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hypotrichosis-lymphedema-telangiectasia-renal defect syndrome

Description

Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome is a rare genetic disorder characterized by four distinct features:

  • Sparse hair (hypotrichosis): Individuals with this condition often have thinning or absent hair on their scalp and body.
  • Lymphatic edemas: Swelling of the lymph nodes, which can lead to swelling in various parts of the body, such as the arms, legs, and face.
  • Peripheral vein anomalies (telangiectasia): Visible small blood vessels near the surface of the skin, often appearing as red or purple spots.
  • Renal disease: Kidney problems, including reduced function and potential damage to the kidneys.

This syndrome is inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene is enough to cause the condition. The symptoms typically begin to appear in early childhood.

According to [1], Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome is characterized by these four features, which begin in early childhood. This information is also supported by [8], which states that the syndrome is an autosomal dominant disorder with the same four characteristics.

The facial features of individuals with this condition can be unusual, with a long nose and broad nasal root, full lips, and a prominent lower jaw [7].

References: [1] - Context result 2 [7] - Context result 7 [8] - Context result 8

Additional Characteristics

  • Renal disease
  • Sparse hair (hypotrichosis)
  • Lymphatic edemas
  • Peripheral vein anomalies (telangiectasia)

Signs and Symptoms

Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome (HLTDRS) is a rare genetic disorder characterized by a combination of symptoms, including:

  • Sparse hair (hypotrichosis): The condition is marked by early-onset hypotrichosis, which means that individuals with HLTDRS often have sparse or thinning hair from birth or early childhood [1][3][10].
  • Lymphedema: Lymphedema is a swelling of the lower limbs due to impaired lymphatic drainage. In HLTDRS, this symptom typically begins in early childhood and can worsen over time [2][4][7].
  • Cutaneous telangiectasias: Telangiectasias are small, dilated blood vessels that appear on the skin's surface. In HLTDRS, these lesions often occur on the palms of the hands and may be accompanied by other cutaneous manifestations [3][5][10].
  • Renal defect: The most serious aspect of HLTDRS is kidney failure due to progressive disease. This can lead to renal impairment or even end-stage renal disease in some cases [11].

It's worth noting that the symptoms of HLTDRS can vary in severity and may not always be present at birth. In some cases, individuals with HLTDRS may experience additional symptoms, such as aortic dilatation or other cardiovascular issues [5].

Additional Symptoms

  • Sparse hair
  • Lymphedema
  • Cutaneous telangiectasias
  • Renal defect

Diagnostic Tests

Diagnostic Tests for Hypotrichosis-Lymphedema-Telangiectasia-Renal Defect Syndrome

Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome (HLTRS) is a rare genetic disorder that can be diagnosed through various clinical and molecular tests. Here are some of the diagnostic tests used to identify HLTRS:

  • Clinical Genetic Test: A clinical genetic test offered by Intergen for conditions like HLTRS involves testing genes such as SOX18, which is associated with this syndrome [1].
  • Sequence Analysis: Sequence analysis of the entire coding region, Next-Generation (NGS)/Massively parallel sequencing (MPS) offered by Intergen Genetic Diagnosis and Research Centre can be used to diagnose HLTRS [15].
  • Genetic Testing: Biallelic mutations in the SOX18 gene result in hypotrichosis-lymphedema-telangiectasia syndrome (HLTS), which has overlapping features with HLTRS. Therefore, genetic testing for SOX18 mutations can be used to diagnose HLTRS [3].
  • Diagnostic Tests Laboratories: Various diagnostic tests laboratories offer tests for HLTRS, including sequence analysis and NGS/MPS [12].

It's essential to consult a healthcare professional or a genetic counselor to determine the best course of action for diagnosing HLTRS. They can help you navigate the testing process and provide guidance on what to expect.

References:

[1] - Clinical Genetic Test offered by Intergen for conditions (1): Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome; Testing genes (1): SOX18 ...

[3] - A number sign (#) is used with this entry because of evidence that hypotrichosis-lymphedema-telangiectasia-renal defect syndrome (HLTRS) is caused by heterozygous mutation in the SOX18 gene on chromosome 20q13.

[12] - Diagnostic tests Laboratories; Diagnostic tests; Research and trials Research projects ... Disease name. OMIM disease. Gene name or symbol. ORPHAcode. ICD-10. ICD-11. Other search option(s) Alphabetical list; Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome.

[15] - Clinical Molecular Genetics test for Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome and using Sequence analysis of the entire coding region, Next-Generation (NGS)/Massively parallel sequencing (MPS) offered by Intergen Genetic Diagnosis and Research Centre.

Additional Diagnostic Tests

  • Genetic Testing
  • Sequence Analysis
  • Clinical Genetic Test
  • Diagnostic Tests Laboratories

Treatment

Treatment Options for Hypotrichosis-Lymphedema-Telangiectasia-Renal Defect Syndrome

Hypotrichosis-Lymphedema-Telangiectasia-Renal Defect (HLTRS) syndrome is a rare genetic disorder that requires comprehensive management. While there is no cure, various treatment options can help alleviate symptoms and improve quality of life.

  • Propranolol: A beta-blocker that has been successfully used to treat pericardial edema in patients with HLTRS [4]. This medication may also be beneficial in managing other cardiovascular manifestations.
  • Lubrication and hair removal: To address the hypotrichosis aspect, lubrication, plucking, cryotherapy, electrolysis, or lid splitting can be employed to treat distichiasis (abnormal eyelash growth) [7].
  • Renal disease management: Patients with HLTRS often experience renal disease. Treatment typically involves standard therapies for kidney disorders, such as dialysis or kidney transplantation.
  • Lymphedema management: Lymphatic edemas can be managed through compression therapy, physical therapy, and lifestyle modifications to reduce swelling.

It is essential to consult a healthcare professional for personalized guidance on managing HLTRS symptoms. They will work with you to develop a comprehensive treatment plan tailored to your specific needs [2].

References:

[1] Not applicable (no relevant information found in this context)

[2] Consult a healthcare professional for medical advice and treatment.

[4] by J Overman · 2019 · Cited by 52 — We report successful treatment of pericardial edema with propranolol in a patient with Hypotrichosis-Lymphedema-Telangiectasia and Renal (HLTRS) syndrome.

[7] by S Mansour · 2019 · Cited by 44 — Treatment of manifestations: Lubrication, plucking, cryotherapy, electrolysis, or lid splitting for treatment of distichiasis; fitted ...

Recommended Medications

  • Lubrication and hair removal
  • Renal disease management (dialysis or kidney transplantation)
  • Lymphedema management (compression therapy, physical therapy, lifestyle modifications)
  • propranolol
  • Propranolol

💊 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

Hypotrichosis-lymphedema-telangiectasia-renal defect syndrome (HLTRS) is a rare genetic disorder characterized by the combination of sparse hair (hypotrichosis), fluid accumulation in the limbs (lymphedema), and cutaneous telangiectasias. When considering differential diagnoses for HLTRS, several other conditions should be taken into account.

Similar Conditions:

  • Hypotrichosis-Lymphedema-Telangiectasia Syndrome (HLTS): This condition is similar to HLTRS but lacks the renal defect feature. It is caused by mutations in the SOX18 gene and presents with hypotrichosis, lymphedema, and telangiectasias.
  • Lymphedema-Distichiasis Syndrome: Although not directly related to HLTRS, this syndrome also involves lymphedema and can be considered in differential diagnosis. However, it is characterized by the presence of distichiasis (a condition where there are two rows of eyelashes), which is not a feature of HLTRS.
  • Hereditary Lymphedema: This condition is caused by mutations in various genes and presents with lymphedema as its primary feature. While some cases may also involve telangiectasias, they do not typically present with hypotrichosis or renal defects.

Key Features to Distinguish HLTRS:

  • Renal Defects: The presence of renal defects is a key distinguishing feature of HLTRS from other conditions like HLTS.
  • Hypotrichosis: Sparse hair is a characteristic feature of both HLTRS and HLTS, but the severity and presentation can vary between the two conditions.
  • Lymphedema: Fluid accumulation in the limbs is a common feature among these conditions, but the extent and progression can differ.

Differential Diagnosis Considerations:

When considering differential diagnoses for HLTRS, it is essential to evaluate the presence of renal defects, the severity of hypotrichosis, and the extent of lymphedema. A thorough medical history, physical

Additional Information

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disease_ontology
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DOID:0111360
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DOID:0111360
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MIM:137940
IAO_0000115
A syndrome characterized by onset in childhood of progressive hypotrichosis, lymphedema, telangiectasia, and renal defects that has_material_basis_in heterozygous mutation in the SOX18 gene on chromosome 20q13.33.
oboInOwl#hasExactSynonym
telangiectatic membranoproliferative glomerulonephritis
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hypotrichosis-lymphedema-telangiectasia-renal defect syndrome
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t379600
IDO_0000664
http://purl.obolibrary.org/obo/GENO_0000147
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https://w3id.org/def/predibionto#has_symptom_5681
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t379731

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