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brachydactyly type E1

Description

Brachydactyly Type E1: A Rare Genetic Disorder

Brachydactyly type E1, also known as short little finger syndrome, is a rare genetic disorder that affects the development of the fingers and toes. It is characterized by a shortening of the fourth or fifth digit (finger), which can be either unilateral or bilateral.

Causes and Symptoms

The exact cause of brachydactyly type E1 is unknown, but it is believed to be inherited in an autosomal dominant pattern [1]. This means that if one parent has the condition, each child has a 50% chance of inheriting it. The symptoms of brachydactyly type E1 can vary from person to person, but they typically include:

  • Shortening of the fourth or fifth digit (finger)
  • Absence or hypoplasia (underdevelopment) of the distal phalanx (tip) of the affected finger
  • Normal development of other fingers and toes

Diagnosis

Brachydactyly type E1 is typically diagnosed through a combination of clinical evaluation, radiographic examination, and genetic testing. A thorough medical history and physical examination can help identify the condition. Radiographs (X-rays) may be taken to confirm the shortening or absence of the distal phalanx.

Treatment and Management

There is no specific treatment for brachydactyly type E1, as it is a benign condition that does not cause any functional impairment [2]. However, individuals with this condition may experience emotional distress due to the visible difference in their fingers. Psychological support and counseling can be beneficial in managing these feelings.

Prognosis

The prognosis for individuals with brachydactyly type E1 is generally good, as they do not experience any significant functional impairment [3]. With proper psychological support, individuals with this condition can lead normal, active lives.

References:

[1] - The exact cause of brachydactyly type E1 is unknown, but it is believed to be inherited in an autosomal dominant pattern (Search Result 1).

[2] - There is no specific treatment for brachydactyly type E1, as it is a benign condition that does not cause any functional impairment (Search Result 2).

[3] - The prognosis for individuals with brachydactyly type E1 is generally good, as they do not experience any significant functional impairment (Search Result 3).

Additional Characteristics

  • Brachydactyly Type E1
  • Shortening of the fourth or fifth digit (finger)
  • Absence or hypoplasia (underdevelopment) of the distal phalanx (tip) of the affected finger
  • Normal development of other fingers and toes

Signs and Symptoms

Brachydactyly type E1 (BDE1) is a rare genetic disorder that affects the hands and feet. The signs and symptoms of BDE1 can vary from person to person, but here are some common characteristics:

  • Shortened metacarpals and metatarsals: One or more shortened bones in the hands and feet are a hallmark of BDE1.
  • Hyperextensibility: People with BDE1 may have very flexible joints (hyperextensibility) in their hands, which can make it difficult to grasp or hold objects.
  • Short stature: Individuals with BDE1 may be shorter than family members who do not have the disorder.
  • Intellectual disability: Some people with BDE1 may experience intellectual disability, although this is not a universal symptom.
  • Ataxia and nystagmus: Ataxia (difficulty with coordination and balance) and nystagmus (abnormal eye movements) can also be symptoms of BDE1 in some cases.
  • Cataract and other eye problems: Cataracts and other eye issues have been reported in individuals with BDE1.
  • Frontal bossing and joint hyperflexibility: Some people with BDE1 may experience frontal bossing (a prominent forehead) and joint hyperflexibility.

It's essential to note that not everyone with BDE1 will exhibit all of these symptoms, and the severity can vary from person to person. A healthcare provider can diagnose BDE1 through a combination of medical history, physical examination, X-rays, and genetic

Additional Symptoms

  • Intellectual disability
  • Shortened metacarpals and metatarsals
  • Hyperextensibility
  • Ataxia and nystagmus
  • Cataract and other eye problems
  • Frontal bossing and joint hyperflexibility
  • short stature

Diagnostic Tests

Diagnostic Tests for Brachydactyly Type E1

Brachydactyly type E1 (BDE1) is a rare genetic disorder that affects the hands and feet, causing some bones to be shorter than expected. Diagnosing BDE1 typically involves a combination of clinical evaluation and imaging studies.

  • Clinical Evaluation: A careful examination of the hands and feet by a doctor may be enough to diagnose brachydactyly. This includes observing flexible joints and bone shortening [7].
  • Imaging Studies: X-rays are often used to visualize the bone structure and confirm the diagnosis [3]. These studies can help identify which bones are shortened and provide valuable information for further evaluation.
  • Genetic Testing: Genetic testing may be used to rule out associated syndromes, such as pseudohypoparathyroidism (PHP), hypertension with BD or Bilginturan BD (HTNB), BD with mental retardation (BDMR) or BDE with short stature, PTHLH type [2]. The NGS Genetic Test for Brachydactyly Type E1 is a genetic test that uses next-generation sequencing (NGS) technology to analyze the DNA of an individual for mutations in the HOXD13 gene [8].
  • Radiologic Evaluation: X-rays can also be used to see which bones are shortened and to confirm the diagnosis [6].

It's essential to note that a diagnosis of brachydactyly can occur early during infancy or later in childhood or adolescence when the shortened bones become more noticeable [11]. Your healthcare provider will diagnose brachydactyly after a complete medical history, a physical exam of your symptoms and ordering an X-ray and potentially a genetic test.

References:

[2] Brachydactyly (BD) refers to the shortening of the hands, feet or both. There are different types of BD; among them, type E (BDE) is a rare type that can present as an isolated feature or as part of more complex syndromes...

[3] Diagnosis of Brachydactyly Type E1 typically involves a combination of clinical evaluation and imaging studies. X-rays are often used to visualize the bone structure.

[6] by SA Temtamy · 2008 · Cited by 192 — Diagnosis and diagnostic methods​​ Type A1 brachydactyly can be diagnosed by clinical, anthropometric and radiologic evaluation of both hands. X-...

[7] A careful examination of the hands and feet by a doctor may be enough to diagnose brachydactyly.

[8] The NGS Genetic Test for Brachydactyly Type E1 is a genetic test that uses next-generation sequencing (NGS) technology to analyze the DNA of an individual for mutations in the HOXD13 gene.

[11] A diagnosis of brachydactyly can occur early during infancy or later in childhood or adolescence when the shortened bones become more noticeable.

Treatment

Brachydactyly Type E1: Drug Treatment Overview

Brachydactyly type E1 (BDE1) is a rare congenital malformation characterized by shortening of the metacarpals and/or metatarsals. While there are no specific treatments for brachydactyly, some studies suggest that certain medications may be used to manage associated conditions.

Antihypertensive Drug Treatment

According to search result [5], data on adverse effects of antihypertensive drug treatment on growth and development are incomplete. However, it is recommended to establish defined criteria for initiating such therapy before prescribing a drug. This implies that antihypertensive medications may be used in some cases to manage hypertension associated with brachydactyly type E1.

No Specific Treatment for Brachydactyly

It's essential to note that there is no specific management or treatment applicable to all forms of brachydactyly, including BDE1 [11]. Plastic surgery may be indicated in some cases if the condition causes significant cosmetic concerns. However, this should only be considered under the guidance of a qualified specialist.

Consult a Healthcare Professional

For personalized medical advice and treatment, it's crucial to consult with a healthcare professional. They can assess individual circumstances and provide tailored guidance on managing brachydactyly type E1 [14].

In summary, while there is no specific drug treatment for brachydactyly type E1, antihypertensive medications may be used in some cases to manage associated hypertension. However, this should only be done under the guidance of a qualified healthcare professional.

Differential Diagnosis

Brachydactyly type E1 is a genetic disorder characterized by shortened metacarpals and metatarsals, with variable shortening of the fingers [3]. When considering differential diagnosis for Brachydactyly type E1, several conditions should be ruled out or considered:

  • Pseudohypoparathyroidism (PHP): This condition is a rare genetic disorder that affects calcium regulation in the body and can present with similar skeletal features to Brachydactyly type E1 [3].
  • Isolated pseudo-hypoparathyroidism (iPPSD): This is a milder form of PHP, which may also present with shortened metacarpals and metatarsals [3].
  • Other types of brachydactyly: Brachydactyly type A3 and D are two other forms of isolated brachydactyly that can be distinguished from Brachydactyly type E1 based on the specific bones affected [14].

In addition to these conditions, a differential diagnosis for Brachydactyly type E1 should also consider other genetic disorders that affect bone growth and development. These may include:

  • Short stature: A family with dominantly inherited short stature, short broad hands and feet, normal facial appearance, and normal intelligence has been reported in the literature [15].
  • Other skeletal dysplasias: Various other skeletal dysplasias can present with similar features to Brachydactyly type E1, such as shortened metacarpals and metatarsals.

A thorough evaluation by a qualified healthcare professional, including radiographic examination and genetic testing, is essential for accurate diagnosis and differential diagnosis of Brachydactyly type E1.

Additional Differential Diagnoses

Additional Information

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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.