Spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome

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Spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome
Other namesSMED-SL syndrome
Autosomal recessive - en.svg
Specialty Medical genetics, Pediatry
Symptoms Osseous anomalies which result primarily in short stature
Complications Death
Usual onsetBirth
DurationLifelong
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
PreventionNone
Treatmenttreatment is done on the symptoms
Prognosis Poor
Frequencyrare, only 24 cases have been described
Deaths10

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]

Contents

Signs and symptoms

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]

Complications

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]

Cases

According to OMIM, approximately 24 cases have been described in medical literature. [4]

The following list comprises most (if not all) cases of spondyloepimetaphyseal dysplasia-short limb-abnormal calcification syndrome:

History

This condition was first discovered in 1993, when they described 3 unrelated cases (from 3 separate families) coming from ethnic Sephardic Jewish (2 cases) and Puerto Rican (1 case) families, these patients had "severe short-limb bone dysplasia". [11]

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References

  1. RESERVED, INSERM US14-- ALL RIGHTS. "Orphanet: Spondyloepimetaphyseal dysplasia short limb abnormal calcification syndrome". www.orpha.net. Retrieved 2022-07-05.{{cite web}}: CS1 maint: numeric names: authors list (link)
  2. 1 2 "Spondylometaepiphyseal dysplasia short limb-hand type - About the Disease - Genetic and Rare Diseases Information Center". rarediseases.info.nih.gov. Retrieved 2022-07-05.
  3. Bargal, Ruth; Cormier-Daire, Valerie; Ben-Neriah, Ziva; Le Merrer, Martine; Sosna, Jacob; Melki, Judith; Zangen, David H.; Smithson, Sarah F.; Borochowitz, Zvi; Belostotsky, Ruth; Raas-Rothschild, Annick (2009-01-01). "Mutations in DDR2 gene cause SMED with short limbs and abnormal calcifications". American Journal of Human Genetics. 84 (1): 80–84. doi:10.1016/j.ajhg.2008.12.004. ISSN   1537-6605. PMC   2668047 . PMID   19110212.
  4. "Entry - #271665 - Spondylometaepiphyseal dysplasia, short-limb hand type - OMIM". www.omim.org. Retrieved 2022-07-05.
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  6. Langer, L. O.; Wolfson, B. J.; Scott, C. I.; Reid, C. S.; Schidlow, D. V.; Millar, E. A.; Borns, P. F.; Lubicky, J. P.; Carpenter, B. L. (1993-02-15). "Further delineation of spondylo-meta-epiphyseal dysplasia, short limb-abnormal calcification type, with emphasis on diagnostic features". American Journal of Medical Genetics. 45 (4): 488–500. doi:10.1002/ajmg.1320450419. ISSN   0148-7299. PMID   8465857.
  7. al-Gazali, L. I.; Bakalinova, D.; Sztriha, L. (1996-07-01). "Spondylo-meta-epiphyseal dysplasia, short limb, abnormal calcification type". Clinical Dysmorphology. 5 (3): 197–206. doi:10.1097/00019605-199607000-00002. ISSN   0962-8827. PMID   8818447. S2CID   22780129.
  8. Bargal, Ruth; Cormier-Daire, Valerie; Ben-Neriah, Ziva; Le Merrer, Martine; Sosna, Jacob; Melki, Judith; Zangen, David H.; Smithson, Sarah F.; Borochowitz, Zvi; Belostotsky, Ruth; Raas-Rothschild, Annick (2009-01-01). "Mutations in DDR2 gene cause SMED with short limbs and abnormal calcifications". American Journal of Human Genetics. 84 (1): 80–84. doi:10.1016/j.ajhg.2008.12.004. ISSN   1537-6605. PMC   2668047 . PMID   19110212.
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