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geleophysic dysplasia 1
Description
Geleophysic dysplasia-1 (MIM #231050) is a rare genetic disorder that affects multiple systems in the body, including the bones, joints, heart, and skin.
Characteristics:
- Short stature: People with geleophysic dysplasia have short stature, which can vary in severity [5][6].
- Abnormal hands and feet: The condition is characterized by short hands and feet, with prominent abnormalities [2][4].
- Facial appearance: Individuals with geleophysic dysplasia often have a characteristic facial appearance, described as "happy" or "smiling" [3].
- Joint limitations: Joint mobility can be limited due to the abnormal development of bones and joints [6][8].
- Skin thickening: Skin thickening is another common feature of geleophysic dysplasia [5][9].
Inheritance pattern:
Geleophysic dysplasia-1 is an autosomal recessive disorder, meaning that a person must inherit two copies of the mutated gene (one from each parent) to develop the condition.
Overall, geleophysic dysplasia-1 is a rare and complex genetic disorder that affects multiple systems in the body.
Additional Characteristics
- Short stature
- Skin thickening
- Abnormal hands and feet
- Facial appearance (happy or smiling)
- Joint limitations
Signs and Symptoms
Geleophysic dysplasia-1 (GPHYSD1) is a rare genetic disorder characterized by several distinct signs and symptoms. Some of the key features include:
- Severe short stature: Individuals with GPHYSD1 typically experience significant growth restriction, leading to short stature [4][5].
- Short hands and feet: The condition is also marked by short limbs, small hands, and feet [7][9].
- Joint limitations: People with GPHYSD1 often have limited joint mobility, which can lead to difficulties with movement and flexibility [4][5].
- Skin thickening: Skin thickening (hyperkeratosis) is another characteristic feature of this condition [5].
Additionally, some individuals may experience other symptoms such as:
- Enlarged liver (hepatomegaly): In severe cases, GPHYSD1 can lead to an enlarged liver [3].
- Recurrent respiratory and ear infections: People with this condition are more prone to respiratory and ear infections due to their compromised immune system [3].
It's essential to note that the severity of these symptoms can vary widely among individuals with GPHYSD1, and not everyone will experience all of them.
Additional Symptoms
- Severe short stature
- Enlarged liver (hepatomegaly)
- Skin thickening
- Short hands and feet
- Joint limitations
- Recurrent respiratory and ear infections
Diagnostic Tests
Geleophysic dysplasia 1 (GPHYSD1) can be diagnosed through various diagnostic tests, including:
- Genetic testing: Genetic analysis is recommended for individuals with a personal and/or family history of this disorder to ensure an accurate diagnosis. This test can identify the pathogenic variant in the ADAMTSL2 gene that causes GPHYSD1 [3][6].
- Sequence analysis of the entire coding region: This test, offered by Bioarray, involves sequencing the entire coding region of the ADAMTSL2 gene to detect any mutations or variants that may be causing the disorder [12].
- Next-Generation (NGS)/Massively parallel sequencing (MPS): This advanced genetic testing method can also be used to diagnose GPHYSD1 by analyzing the ADAMTSL2 gene for any pathogenic variants [12].
It's worth noting that prenatal diagnosis of GPHYSD1 is possible through genetic analysis, which can identify the presence of a pathogenic variant in the fetus [4][13]. Additionally, clinical molecular genetics tests are available to diagnose this condition [10][12].
These diagnostic tests can help confirm a diagnosis of geleophysic dysplasia 1 and provide valuable information for medical providers to develop an effective treatment plan.
Treatment
Geleophysic dysplasia (GPHYSD) is a rare genetic disorder that affects multiple systems in the body, including the bones, joints, heart, and skin. While there is no cure for GPHYSD, research has identified potential therapeutic options to manage its symptoms.
Losartan: A Promising Candidate Drug
According to recent studies [11][14], Losartan, an angiotensin II receptor antagonist, has been found to be a promising candidate drug for the treatment of GPHYSD due to FBN1 defects. This is based on its ability to inhibit the activity of TGF-β signaling pathway, which is implicated in the pathogenesis of GPHYSD [3].
Other Potential Therapeutic Options
While Losartan shows promise, other potential therapeutic options are being explored for the treatment of GPHYSD. These include:
- Anti-inflammatory drugs: Treatment with anti-inflammatory drugs such as azithromycin and mometasone has been initiated in some patients to manage airway issues [4].
- Supportive and rehabilitative care: As geleophysic dysplasia-1 is a slowly progressive disorder, treatment is generally limited to supportive and rehabilitative care [13].
Clinical Trials
Clinical trials are essential for determining the efficacy and safety of new treatments for GPHYSD. Observational studies have been conducted to record changes over time among patients with GPHYSD in their natural settings [5]. However, more research is needed to establish the effectiveness of these potential therapeutic options.
In summary, while there is no established treatment for geleophysic dysplasia 1, Losartan has shown promise as a candidate drug. Further research is necessary to confirm its efficacy and explore other potential therapeutic options for managing this rare genetic disorder.
Recommended Medications
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Differential Diagnosis
Geleophysic dysplasia-1 (GPHYSD1) is a rare genetic disorder that can be challenging to diagnose due to its overlapping clinical features with other conditions. The differential diagnosis for GPHYSD1 includes:
- Acromelic dysplasias: These are a group of disorders characterized by short stature, short extremities, and progressive joint limitation, similar to GPHYSD1 [9][11].
- Weill-Marchesani syndrome: This is an autosomal dominant disorder that affects the bones, joints, heart, and skin, with features such as short stature, short hands and feet, and cardiac abnormalities [6][10].
- Dysplastic cortical hyperostosis, Al-Gazali type: This is a rare genetic disorder characterized by short stature, short extremities, and progressive joint limitation, similar to GPHYSD1 [10].
To distinguish GPHYSD1 from these conditions, clinicians should consider the following:
- Cardiac abnormalities: GPHYSD1 is often associated with cardiac valvular disease, which can be a key differentiating feature from other dysplasias [
Additional Differential Diagnoses
- Acromelic dysplasias
- Dysplastic cortical hyperostosis, Al-Gazali type
- Weill-Marchesani syndrome
Additional Information
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- disease_ontology
- oboInOwl#id
- DOID:0111725
- core#notation
- DOID:0111725
- oboInOwl#hasDbXref
- MIM:231050
- IAO_0000115
- A geleophysic dysplasia that has_material_basis_in homozygous or compound heterozygous mutation in the ADAMTSL2 gene on chromosome 9q34.2.
- rdf-schema#label
- geleophysic dysplasia 1
- oboInOwl#hasExactSynonym
- GPHYSD1
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- t379645
- IDO_0000664
- http://purl.obolibrary.org/obo/GENO_0000148
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_6045
- owl#annotatedSource
- t379875
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.