Abstract. X-linked dominant chondrodysplasia punctata, (CDPX2 – MIM ) also known as Conradi-. Hünermann-Happle syndrome, is a rare form of. X-linked chondrodysplasia punctata 2 is a disorder characterized by bone, skin, and eye abnormalities. It occurs almost exclusively in females. Although the. Minerva Pediatr. Mar;45(3) [Chondrodysplasia punctata (the Conradi-Hünermann syndrome). A clinical case report and review of the literature ].

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National Organization for Rare Disorders. Enzymes are proteins that increase the rate of certain chemical reactions in the body. A firm diagnosis would not have been possible on the basis of the radiologic findings in the mother alone.

Conradi–Hünermann syndrome

Syyndrome J Med Genet. He did not have cataracts, and cognition was normal. The mother vonradi born with short femora and humeri, the left leg shorter than the right, saddle nose, frontal bossing, flexion contractures at the hips and knees, left talipes equinovarus and hyperkeratosis with erythema of the left side of the body.

Such nonpenetrant males would be scored as recombinants. Mutations of the EBP gene result in the accumulation of sterols in the plasma and certain tissues of the body. Fetal warfarin syndrome, which may also be referred to as coumarin embryopathy, is a characteristic pattern of birth defects in a newborn resulting from exposure to certain anticlotting drugs i.

Hearing loss has been reported in some cases.

Sheffield traced the legitimacy of a tripartite eponym for this disorder: Chromosomes, which are present in the nucleus of human cells, hunermnn the genetic information for each individual. She had short stature, asymmetric limb shortening, postaxial polydactyly, pronounced kyphoscoliosis, dry and scaly skin, sparse hair with areas of alopecia, and cataracts.

One expects with an X-linked dominant male-lethal gene to find a ratio of 1: However, as noted above, there is loss of distinctive epiphyseal conardi over time, potentially making diagnosis difficult. National Center for Biotechnology Information.


The coexistence of the 2 forms of skin change in the adult was unusual. Metabolic interference would predict that all daughters of a nonpenetrant male gene carrier would be affected; transmission of the gene via an unaffected male has not been observed in the families with Happle syndrome.

Surprisingly, multiple crossovers were also found with 26 other markers distributed over the rest of the X chromosome. Rudolf Happle and the lines of Alfred Blaschko. Achondrogenesis type 2 Hypochondrogenesis. The specific symptoms and severity of the disorder may vary greatly from one individual to another. Views Read Edit View history.

Florida Zoo Gives Girl with Conradi-Hünermann Syndrome an Unforgettable Day

No skeletal or ocular abnormalities were noted, and no neurologic abnormalities were reported. Epilepsy and mental retardation limited to females: Functional X-chromosomal mosaicism of the skin: In some cases, affected areas of the skin may be darker or lighter than surrounding areas hyper- and hypopigmentation. Women with a copy of the disease gene have a 50 percent risk of transmitting the gene to their daughters and their sons.

Only after 5 months did the streaky hyperkeratotic pattern characteristic of the disorder appear. They considered 3 mechanisms that might explain the apparent exclusion of the X-linked gene from the X chromosome by linkage analysis. Later, patterned ichthyosis, hunremann atrophoderma, coarse lusterless hair, and cicatricial alopecia become evident. When the skeleton begins to develop, it predominately consists of cartilage, which is gradually replaced by bone.

Dominant sex-linked inherited chondrodysplasia punctata: While the OMIM database is open to the public, users seeking information about a personal medical or genetic condition are urged to consult with a qualified physician for diagnosis and for answers to personal questions. A number sign is used with this entry because X-linked dominant chondrodysplasia punctata-2 CDPX2 is caused by mutation in the gene encoding delta 8 -delta 7 sterol isomerase cnradi protein EBP; on chromosome Xp Both the ichthyotic and psoriasiform skin lesions followed Blaschko lines.



Some affected infants are prone to developing repeated infections. The development of these abnormal calcified spots may also be known as chondrodysplasia punctata. Usually in X-linked dominant chondrodysplasia punctata, punctate epiphyseal calcifications and ichthyotic skin lesions are both transient, resolving during early infancy. Elsevier Saunders, Philadelphia, PA; Most female patients with the syndrome can live a long and normal life, while males have only survived in rare cases.

Mutations in a delta 8 -delta 7 sterol isomerase in the tattered mouse and X-linked dominant chondrodysplasia punctata.

The linkage of the gene seemed to be excluded for the entire X chromosome by 2-point linkage analysis. CC HPO: The EBP gene creates a protein known as emopamil-binding protein. Females have two X chromosomes, whereas males have one X chromosome and one Y chromosome.

Hunefmann more information on these disorders, choose the specific disorder name as your search term in the Rare Disease Database. Achondrogenesis type 1B Autosomal recessive multiple epiphyseal dysplasia Atelosteogenesis, type II Diastrophic dysplasia. This result suggested that the assumption that males with a mutant gene for Happle syndrome die in utero could be wrong. The phenotype had mosaic features consistent with lyonization.

Haemophilia A Haemophilia B X-linked sideroblastic anemia. Close linkage of the murine locus bare patches to the X-linked visual pigment gene: Achondroplasia Hypochondroplasia Thanatophoric dysplasia. Novel and recurrent EBP mutations in X-linked dominant chondrodysplasia punctata.

Such cases include rare instances in which more than one child of apparently unaffected parents have the disorder. Abnormal stiffness of the joints or joints that are fixed or locked in a bent position flexion contractures may also occur.

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