Rhizomelic chondrodysplasia punctata

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Rhizomelic chondrodysplasia punctata
Plasmologen.svg
Low levels of plasmalogens is a characteristic of rhizomelic chondrodysplasia punctata.
Specialty Medical genetics   OOjs UI icon edit-ltr-progressive.svg
Symptoms Alopecia, flat face [1]
CausesPEX7 gene, GNPAT gene and AGPS gene mutations [2]
Diagnostic method Clinical and radiologic finding [3]
TreatmentPhysical therapy [4]

Rhizomelic chondrodysplasia punctata is a rare developmental brain disorder characterized by abnormally short arms and legs ( rhizomelia ), seizures, recurrent respiratory tract infections and congenital cataracts.

Contents

The cause is a genetic mutation that results in low levels of plasmalogens, which are a type of lipid found in cell membranes throughout the body, but whose function is not known. [2]

Signs and symptoms

Rhizomelic chondrodysplasia punctata has the following symptoms: [4] [1]

Genetics

This condition is a consequence of mutations in the PEX7 gene, the GNPAT gene (which is located on chromosome 1) or the AGPS gene. The condition is acquired in an autosomal recessive manner. [2]

Pathophysiology

ACAA1 PDB 2iik EBI.png
ACAA1

The mechanism of rhizomelic chondrodysplasia punctata in the case of type 1 of this condition involves a defect in PEX7, whose product is involved in peroxisome assembly. There are 3 pathways that depend on peroxisomal biogenesis factor 7 activities, including: [4] [5] [ verification needed ]

Diagnosis

Peroxisome (this condition affects the peroxisome, causing peroxisome biogenesis disorders.) Peroxisome.svg
Peroxisome (this condition affects the peroxisome, causing peroxisome biogenesis disorders.)

The diagnosis of rhizomelic chondrodysplasia punctata can be based on genetic testing [6] as well as radiography results, plus a physical examination of the individual. [3]

Types

Treatment

Management of rhizomelic chondrodysplasia punctata can include physical therapy; additionally orthopedic procedures improved function sometimes in affected people. [4]

Prognosis

The prognosis is poor in this condition, [3] and most children die before the age of 10. [4] However, some survive to adulthood, especially if they have a non-classical (mild) form of RCDP. [4]

Children with classical, or severe, RCDP1 have severe developmental disabilities. Most of them achieve early developmental skills, such as smiling, but they will not develop skills expected from a baby older than six months (such as feeding themselves or walking). [4] By contrast, children with non-classical mild RCDP1 often learn to walk and talk. [4]

See also

Related Research Articles

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References

  1. 1 2 "Rhizomelic chondrodysplasia punctata type 1". Genetic and Rare Diseases Information Center (GARD) – an NCATS Program. US National Library of Medicine. Retrieved 23 January 2017.
  2. 1 2 3 Reference, Genetics Home. "rhizomelic chondrodysplasia punctata". Genetics Home Reference. Retrieved 2017-01-16.
  3. 1 2 3 "Rhizomelic chondrodysplasia punctata". Orphanet. Retrieved 23 January 2017.
  4. 1 2 3 4 5 6 7 8 9 Braverman, Nancy E.; Moser, Ann B.; Steinberg, Steven J. (2020). "Rhizomelic Chondrodysplasia Punctata Type 1". GeneReviews. PMID   20301447. NBK1270.
  5. Brodsky, Michael C. (2016-06-28). Pediatric Neuro-Ophthalmology. Springer. p. 620. ISBN   9781493933846.
  6. "Rhizomelic chondrodysplasia punctata type 1". Genetics Testing Laboratory (GTR): Conditions. US National Library of Medicine. Retrieved 23 January 2017.
  7. Online Mendelian Inheritance in Man (OMIM): Rhizomelic Chondrodysplasia Punctata, Type 2; RCDP2 - 222765
  8. Online Mendelian Inheritance in Man (OMIM): Rhizomelic Chondrodysplasia Punctata, Type 3; RCDP3 - 600121

Further reading