedigree analysis

By considering these factors and performing a thorough diagnostic evaluation, healthcare providers can accurately diagnose ADNSHL and develop an effective treatment plan for affected individuals.

Additional Information

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