Microcephaly, muscular build, rhizomelia, and cataracts: Description of a possible recessive syndrome and some comments on the use of electronic databases in syndromology
microcephaly; cataract; muscular hypertrophy; rhizomelia; POSSUM database; london dysmorphology database
Abstract :
[en] We report on a 7-year-old boy born of consanguineous parents with severe microcephaly (-5 SD) but borderline intelligence, juvenile cataract, muscular build, rhizomelic shortness of limbs predominantly of femora, advanced bone age, and micropenis. This combination of signs appears unique and may represent an undescribed, possibly autosomal recessive MCA syndrome. The use of LDDB and POSSUM in the workup of such "new syndromes" is reviewed. Three search strategies are discussed: single rare sign browsing, best combinatory fit using an array of key words, and combined rare signs scan. Pitfalls in the use of such databases and the some problems raised by inconsistent/ incomplete encoding in those two popular, highly useful syndromology retrieval systems are discussed.
Disciplines :
Neurology Pediatrics
Author, co-author :
Verloes, Alain ; Université de Liège - ULiège > Génétique générale et humaine
Lesenfants, S.
Misson, Jean-Paul ; Université de Liège - ULiège > Département des sciences cliniques > Pédiatrie
Galand, Albert ; Université de Liège - ULiège > Relations académiques et scientifiques (Médecine)
Koulischer, Lucien ; Université de Liège - ULiège > Relations académiques et scientifiques (Médecine)
Language :
English
Title :
Microcephaly, muscular build, rhizomelia, and cataracts: Description of a possible recessive syndrome and some comments on the use of electronic databases in syndromology
Bankier A, Rose CM, Chemke J, Kozlowski K, Rogers M, Sillence DO (1995): "P.O.S.S.U.M.: Pictures Of Standard Syndromes and Undiagnosed Malformations," 4th ed. Melbourne: Computer Power Pty Ltd and the Murdoch Institute for Research into Birth Defects.
Bottani A, Verloes A (1995): The Myhre-GOMBO syndrome: Possible lumping of two "old" new syndromes? Am J Med Genet 59:523-524.
Garciá-Cruz D, Figuera LE, Feria-Velásco A, Sánchez-Coróna J, Garciá-Cruz MO, Ramiréz-Dueñas RM, Hernández-Cordova A, Ruiz MX, Bitar-Alatorre MO, Cantú JM (1993): The Myhre syndrome: Report of two cases. Clin Genet 44:203-207.
Hennekam RCM, van de Meeberg AG, van Doorne PF, Dijkstra PF, Bijlsma JB (1988): Martsolf syndrome in a brother and a sister: Clinical features and pattern of inheritance. Eur J Pediatr 147: 539-543.
Martsolf JT, Hunter AGW, Haworth JC (1978): Severe mental retardation, cataracts, short stature, and primary hypogonadism in two brothers. Am J Med Genet 1:291-299.
Mendez HMM, Paskulin GA, Vallandro C (1985): The syndrome of retinal pigmentary degeneration, microcephaly and severe mental retardation (Mirhosseini-Holmes-Walton syndrome): Report of two patients. Am J Med Genet 22:223-228.
Mirhosseini SA, Holmes LB, Walton DS (1972): Syndrome of pigmentary retinal degeneration, cataract, microcephaly, and severe mental retardation. J Med Genet 9:193-196.
Myhre SA, Ruvalcaba HA, Graham CB (1981): A new growth deficiency syndrome. Clin Genet 20:1-5.
Verloes A, Delfortrie J, Lambotte C (1989): GOMBO syndrome of growth retardation, ocular abnormalities, microcephaly, brachydactyly, and oligophrenia: A possible "new" recessively inherited MCA/MR syndrome. Am J Med Genet 32:15-18.
Winter RM, Baraitser M (1995): "London Dysmorphology Database and Photolibrary," 3rd ed. Oxford: Oxford Electronic Publishing.