Brachydactyly type A4
Classification according to ICD-10 | |
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Q73.8 | Other reduction defects of unspecified extremity (s) |
ICD-10 online (WHO version 2019) |
The brachydactyly type A4 is a form of brachydactyly , a very rare congenital malformation of the skeleton with brachymesophalangia and characteristic deformity of the 2nd and the 5th finger.
Synonyms are: brachydactyly type Temtamy; Brachymesophalangia II and V
The first description comes from 1978 by the Egyptian human geneticist SA Temtamy and VA McKusick .
The disease is not to be confused with the autosomal - recessive präaxialem Temtamy brachydactyly syndrome (TPBS).
distribution
The frequency is unknown; only a few affected families have been reported to date. Inheritance is probably autosomal dominant .
Clinical manifestations
Clinical criteria are:
- Manifestation as a newborn or toddler
- Brachymesophalangia mostly in the 2nd and 5th finger, if the 4th finger is affected, there is also a deviation of the distal phalanx towards the radius .
There may also be a lack of middle phalanges on the toes.
diagnosis
The diagnosis is based on clinical and radiological findings.
Differential diagnosis
Other forms of brachydactyly such as brachydactyly type C and Catel-Manzke syndrome must be distinguished .
literature
- H. Reichenbach, D. Hörmann, H. Theile: [Brachydactyly type A4 (brachymesophalangia II and V, Temtamy type). A rare type of brachydactyly]. In: Pediatric Practice. Volume 61, Number 2, March 1993, pp. 59-62, PMID 8510402 .
- T. Ohzeki, K. Hanaki, H. Motozumi, H. Ohtahara, K. Shiraki, K. Yoshioka: Brachydactyly type A-4 (Temtamy type) with short stature in a Japanese girl and her mother. In: American journal of medical genetics. Volume 46, Number 3, May 1993, pp. 260-262, doi: 10.1002 / ajmg.1320460303 , PMID 8387724 .
Individual evidence
- ↑ a b c Brachydactyly type A4. In: Orphanet (Rare Disease Database).
- ^ SA Temtamy, VA McKusick: The Genetics of Hand Malformations. New York: Alan R. Liss (Editor) 1978.
- ^ Temtamy preaxial brachydactyly syndrome. In: Orphanet (Rare Disease Database).