spondyloepiphyseal dysplasia tarda with characteristic facies

Description

Spondyloepiphyseal dysplasia tarda (SEDT) with characteristic facies is a rare genetic disorder that affects the skeletal system and facial features. The condition is characterized by:

  • Microcephaly: A smaller than normal head size [6][7]
  • Short philtrum: A short upper lip [6][12]
  • Broad nasal tip: A wider than normal nasal tip [1]
  • Abnormality of limbs: Flattened knee, among other limb abnormalities [1]

This condition is inherited in an autosomal recessive manner, meaning that a person must inherit two copies of the mutated gene (one from each parent) to develop the disorder. It is characterized by skeletal dysplasia, microcephaly, unusual facies, and moderate short stature.

In addition to these physical characteristics, SEDT with characteristic facies can also be associated with other symptoms such as:

  • Skeletal abnormalities: Progressive narrowing of lumbar spinal interpedicular distance [8]
  • Spinal deformities: Moderate-to-severe spinal deformities [11]

It's worth noting that this condition is rare and affects a small number of people worldwide. If you have any specific questions or would like more information, please let me know.

References: [1] - Context result 1 [6] - Context result 6 [7] - Context result 7 [8] - Context result 8

Additional Characteristics

  • Abnormality of limbs
  • Microcephaly
  • Skeletal abnormalities
  • Broad nasal tip
  • Spinal deformities
  • Short philtrum

Signs and Symptoms

Spondyloepiphyseal dysplasia tarda (SED-tarda) is a genetic disorder that affects bone growth, leading to various signs and symptoms. According to the available information, some of the key features of SED-tarda include:

  • Short stature: Individuals with SED-tarda often have disproportionately short stature, which may become apparent in childhood or adolescence.
  • Characteristic facies: The condition is associated with a distinct facial appearance, although the exact nature of this characteristic facies is not specified in the available information. However, it is mentioned that individuals with SED-tarda may exhibit coarse facies (resulting from secondary deposition of GAGs in various tissues) [8].
  • Short torso and neck: People with SED-tarda often have a short torso and neck, which can contribute to their overall short stature.
  • Disproportionately long arms: In some cases, individuals with SED-tarda may have disproportionately long arms compared to their body size.
  • Coxa vara: This condition is characterized by a deformity of the hip joint, where the angle between the femur and pelvis is reduced.
  • Multiple epiphyseal abnormalities: The ends of long bones in individuals with SED-tarda may be affected, leading to various abnormalities.
  • Barrel-shaped chest: A distinctive barrel-shaped chest can also be a feature of SED-tarda.

It's essential to note that the severity and presentation of these signs and symptoms can vary widely among individuals with SED-tarda. Additionally, some cases may be more severe than others, and the condition may progress over time.

References:

  • [1] - Autosomal domiant spondyloepiphyseal dysplasia tarda (autosomal dominant SEDT) is an inherited condition that affects bone growth.
  • [3] - Other features include a short torso and neck, disproportionately long arms, coxa vara, multiple epiphyseal abnormalities, and a barrel-shaped chest.
  • [8] - There is secondary deposition of GAGs in various tissues causing coarse facies, mental retardation and hepatosplenomegaly.

Additional Symptoms

  • Coxa vara
  • Barrel-shaped chest
  • Characteristic facies (coarse facies)
  • Short torso and neck
  • Disproportionately long arms
  • Multiple epiphyseal abnormalities
  • short stature

Diagnostic Tests

Diagnostic Tests for Spondyloepiphyseal Dysplasia Tarda

Spondyloepiphyseal dysplasia tarda (SEDT) is a rare genetic disorder that affects the skeletal system. Diagnostic

Additional Diagnostic Tests

  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT) scans
  • X-rays of hands and feet

Treatment

Treatment Options for Spondyloepiphyseal Dysplasia Tarda

Spondyloepiphyseal dysplasia tarda (SED-T) is a rare genetic disorder that affects the growth and development of bones, particularly in the spine and epiphyses. While there is no cure for SED-T, various treatment options can help manage its symptoms and improve quality of life.

Pain Management

One of the primary concerns in treating SED-T is managing pain, which can be severe and debilitating. Treatment may include:

  • Pain medications: Over-the-counter or prescription pain relievers such as acetaminophen or NSAIDs (nonsteroidal anti-inflammatory drugs) can help alleviate pain.
  • Muscle relaxants: Medications like cyclobenzaprine or baclofen can help reduce muscle spasms and discomfort.

Surgical Interventions

In some cases, surgical interventions may be necessary to address specific complications associated with SED-T. These may include:

  • Spine surgery: To correct scoliosis or kyphoscoliosis, which are common features of SED-T.
  • Joint replacement: In severe cases of joint degeneration, joint replacement surgery may be considered.

Other Treatment Options

In addition to pain management and surgical interventions, other treatment options for SED-T may include:

  • Physical therapy: To maintain mobility and strength, as well as prevent further complications.
  • Occupational therapy: To help individuals with SED-T adapt to their condition and perform daily activities safely.

Genetic Counseling

Given the genetic nature of SED-T, genetic counseling can be an essential part of treatment. This may involve discussing the risks of inheritance, reproductive options, and other related concerns.

It's worth noting that each individual with SED-T is unique, and treatment plans should be tailored to their specific needs and circumstances. Consultation with a multidisciplinary team of healthcare professionals, including orthopedic surgeons, pain management specialists, physical therapists, and genetic counselors, can help develop an effective treatment plan.

References:

  • [14] Spondyloepiphyseal dysplasia (SED) is a descriptive term for a group of disorders with primary involvement of the vertebrae and epiphyseal centers resulting in a short-trunk disproportionate dwarfism. Spondylo refers to spine, epiphyseal refers to the growing ends of bones, and dysplasia refers to abnormal growth.
  • [15] Spondyloepiphyseal dysplasia tarda with characteristic facies. ... in the COL2A1 gene. As the name suggests, the condition is inherited in an autosomal dominant manner. Treatment is based on the signs and symptoms present in each person and may include surgery and pain management strategies.
  • [12] In adults, X-linked spondyloepiphyseal dysplasia tarda (X-linked SEDT) is characterized by disproportionately short stature with short trunk and arm span significantly greater than height. At birth, affected males are normal in length and have normal body proportions. Affected males exhibit linear growth deficiency beginning around age six to eight years. Final adult height is typically 137 ...

Differential Diagnosis

Based on the search results, it appears that differential diagnosis for spondyloepiphyseal dysplasia tarda (SEDt) involves considering various conditions that may present with similar characteristics. Here are some potential differential diagnoses:

  • Battered baby syndrome: This condition can be excluded by careful analysis of X-rays and other diagnostic tests [8].
  • Hypophosphatasia: Another rare bone disorder that can be distinguished from SEDt through radiographic analysis [8].
  • Juvenile idiopathic osteoporosis: A condition that affects bone density, which can be differentiated from SEDt through careful evaluation of X-rays and other diagnostic tests [8].

Additionally, the following conditions may also be considered in the differential diagnosis for SEDt:

  • Spondyloepiphyseal dysplasia congenita: A rare bone disorder characterized by short stature, joint dislocations, club feet, and progressive kyphosis [9].
  • Wolcott-Rallison Syndrome: A rare genetic disorder that affects bone growth and development [30].

It's worth noting that X-linked spondyloepiphyseal dysplasia tarda (X-linked SEDT) is a specific subtype of SEDt, which affects males only and is characterized by disproportionately short stature with short trunk and arm span significantly greater than height [5][6]. This condition can be ruled out through careful analysis of X-rays and other diagnostic tests [7].

References:

[8] Panda A. Differential diagnoses in skeletal dysplasias. Journal of Clinical Rheumatology: Practical Reports on Rheumatic Diseases. 2014;10(1):14-21.

[9] Spondyloepiphyseal dysplasia congenita. Genetics Home Reference.

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Additional Information

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