Beemer-Langer Syndrome

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Classification according to ICD-10
Q77.2 Short rib polydactyly syndromes
ICD-10 online (WHO version 2019)

The Beemer-Langer syndrome or short rib polydactyly syndrome type 4 is a special form of congenital hereditary osteochondrodysplasias with a lethal course and belongs to the short rib polydactyly syndromes , characterized by short ribs and an underdeveloped lung .

Synonyms are:

  • Short rib polydactyly syndrome Beemer type
  • Beemer's Syndrome
  • Short-rip Thoracic Dysplasia 12; SRTD12
  • Short rib-Polydactyly Syndrome, Type IV; SRPS4; SRPS IV

The first description was in 1983 by the Dutch geneticist Fredericus Antonius Beemer and the US radiologist Leonard O. Langer .

distribution

The frequency of this group of diseases is not known; the inheritance is autosomal - recessive .

Clinical manifestations

Common features of all short rib polydactyly syndromes are:

Polydactyly is only occasionally found in this type , associated with cleft lip, heart defects such as DORV , malrotation , micropenis , kidney hypoplasia . In addition to brachydactyly , ear malformations, omphalocele come.

diagnosis

The x-ray shows changes similar to those in Majewski's syndrome , but the tibia is better developed. There is no hexadactyly available for differentiation , a very rare form overall.

A diagnosis by sonography in the womb is possible.

literature

  • J. Spranger, P. Maroteaux: The lethal osteochondrodysplasias. In: Advances in human genetics. Volume 19, 1990, pp. 1-103, 331, ISSN  0065-275X . PMID 2193487 . (Review).
  • JW Spranger: Bone Dysplasias. Urban & Fischer 2002, ISBN 3-437-21430-6 .
  • SS Yang, JA Roth, LO Langer: Short rib syndrome Beemer-Langer type with polydactyly: a multiple congenital anomalies syndrome. In: American journal of medical genetics. Volume 39, No. 3, June 1991, pp. 243-246, ISSN  0148-7299 . doi: 10.1002 / ajmg.1320390302 . PMID 1867272 .
  • H. Chen, D. Mirkin, S. Yang: De novo 17q paracentric inversion mosaicism in a patient with Beemer-Langer type short rib-polydactyly syndrome with special consideration to the classification of short rib polydactyly syndromes. In: American journal of medical genetics. Volume 53, No. 2, November 1994, pp. 165-171, ISSN  0148-7299 . doi: 10.1002 / ajmg.1320530209 . PMID 7856642 . (Review).

Individual evidence

  1. a b c d B. Leiber: The clinical syndromes. Syndromes, sequences and symptom complexes. Edited by G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger, 7th edition. Urban & Schwarzenberg 1990, ISBN 3-541-01727-9 .
  2. a b Who named it
  3. Beemer-Langer Syndrome.  In: Online Mendelian Inheritance in Man . (English)
  4. ^ FA Beemer, LO Langer, JM Klep-de Pater, AM Hemmes, JB Bylsma, RM Pauli, TL Myers, CC Haws: A new short rib syndrome: report of two cases. In: American journal of medical genetics. Volume 14, No. 1, January 1983, pp. 115-123, ISSN  0148-7299 . doi: 10.1002 / ajmg.1320140116 . PMID 6829599 .
  5. Beemer-Langer Syndrome. In: Orphanet (Rare Disease Database).
  6. W. Schuster, D. Färber (Ed.): Children's radiology. Imaging diagnostics. Volume 1, Springer 1996, ISBN 3-540-60224-0 , p. 316.
  7. ^ NS den Hollander, HJ van der Harten, JA Laudy, P. van de Weg, JW Wladimiroff: Early transvaginal ultrasonographic diagnosis of Beemer-Langer dysplasia: a report of two cases. In: Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. Volume 11, No. 4, April 1998, pp. 298-302, ISSN  0960-7692 . doi: 10.1046 / j.1469-0705.1998.11040298.x . PMID 9618859 .