Kaufman oculocerebrofacial syndrome | |
---|---|
Other names | Blepharophimosis-ptosis-intellectual disability syndrome |
Kaufman oculocerebrofacial syndrome has an autosomal recessive pattern of inheritance. | |
Symptoms | Arachnodactyly [1] |
Causes | Mutation in the UBE3B gene [2] |
Diagnostic method | Growth assessment, Thyroid function evaluation [3] [4] |
Treatment | Thyroid hormone replacement, Speech therapy [3] |
Kaufman oculocerebrofacial syndrome, also known as blepharophimosis-ptosis-intellectual disability syndrome, is an extremely rare autosomal recessive congenital disorder characterized by severe mental retardation, brachycephaly, upslanting palpebral fissures, eye abnormalities, and highly arched palate. [1] [3] It was characterized in 1971; [5] eight cases had been identified as of 1995. [6] To date, the amount of cases is disputed, with sources claiming the number ranges from 14 to 31. [7] [8]
The signs and symptoms of Kaufman oculocerebrofacial syndrome are consistent with the following: [1] [9]
The cause of this condition is apparently due to mutation in the UBE3B gene and is inherited via autosomal recessive manner. [2] This gene is located at molecular location- base pairs 109,477,410 to 109,543,628 and position 24.11 on chromosome 12. [10]
The mechanism (or pathogenesis) of Kaufman oculocerebrofacial syndrome appears to begin due to a mutation in the E3 ubiquitin protein ligase. (UBE3B). [11]
One finds that the normal mechanism of UBE3B gene is important in the ubiquitin-proteasome system. The aforementioned system helps to remove proteins that have degraded. [12] [10]
However, when not working properly due to the mutation in the UBE3B gene(at least 15 mutations) results in an unstable UBE3B protein which has a negative effect on the ubiquitin-proteasome system. [10]
The diagnosis of Kaufman oculocerebrofacial syndrome can be achieved via molecular testing approaches. Additionally to ascertain if the individual has the condition: [3] [4]
Kaufman oculocerebrofacial syndrome differential diagnosis consists of: [3]
Treatment for this condition entails surveillance of growth and contractures. Furthermore, the following are treatment options: [3]
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