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non-syndromic X-linked intellectual disability 23
Description
Non-syndromic X-linked intellectual disability (NS-XLMR) refers to a condition characterized by intellectual disability that is not associated with any other physical, neurological, or psychiatric abnormalities. This type of intellectual disability is caused by mutations in genes located on the X-chromosome.
According to various sources [10][11], NS-XLMR is a relatively rare condition, and its prevalence is unknown. However, it is estimated that there are approximately 40 genes known to cause NS-ID, with around 80% of these residing on the X-chromosome [10].
Non-syndromic X-linked intellectual disability 23 (NS-XLMR 23) specifically refers to a condition caused by mutations in an unidentified gene. The symptoms and characteristics of this condition are not well-documented, but it is believed to be associated with moderate to severe intellectual disability.
It's worth noting that the identification and characterization of NS-XLMR conditions, including NS-XLMR 23, are ongoing research areas [15]. Further studies are needed to fully understand the genetic and clinical aspects of this condition.
Additional Characteristics
- Non-syndromic X-linked intellectual disability
- Intellectual disability caused by mutations in genes located on the X-chromosome
- Moderate to severe intellectual disability associated with NS-XLMR 23
Signs and Symptoms
Non-syndromic X-linked intellectual disability (XLID) is a condition characterized by intellectual disability in the absence of other symptoms or signs. The clinical features of XLID can vary, but some common signs and symptoms include:
- Delayed development: Affected boys often have delayed development of motor skills such as walking [1].
- Speech delay: Speech may be delayed or impaired [1].
- Weak muscle tone (hypotonia): Most affected children have weak muscle tone, which delays motor skills such as sitting, standing, and walking [10].
- Abnormal head or neck features: Some individuals with XLID may have abnormal head or neck features, such as bifid uvula or high palate [6].
It's worth noting that non-syndromic X-linked intellectual disability is a rare condition, and the symptoms can vary from person to person. However, in general, affected individuals tend to experience cognitive impairment as their primary symptom.
References: [1] Context result 2 [6] Context result 6 [10] Context result 10
Diagnostic Tests
Non-syndromic X-linked intellectual disability (NS-XLMR) can be challenging to diagnose, but various diagnostic tests are available to help identify the underlying genetic cause.
- Chromosomal Microarray Analysis (CMA): This is a first-line genetic test recommended by medical genetics groups for children with NS-XLMR. CMA can detect deletions or duplications of genetic material on the X-chromosome, which may be associated with intellectual disability [5].
- Genetic testing: Specific genetic tests are available to identify mutations in genes known to cause NS-XLMR. These tests can help diagnose the specific type of intellectual disability present and guide treatment.
- Karyotype analysis: This test examines the number and structure of chromosomes, which can reveal abnormalities such as deletions or duplications that may be associated with NS-XLMR [12].
- Fragile X syndrome testing: Since Fragile X syndrome is a common cause of NS-XLMR, testing for this condition is often performed. This includes analyzing the FMR1 gene and assessing methylation status.
- X-linked intellectual disability panels: These panels typically include multiple genes associated with NS-XLMR and can be used to screen for mutations in these genes [8].
It's essential to note that genetic testing should only be conducted under the guidance of a qualified healthcare professional, as it requires careful interpretation of results and consideration of the individual's medical history.
References: [5] - Medical genetics groups recommend chromosomal microarray analysis (CMA) as a first-line genetic test for children with NS-XLMR. [8] - X-linked intellectual disability panels include multiple genes associated with NS-XLMR. [12] - Karyotype analysis can reveal abnormalities such as deletions or duplications that may be associated with NS-XLMR.
Treatment
Non-syndromic X-linked intellectual disability (NS-XLID) is a condition characterized by intellectual disability that affects only males and is not linked to a specific or consistent spectrum of clinical features other than intellectual disability. In terms of drug treatment, the primary goal is to manage any associated symptoms such as seizures, behavioral disturbances, and hypogonadism.
- Seizures: Anticonvulsant medication may be required in patients with NS-XLID who experience seizures [8].
- Behavioral disturbances: Medication may also be necessary to manage behavioral issues that can arise in individuals with NS-XLID [8].
- Hypogonadism: In some cases, hormone replacement therapy may be needed to address hypogonadism, a condition characterized by low levels of sex hormones [8].
It's essential to note that the treatment approach for NS-XLID should be tailored to the individual's specific needs and symptoms. A healthcare professional should consult with a qualified specialist for medical advice and treatment.
References: [8] - Consultation with a healthcare professional is recommended for medical advice and treatment. [1] - Nonspecific X-linked intellectual deficiencies (MRX) ... [7] - Any non-syndromic X-linked intellectual disability in males may require medication to manage associated symptoms.
Recommended Medications
- Hormone replacement therapy
- Medication for behavioral issues
- anticonvulsant
💊 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
Non-syndromic X-linked intellectual disability (NS-XLID) refers to a condition where individuals exhibit intellectual disability without any additional clinical symptoms or physical anomalies. When considering the differential diagnosis for NS-XLID, several conditions should be taken into account.
Other forms of X-linked ID: One of the primary differential diagnoses for NS-XLID is other forms of X-linked intellectual disability. These conditions can present with similar symptoms and clinical findings, making it essential to rule them out through genetic testing and molecular analysis [3].
DDX3X-related neurodevelopmental disorder (DDX3X-NDD): This condition typically affects females and very rarely males, presenting with intellectual disability in the absence of other symptoms. However, it is crucial to note that DDX3X-NDD can be a differential diagnosis for NS-XLID, particularly in females [4].
Autism Spectrum Disorder (ASD), Borderline intellectual functioning, Child Abuse & Neglect, Posttraumatic Stress Disorder: These conditions can also present with similar symptoms and should be considered in the differential diagnosis of NS-XLID. A thorough evaluation by a healthcare professional is necessary to rule out these conditions [5].
Börjeson-Forssman-Lehmann syndrome, Wilson-Turner syndrome, Smith-Fineman-Myers syndrome: These syndromes can present with intellectual disability and similar clinical findings, making them differential diagnoses for NS-XLID. A comprehensive genetic evaluation is necessary to rule out these conditions [6].
Other X-linked intellectual disability syndromes:
Additional Differential Diagnoses
- Other forms of X-linked ID
- DDX3X-related neurodevelopmental disorder (DDX3X-NDD)
- Autism Spectrum Disorder (ASD), Borderline intellectual functioning, Child Abuse & Neglect, Posttraumatic Stress Disorder
- Börjeson-Forssman-Lehmann syndrome, Wilson-Turner syndrome, Smith-Fineman-Myers syndrome
Additional Information
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- DOID:0112049
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- MIM:300046
- IAO_0000115
- A non-syndromic X-linked intellectual disability characterized by decreased verbal but not performance IQs that has_material_basis_in mutation in a region on chromosome Xq23-q24.
- oboInOwl#hasExactSynonym
- X-linked mental retardation 23
- rdf-schema#label
- non-syndromic X-linked intellectual disability 23
- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_0050776
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- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_6559
- owl#annotatedSource
- t383875
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