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spondyloepimetaphyseal dysplasia with joint laxity type 3

Description

Spondyloepimetaphyseal dysplasia with joint laxity type 3 (SEMDJL3) is a rare genetic disorder characterized by multiple joint dislocations at birth, severe joint laxity, scoliosis, gracile metacarpals and metatarsals, delayed bone age, and poorly ossified carpal and tarsal bones [13].

This condition is one of the types of spondyloepimetaphyseal dysplasias (SEMD), a group of rare genetic disorders that affect the growth and development of bones. SEMDJL3 is inherited in an autosomal recessive manner, meaning that both parents must be carriers of the mutated gene for their child to be affected [15].

The symptoms of SEMDJL3 typically include:

  • Multiple joint dislocations at birth
  • Severe joint laxity (looseness)
  • Scoliosis (curvature of the spine)
  • Gracile metacarpals and metatarsals (thin bones in the hands and feet)
  • Delayed bone age
  • Poorly ossified carpal and tarsal bones (bones in the wrists and ankles)

It's worth noting that SEMDJL3 is a rare condition, and there may be limited information available on it. However, research suggests that it is one of the types of SEMD with joint laxity, which are characterized by similar symptoms [14].

References: [13] Girisha et al., 2016 [15] Beighton and Zuckerman, 1995

Additional Characteristics

  • Delayed bone age
  • Scoliosis (curvature of the spine)
  • Multiple joint dislocations at birth
  • Severe joint laxity (looseness)
  • Gracile metacarpals and metatarsals (thin bones in the hands and feet)
  • Poorly ossified carpal and tarsal bones (bones in the wrists and ankles)

Signs and Symptoms

Spondyloepimetaphyseal dysplasia with joint laxity type 3 (SEMD-JL3) is a rare genetic disorder characterized by multiple joint dislocations, severe joint laxity, scoliosis, and other skeletal abnormalities. The signs and symptoms of SEMD-JL3 can vary in severity and may include:

  • Multiple joint dislocations: Joint dislocations are present at birth and can occur in various joints, including the hips, knees, elbows, wrists, ankles, and patellae.
  • Severe joint laxity: Individuals with SEMD-JL3 often have extremely flexible joints, which can lead to joint instability and dislocations.
  • Scoliosis: Scoliosis is a common feature of SEMD-JL3, characterized by an abnormal curvature of the spine.
  • Short stature: People with SEMD-JL3 typically have short stature, with a very short trunk and neck and shortened limbs.
  • Genu valgum/varum: Genu valgum (knock knees) or genu varum (bow legs) can occur due to limb malalignment.
  • Midface hypoplasia: Midface hypoplasia is a characteristic feature of SEMD-JL3, where the midface region is underdeveloped.

These signs and symptoms are often present at birth or become apparent in early childhood. It's essential to note that each individual with SEMD-JL3 may experience a unique combination of these features, and the severity can vary significantly from person to person [8][10].

References: [8] - Spondyloepimetaphyseal dysplasia with joint laxity-3 (SEMDJL3) is characterized by multiple joint dislocations at birth, severe joint laxity, scoliosis, ... [10] - Disease definition. Spondyloepimetaphyseal dysplasia with joint laxity, type 3; Spondyloepimetaphyseal dysplasia with joint laxity, type 3 ...

Additional Symptoms

  • Scoliosis
  • Midface hypoplasia
  • Multiple joint dislocations
  • Severe joint laxity
  • varum
  • short stature

Diagnostic Tests

Diagnostic Tests for Spondyloepimetaphyseal Dysplasia with Joint Laxity Type 3

Spondyloepimetaphyseal dysplasia with joint laxity type 3 (SEMDJL3) is a rare genetic disorder that affects the bones and joints. Diagnosing SEMDJL3 can be challenging, but various diagnostic tests can help confirm the condition.

  • X-rays: X-rays are often used to produce images of bones, which can show signs of skeletal dysplasia, joint dislocations, and other characteristic features of SEMDJL3 [8].
  • Magnetic Resonance Imaging (MRI): MRI scans use a combination of large magnets, radiofrequencies, and computer technology to produce detailed images of the internal structures of the body. In the case of SEMDJL3, MRI can help identify joint dislocations, ligamentous laxity, and other abnormalities [9].
  • Molecular genetic testing: Molecular genetic testing can detect mutations in the gene known to cause SEMDJL3, confirming a diagnosis [11]. This type of testing is typically performed on a blood sample or other tissue.
  • Online Mendelian Inheritance in Man (OMIM): OMIM is a comprehensive database that provides information on human genes and genetic phenotypes. It can be used as a reference to confirm the diagnosis of SEMDJL3 [10].

It's essential to note that a definitive diagnosis of SEMDJL3 requires a combination of clinical evaluation, radiological findings, and molecular genetic testing.

References: [8] - Context result 8 [9] - Context result 9 [10] - Context result 10 [11] - Context result 11

Treatment

Differential Diagnosis

Spondyloepimetaphyseal dysplasia with joint laxity type 3 (SEMDJL3) is a rare genetic disorder characterized by multiple joint dislocations, severe joint laxity, scoliosis, gracile metacarpals and metatarsals, delayed bone age, and poorly ossified carpal and tarsal bones [3]. When considering the differential diagnosis for SEMDJL3, several conditions should be taken into account.

  • Sponastrime dysplasia: This is a rare genetic disorder that affects the development of bones and joints. It is characterized by midface hypoplasia, short stature, generalized joint laxity, multiple joint dislocations (most frequently of knees and hips), limb malalignment (genu valgum/varum) and progressive spinal deformity (e.g. kyphosis/scoliosis). Sponastrime dysplasia is transmitted in an autosomal-recessive manner [13].
  • Spondylo-epi-metaphyseal dysplasia with joint laxity and severe, progressive kyphoscoliosis: This condition is characterized by midface hypoplasia, short stature, generalized joint laxity, multiple joint dislocations (most frequently of knees and hips), limb malalignment (genu valgum/varum) and progressive spinal deformity (e.g. kyphosis/scoliosis). It should be differentiated clinically from generalized hypermobility syndromes specifically Ehlers-Danlos syndrome and Larsen syndrome [14].
  • Spondyloepimetaphyseal dysplasia with joint laxity: This is a rare genetic disorder caused by genetic mutations, also known as pathogenic variants. It can be hereditary or occur randomly when cells are dividing [15].

These conditions should be considered in the differential diagnosis of SEMDJL3, and a thorough evaluation by a qualified healthcare professional is necessary to determine the correct diagnosis and treatment plan.

Additional Information

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A spondyloepimetaphyseal dysplasia with joint laxity characterized by multiple joint dislocations at birth, severe joint laxity, scoliosis, gracile metacarpals and metatarsals, delayed bone age, and poorly ossified carpal and tarsal bones that has_material_basis_in homozygous or compound heterozygous mutation in the EXOC6B gene on chromosome 2p13.2.
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