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词条 Rhizomelic chondrodysplasia punctata
释义

  1. Signs and symptoms

  2. Genetics

  3. Pathophysiology

  4. Diagnosis

     Types 

  5. Treatment

  6. See also

  7. References

  8. Further reading

  9. External links

{{Infobox medical condition (new)
| name = Rhizomelic chondrodysplasia punctata
| synonyms =
| image = File:Plasmologen.svg
| caption = Low levels of plasmologen is a characteristic of Rhizomelic chondrodysplasia punctata.
| pronounce =
| field =
| symptoms =
| complications =
| onset =
| duration =
| types =
| causes = PEX7 gene, GNPAT gene and AGPS gene mutations[1]
| risks =
| diagnosis = Clinical and radiologic finding[2]
| differential =
| prevention =
| treatment = Physical therapy[3]
| medication =
| prognosis =
| frequency =
| deaths =
}}Rhizomelic chondrodysplasia punctata is a rare developmental brain disorder characterized by systemic shortening of the proximal bones (i.e. rhizomelia), seizures, recurrent respiratory tract infections and congenital cataracts. The affected individuals have low levels of plasmalogens.[1]

Signs and symptoms

Rhizomelic chondrodysplasia punctata has the following symptoms:[3][1]

  • Bilateral shortening of the femur
  • Post-natal growth problems (deficiency)
  • Cataracts
  • Intellectual disability
  • Possible seizures
  • Possible infections of respiratory tract

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

The mechanism of rhizomelic chondrodysplasia punctata in the case of type 1 of this condition one finds that peroxisome objective is PEX7, in peroxisome assembly. There are 3 pathways that count on PEX7 and are:[3][3]

  • AGPS (catalyzes plasmalogen biosynthesis)
  • PhYH (catalyzes catabolism of phytanic acid)
  • ACAA1 (catalyzes beta-oxidation of VLCFA - straight)

Diagnosis

The diagnosis of rhizomelic chondrodysplasia punctata can be based on genetic testing[4] as well as radiography results, plus a physical examination of the individual.[5]

Types

  • Type 1 (RCDP1) is associated with PEX7 mutations; these are peroxisome biogenesis disorders where proper assembly of peroxisomes is impaired.[6]
  • Type 2 (RCDP2) is associated with DHAPAT mutations [7]
  • Type 3 (RCDP3) is associated with AGPS mutations [8]

Treatment

Management of rhizomelic chondrodysplasia punctata can include physical therapy; additionally orthopedic procedures improved function sometimes in affected people.[6] However, the prognosis is poor in this condition.[5]

See also

  • Plasmalogen
  • Peroxisomal disorder

References

1. ^{{cite web|title=Rhizomelic chondrodysplasia punctata type 1 {{!}} Genetic and Rare Diseases Information Center (GARD) – an NCATS Program|url=https://rarediseases.info.nih.gov/diseases/6049/rhizomelic-chondrodysplasia-punctata-type-1|website=rarediseases.info.nih.gov|accessdate=23 January 2017|language=en}}
2. ^{{Cite web|url=https://ghr.nlm.nih.gov/condition/rhizomelic-chondrodysplasia-punctata|title=rhizomelic chondrodysplasia punctata|last=Reference|first=Genetics Home|website=Genetics Home Reference|access-date=2017-01-16}}
3. ^{{Cite book|url=https://books.google.com/?id=f_mODAAAQBAJ&pg=PA620&dq=rhizomelic+chondrodysplasia+punctata+mechanism#v=onepage&q=rhizomelic%20chondrodysplasia%20punctata%20mechanism&f=false|title=Pediatric Neuro-Ophthalmology|last=Brodsky|first=Michael C.|date=2016-06-28|publisher=Springer|isbn=9781493933846|location=|pages=620|language=en|quote=|via=}}
4. ^{{cite web|title=Rhizomelic chondrodysplasia punctata type 1 - Conditions - GTR - NCBI|url=https://www.ncbi.nlm.nih.gov/gtr/conditions/C1859133/|website=www.ncbi.nlm.nih.gov|accessdate=23 January 2017|language=en}}
5. ^{{cite web|last1=RESERVED|first1=INSERM US14 -- ALL RIGHTS|title=Orphanet: Rhizomelic chondrodysplasia punctata|url=http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=177|website=www.orpha.net|accessdate=23 January 2017|language=en}}
6. ^{{cite journal|last1=Braverman|first1=Nancy E.|last2=Moser|first2=Ann B.|last3=Steinberg|first3=Steven J.|title=Rhizomelic Chondrodysplasia Punctata Type 1|journal=GeneReviews(®)|date=1 January 1993|url=https://www.ncbi.nlm.nih.gov/books/NBK1270/|accessdate=16 January 2017}}update 2012
7. ^{{cite web|title=OMIM Entry - # 222765 - RHIZOMELIC CHONDRODYSPLASIA PUNCTATA, TYPE 2; RCDP2|url=https://omim.org/entry/222765|website=omim.org|accessdate=16 January 2017}}
8. ^{{Cite web|url=https://omim.org/entry/600121|title=OMIM Entry - # 600121 - RHIZOMELIC CHONDRODYSPLASIA PUNCTATA, TYPE 3; RCDP3|website=omim.org|access-date=2017-01-16}}

Further reading

  • {{cite book|last1=Benacerraf|first1=Beryl|title=Ultrasound of fetal syndromes|date=2007|publisher=Churchill Livingstone / Elsevier|location=Philadelphia|isbn=978-0443066412|edition=2nd|url=https://books.google.com/?id=1MHFF0UOKAUC&pg=PA267&dq=rhizomelic+chondrodysplasia+punctata#v=onepage&q=rhizomelic%20chondrodysplasia%20punctata&f=false|accessdate=23 January 2017|language=en}}
  • {{cite book|last1=al.]|first1=[edited by] Kenneth F. Swaiman ... [et|last2=Ashwal|first2=Stephen|last3=Ferriero|first3=Donna M.|last4=Schor|first4=Nina F.|title=Swaiman's pediatric neurology principles and practice|date=2012|publisher=Elsevier Saunders|location=[Edinburgh]|isbn=978-0323089111|edition=5th|url=https://books.google.com/?id=bonlLHarTFAC&pg=PA477&dq=rhizomelic+chondrodysplasia+punctata#v=onepage&q=rhizomelic%20chondrodysplasia%20punctata&f=false|accessdate=23 January 2017|language=en}}

External links

{{Medical resources
| DiseasesDB = 31410
| ICD10 = {{ICD10|Q|77|3|q|65}}
| ICD9 = {{ICD9|277.86}}
| ICDO =
| OMIM = 215100
| OMIM_mult = {{OMIM2|222765}} {{OMIM2|600121}}
| MedlinePlus =
| eMedicineSubj =
| eMedicineTopic =
| MeshID = D018902
}}{{Osteochondrodysplasia}}{{Peroxisomal disorders}}{{DEFAULTSORT:Rhizomelic Chondrodysplasia Punctata}}

2 : Genodermatoses|Peroxisomal disorders

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