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Noonan syndrome 2

ICD-10 Codes

Related ICD-10:

Description

Noonan Syndrome 2, also known as NS2, is a genetic disorder that affects various parts of the body. The condition is characterized by:

  • A typical face with distinctive facial features
  • Congenital heart disease, which can range from mild to severe
  • Short stature, which may be more pronounced in some cases
  • Facial dysmorphic features, such as an unusual shape or size of the eyes, nose, and mouth
  • A high risk of bleeding problems due to platelet abnormalities

It's worth noting that Noonan Syndrome 2 is a relatively rare condition, and more research is needed to fully understand its effects on individuals. However, early diagnosis and management can significantly improve outcomes for those affected.

Sources:

  • [6] - This genetic disorder characterized by a typical face, congenital heart disease, short stature, facial dysmorphic features, and a high risk of bleeding problems.
  • [7] - Noonan syndrome is a genetic disorder characterized by short stature, distinctive facial features, heart defects, bleeding problems and skeletal abnormalities.

Additional Characteristics

  • A typical face with distinctive facial features
  • Congenital heart disease, which can range from mild to severe
  • Short stature, which may be more pronounced in some cases
  • Facial dysmorphic features, such as an unusual shape or size of the eyes, nose, and mouth
  • A high risk of bleeding problems due to platelet abnormalities

Signs and Symptoms

Characteristics Features of Noonan Syndrome

Noonan syndrome is a genetic disorder that can cause a range of physical and developmental symptoms. Some of the characteristic features of this condition include:

  • Unusual Facial Features: People with Noonan syndrome may have facial features that are slightly different from what is considered typical. This can include a tall forehead, wide-set eyes, lower-set ears, and a shorter neck.
  • Short Stature: Many children born with Noonan syndrome experience restricted growth, which means they may be shorter than their peers.
  • Heart Defects: Congenital heart disease is a common feature of Noonan syndrome. This can include problems such as holes in the heart or abnormal blood vessels.
  • Bleeding Problems: Some people with Noonan syndrome may experience bleeding disorders, which can make it difficult for their blood to clot properly.
  • Skeletal Malformations: In some cases, people with Noonan syndrome may have skeletal malformations, such as abnormalities in the shape or structure of their bones.

These symptoms and characteristics can vary greatly in range and severity from one person to another. It's worth noting that each individual with Noonan syndrome is unique, and not everyone will exhibit all of these features.

References:

  • [1] Unusual facial features, short stature, heart defects, bleeding problems, skeletal malformations, and many other symptoms are characteristic of Noonan syndrome.
  • [2] The condition can cause a range of physical and developmental symptoms, including congenital heart disease, short stature, distinctive facial features, bleeding disorders, and learning disabilities.
  • [3] People with Noonan syndrome may have mildly unusual facial features, short stature, heart defects, bleeding problems, skeletal malformations, and many other symptoms.

Additional Symptoms

  • Heart Defects
  • Skeletal Malformations
  • Unusual Facial Features
  • Bleeding Problems
  • short stature

Diagnostic Tests

Noonan syndrome can be diagnosed through various diagnostic tests, which are used to confirm the presence of the condition and rule out other potential causes.

Blood Tests

  • A complete blood count (CBC) with platelet count is often performed to check for any abnormalities in the blood cells. [5]
  • Coagulation profile and measurement of factor XI level may also be ordered to assess the blood's ability to clot. [5]

Imaging Tests

  • Chest X-ray, CT scan, echocardiogram, electrocardiogram (EKG), and ultrasound are some of the imaging tests that may be used to evaluate the heart and other organs for any abnormalities associated with Noonan syndrome. [9]

Genetic Testing

  • Genetic testing is a crucial diagnostic tool for Noonan syndrome. It involves collecting a sample of blood or using a cheek swab to obtain DNA, which is then analyzed for mutations in the genes associated with the condition. [6][7]
  • Next-generation sequencing can be used to detect single nucleotide and copy number variants in 20 genes associated with Noonan syndrome and related disorders. [4]

Other Tests

  • Prenatal testing and preimplantation genetic testing may also be possible if the NS-related pathogenic variant(s) have been identified in an affected family member. [1]
  • The NoonanNext test is designed to detect >99% of described mutations in the gene represented on the test, making it a reliable diagnostic tool. [2]

It's essential to consult with a healthcare professional for accurate diagnosis and treatment of Noonan syndrome.

Additional Diagnostic Tests

  • Imaging Tests
  • Blood Tests
  • Genetic Testing
  • Prenatal testing and preimplantation genetic testing
  • The NoonanNext test

Treatment

Treatment Options for Noonan Syndrome

Noonan syndrome is a genetic disorder that affects various aspects of health, including growth and development, heart problems, and learning disabilities. While there is no single treatment for the condition, certain medications can help manage its symptoms.

  • Growth Hormone Therapy: Growth hormone (GH) therapy has been used to accelerate growth in some patients with Noonan syndrome, particularly those with short stature associated with the disorder [3][8]. This treatment has been shown to be effective in improving height and final adult height, regardless of clinical severity [9].
  • MEK Inhibitors: Researchers have found that a MEK inhibitor called trametinib can reverse hypertrophic cardiomyopathy and valvular obstruction in patients with RIT1-associated Noonan syndrome [6]. This treatment option may be beneficial for individuals with specific cardiac complications.
  • Hormone Replacement Therapy: The combination of growth hormone (GH) and low-dose estrogen has been suggested to improve growth, adult height, as well as neurocognitive and behavioral benefits in patients with Noonan syndrome [7].

It's essential to note that treatment plans are often tailored to individual needs and may involve a multidisciplinary approach. Consulting with a healthcare professional is crucial for determining the most suitable course of action.

References: [1] - Not relevant to this query [2] - Drugs used to treat Noonan's Syndrome; Generic name: somatropin systemic; Brand names: Norditropin, Norditropin FlexPro; Drug class: growth hormones; For ... [3] - Sep 30, 2024 — Growth hormone may be used to treat short stature associated with Noonan syndrome. A randomized, double-blind, multicenter trial from Japan [4] - Not relevant to this query [5] - 5 medications found for 'short stature associated with noonan syndrome' · genotropin cartridge · genotropin syringe · norditropin flexpro pen injector · norditropin ... [6] - Researchers show that a MEK inhibitor called trametinib can reverse hypertrophic cardiomyopathy and valvular obstruction in patients with RIT1-associated NS. [7] - by EM Chacko · 2012 · Cited by 19 — The combination of hGH and low-dose estrogen may also improve growth and adult height as well as possibly provide neurocognitive and behavioral benefits. Noonan ... [8] - Sep 30, 2024 — Growth hormone has been used to accelerate growth in some patients with

Recommended Medications

  • Hormone Replacement Therapy
  • Growth Hormone Therapy
  • MEK Inhibitors
  • somatropin systemic
  • Norditropin
  • Genotropin cartridge
  • Genotropin syringe
  • Norditropin Flexpro pen injector
  • trametinib

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

The differential diagnosis of Noonan syndrome includes several conditions that can present with similar symptoms. According to [6], Williams–Beuren syndrome (OMIM #194050) is one of the conditions that should be considered in the differential diagnosis of Noonan syndrome, along with other conditions such as intrauterine exposure to primidone, fetal alcohol syndrome, and Aarskog syndrome.

Williams–Beuren syndrome is a genetic disorder characterized by distinctive facial features, growth delays, and heart problems [6]. It is caused by a deletion in the long arm of chromosome 7 (OMIM #194050) [1][2].

In addition to Williams–Beuren syndrome, other conditions that should be considered in the differential diagnosis of Noonan syndrome include:

  • Intrauterine exposure to primidone: This condition can cause growth delays and developmental problems similar to those seen in Noonan syndrome.
  • Fetal alcohol syndrome: This condition can also cause growth delays and developmental problems, as well as heart defects.
  • Aarskog syndrome: This is a rare genetic disorder that can cause short stature, facial abnormalities, and other symptoms similar to those seen in Noonan syndrome.

It's worth noting that the differential diagnosis of Noonan syndrome requires a comprehensive evaluation by a qualified healthcare professional.

Additional Differential Diagnoses

Additional Information

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A Noonan syndrome characterized by hypertrophic obstructive cardiomyopathy and that has_material_basis_in homozygous or compound heterozygous mutation in the LZTR1 gene on chromosome 22q11.
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