Fryns Syndrome
Classification according to ICD-10 | |
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Q87.8 | Other specified congenital malformation syndromes, not elsewhere classified |
ICD-10 online (WHO version 2019) |
The Fryns syndrome is a rare dysmorphic - syndrome with a combination of opacity of the cornea , hypoplasia of the lower extremities and diaphragmatic defect .
The syndrome is named after the person who first described it in 1979, the Belgian human geneticist Jean-Pierre Fryns .
distribution
The frequency is estimated at 0.7 in 10,000 births; inheritance is autosomal - recessive .
Clinical manifestations
Criteria are:
- Cornea -Trübung / sclerocornea , other ocular changes as microphthalmos , retinal dysplasia
- Phalangeal hypoplasia, hypoplastic to missing nails; Acroosteolysis , camptodactyly
- Diaphragmatic hernias with pulmonary hypoplasia , narrow thorax
- Cryptorchidism or bicornuate uterus
- Eye-catching face with a prominent glabella , wide flat nose bridge, macrostomy , small chin and thick neck
In addition, a number of malformations of the central nervous system such as arrhinencephaly can occur. The disease was originally described as lethal , but a small percentage survives when the pulmonary hypoplasia is less pronounced and complex heart defects are absent.
diagnosis
The diagnosis of a diaphragmatic hernia can already be made in the womb by the detection of a diaphragmatic hernia and a cystic hygroma .
Differential diagnosis
A distinction must be made between Pallister-Killian syndrome , which is caused by mostly sporadic chromosomal abnormalities, which is crucial for genetic counseling.
The Fryns syndrome is not the Fryns Hofkens-Fabry disease to be confused.
Prospect of healing
The extent of pulmonary hypoplasia determines viability.
See also
literature
- A. Peron, MF Bedeschi, I. Fabietti, GM Baffero, R. Fogliani, F. Ciralli, F. Mosca, T. Rizzuti, E. Leva, F. Lalatta: Prenatal and postnatal findings in five cases of Fryns syndrome. In: Prenatal diagnosis. [Electronic publication before printing] July 2014, ISSN 1097-0223 . doi: 10.1002 / pd.4447 . PMID 24996149 .
- U. Dix, U. Beudt, U. Langenbeck: Fryns syndrome - pre- and postnatal diagnosis. In: Journal of Obstetrics and Perinatology. Volume 195, Number 6, 1991 Nov-Dec, pp. 280-284, ISSN 0300-967X . PMID 1776320 .
- KE Henkel, RA Pfeiffer, H. Stöss: [Genetic morphological fatal syndromes. The Fryns syndrome]. In: The Pathologist. Volume 14, Number 2, March 1993, pp. 92-93, ISSN 0172-8113 . PMID 8469652 .
Individual evidence
- ↑ a b 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
- ↑ JP Fryns, F. Moerman, P. Goddeeris, C. Bossuyt, H. Van den Berghe: A new lethal syndrome with cloudy corneae, diaphragmatic defects and distal limb deformities. In: Human genetics. Volume 50, Number 1, 1979, pp. 65-70, ISSN 0340-6717 . PMID 381161 .
- ^ A b S. Aymé, C. Julian, D. Gambarelli, B. Mariotti, A. Luciani, N. Sudan, N. Maurin, N. Philip, F. Serville, D. Carles: Fryns syndrome: report on 8 new cases. In: Clinical genetics. Volume 35, Number 3, March 1989, pp. 191-201, ISSN 0009-9163 . PMID 2650934 . (Review).
- ↑ a b c Fryns syndrome. In: Orphanet (Rare Disease Database).
- ^ Fryns syndrome. In: Online Mendelian Inheritance in Man . (English)