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Noonan syndrome 11
Description
Noonan Syndrome: A Genetic Condition
Noonan syndrome (NS) is a genetic disorder that affects various parts of the body, leading to a range of symptoms and characteristics.
- Characteristic Facies: Individuals with NS often have distinctive facial features, including widely spaced eyes, light-colored eyes, low-set ears, a short neck, and a small lower jaw.
- Short Stature: People with NS typically experience short stature, which can be a noticeable difference from their peers.
- Congenital Heart Defect: NS is associated with congenital heart defects, including pulmonary valve stenosis. This means that the heart may not function properly from birth, leading to potential complications later in life.
- Developmental Delay: Individuals with NS may experience developmental delays of varying degrees, affecting their ability to reach certain milestones, such as walking or talking.
Other possible findings associated with NS include:
- Broad or webbed neck
- Unusual chest shape (pectus carinatum or pectus excavatum)
- Cryptorchidism (undescended testes)
- Varied coagulation defects (bleeding problems)
- Lymphatic dysplasias
- Ocular abnormalities
It's essential to note that the severity and presentation of NS can vary greatly from person to person, making diagnosis and management crucial for affected individuals.
References:
[11] - This information is based on search result 11.
Additional Characteristics
- **Characteristic Facies**: Individuals with NS often have distinctive facial features, including widely spaced eyes, light-colored eyes, low-set ears, a short neck, and a small lower jaw.
- **Short Stature**: People with NS typically experience short stature, which can be a noticeable difference from their peers.
- **Developmental Delay**: Individuals with NS may experience developmental delays of varying degrees, affecting their ability to reach certain milestones, such as walking or talking.
- Other possible findings associated with NS include: **Broad or webbed neck**, **Unusual chest shape (pectus carinatum or pectus excavatum)**, **Cryptorchidism (undescended testes)**, **Varied coagulation defects (bleeding problems)**, **Lymphatic dysplasias**, and **Ocular abnormalities**.
- **Congenital Heart Defect**: NS is associated with congenital heart defects, including pulmonary valve stenosis. This means that the heart may not function properly from birth, leading to potential complications later in life.
Signs and Symptoms
Characteristics of Noonan Syndrome
Noonan syndrome can be identified by certain physical features that are noticeable at birth, including:
- A large head
- Widely spaced, downward-slanting eyes with pale blue or green irises
- Low-set ears that are rotated backward
- A nose that is depressed at the top with a broad base
These facial features are often characteristic of individuals with Noonan syndrome. [11]
In addition to these physical traits, people with Noonan syndrome may also experience other symptoms such as short stature and heart defects. The severity and range of symptoms can vary greatly from person to person.
Common Features
Some common features associated with Noonan syndrome include:
- Short stature
- Heart problems (such as pulmonic stenosis)
- Wide-set eyes
- Low-set ears
These physical characteristics, along with the potential for other health challenges such as bleeding disorders and developmental issues, are all part of the complex presentation of Noonan syndrome. [12][13]
Additional Symptoms
- Low-set ears
- Large head
- Wide-set eyes
- Widely spaced, downward-slanting eyes with pale blue or green irises
- Low-set ears that are rotated backward
- Nose that is depressed at the top with a broad base
- Heart problems (such as pulmonic stenosis)
- short stature
Diagnostic Tests
Diagnostic Tests for Noonan Syndrome
Noonan syndrome can be diagnosed through various tests, which are essential in confirming the condition and ruling out other potential causes. Here are some diagnostic tests that may be used to diagnose Noonan syndrome:
- Complete Blood Count (CBC): A CBC is a blood test that measures the levels of different cells in the blood, including red and white blood cells, platelets, and hemoglobin.
- Chest X-ray: A chest X-ray can help identify any abnormalities in the heart or lungs.
- CT scan: A CT scan uses computerized tomography to create detailed images of the body's internal structures, which can help diagnose conditions affecting the heart, lungs, or other organs.
- Echocardiogram: An echocardiogram is a non-invasive test that uses sound waves to create images of the heart and its blood vessels. It can help identify any abnormalities in the heart structure or function.
- Electrocardiogram (ECG): An ECG measures the electrical activity of the heart, which can help diagnose conditions affecting the heart's rhythm or conduction system.
These tests may be ordered by a healthcare provider to confirm a diagnosis of Noonan syndrome and rule out other potential causes. It is essential to note that genetic testing can also be used to confirm a diagnosis of Noonan syndrome [11][12].
References:
- [11] A complete blood count (CBC) with platelet count, coagulation profile, and measurement of factor XI level should be obtained at a minimum.
- [12] Genetic testing may be performed for diagnostic purposes in individuals exhibiting the physical and developmental characteristics associated with Noonan syndrome.
Treatment
Managing Symptoms and Complications
Doctors manage Noonan syndrome by controlling the symptoms and complications that arise from this condition. One approach to treatment involves using a growth hormone to help address short height in some individuals with Noonan syndrome.
- Growth hormone therapy may be considered for people with Noonan syndrome who experience short stature.
- The effectiveness of growth hormone treatment can vary, and there is no established standard dose for treating Noonan syndrome.
- Some studies suggest that earlier age at starting growth hormone therapy may lead to better outcomes in terms of final height.
It's essential to note that the management of Noonan syndrome often involves a team approach with doctors and specialists working together to address the various symptoms and complications associated with this condition. [11]
Recommended Medications
- growth hormone
💊 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
The differential diagnosis for Noonan syndrome includes Turner syndrome, which is typically seen in females and can be differentiated from Noonan syndrome by the demonstration of a sex chromosome abnormality on cytogenetic studies in affected individuals.
Turner syndrome has a distinct phenotype that is different from Noonan syndrome when considering face, heart, development, and kidneys. This means that if a patient presents with symptoms similar to those of Noonan syndrome, but also shows characteristics typical of Turner syndrome, such as a sex chromosome abnormality, the diagnosis may lean towards Turner syndrome.
It's worth noting that the differential diagnosis for Noonan syndrome is broad and includes many other chromosomal disorders [9]. A thorough evaluation by a medical professional is necessary to accurately diagnose and differentiate between these conditions.
Additional Differential Diagnoses
Additional Information
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- disease_ontology
- oboInOwl#id
- DOID:0112169
- core#notation
- DOID:0112169
- oboInOwl#hasDbXref
- MIM:618499
- IAO_0000115
- A Noonan syndrome characterized by clinical characteristics of Noonan syndrome, varying impairment of intellectual development, and cardiac hypertrophy that has_material_basis_in heterozygous mutation in the MRAS gene on chromosome 3q22.3.
- rdf-schema#label
- Noonan syndrome 11
- oboInOwl#hasExactSynonym
- NS11
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- t388202
- IDO_0000664
- http://purl.obolibrary.org/obo/GENO_0000147
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_6679
- owl#annotatedSource
- t388535
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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.