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Clinical features in adult patient with Wolf-Hirschhorn syndrome.
[wolf-hirschhorn syndrome]
The
Wolf-
Hirschhorn
syndrome
(
WHS
)
encompasses
deletions
at
the
distal
part
of
the
short
arm
of
one
chromosome
4
(
4
p
16
region
)
.
Clinical
signs
frequently
include
a
typical
facial
appearance
,
mental
retardation
,
intrauterine
and
postnatal
growth
retardation
,
hypotonia
with
decreased
muscle
bulk
and
seizures
besides
congenital
heart
malformations
,
midline
defects
,
urinary
tract
malformations
and
brain
,
hearing
and
ophthalmologic
malformations
.
Pathogenesis
of
WHS
is
multigenic
and
many
factors
are
involved
in
prediction
of
prognosis
such
as
extent
of
deletion
,
the
occurrence
of
severe
chromosome
anomalies
,
the
severe
of
seizures
,
the
existence
of
serious
internal
,
mainly
cardiac
,
abnormalities
and
the
degree
of
mental
retardation
.
The
phenotype
of
adult
with
WHS
is
in
general
similar
to
that
of
childhood
being
facial
dysmorphism
,
growth
retardation
and
mental
retardation
the
rule
in
both
adults
and
children
.
Avoid
long
-term
complications
and
provide
rehabilitation
programs
and
genetic
counseling
may
be
essential
in
these
patients
.
Diseases
Validation
Diseases presenting
"mental retardation"
symptom
achondroplasia
alexander disease
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
classical phenylketonuria
coats disease
cohen syndrome
cowden syndrome
cystinuria
dentin dysplasia
familial hypocalciuric hypercalcemia
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
kabuki syndrome
kallmann syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
monosomy 21
phenylketonuria
primary hyperoxaluria type 1
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
triple a syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated