Spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome
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| Spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome | |
|---|---|
| Other names | SMED-SL syndrome |
| Specialty | Medical genetics, Pediatry |
| Symptoms | Osseous anomalies which result primarily in short stature |
| Complications | Death |
| Usual onset | Birth |
| Duration | Lifelong |
| Causes | Genetic mutation |
| Risk factors | Being of Puerto Rican descent, being part of a consanguineous family. |
| Diagnostic method | This condition is diagnosed mainly through radiographs and sequencing of the DDR2 gene (gene responsible for the disorder). |
| Differential diagnosis | Dwarfism, sudden infant death syndrome |
| Prevention | None |
| Treatment | treatment is done on the symptoms |
| Prognosis | Poor |
| Frequency | rare, only 24 cases have been described |
| Deaths | 10 |
Spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome is a rare genetic disorder which is characterized by osseous anomalies resulting in short stature and other afflictions.[1]
Complications
It consists of the following symptoms: disproportionately short stature, shortened upper and lower limbs, generalized shortening and broadening of the fingers alongside small hands, narrow chest, generalized rib anomalies, pectus excavatum, larynx, tracheal, and costal calcifications, frontal bossing, hypertelorism, eye prominence, flat and short nose, wide nostrils, high-arched palate, long philtrum, platyspondyly, and abnormalities of the epiphyses and metaphyses which can be observed on radiographs. [2]
Recurrent bacterial infections and spinal compression associated with atlantoaxial instability can turn deadly if they remain untreated, resulting in premature death.[2]
Genetics
This condition is linked to autosomal recessive missense mutations in the DDR2 gene, in chromosome 1.[3]