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Fine-grained facial phenotype-genotype analysis in Wolf-Hirschhorn syndrome.
[wolf-hirschhorn syndrome]
Wolf-
Hirschhorn
syndrome
is
caused
by
anomalies
of
the
short
arm
of
chromosome
4
.
About
55
%
of
cases
are
due
to
de
novo
terminal
deletions
,
40
%
from
unbalanced
translocations
and
5
%
from
other
abnormalities
.
The
facial
phenotype
is
characterized
by
hypertelorism
,
protruding
eyes
,
prominent
glabella
,
broad
nasal
bridge
and
short
philtrum
.
We
used
dense
surface
modelling
and
pattern
recognition
techniques
to
delineate
the
milder
facial
phenotype
of
individuals
with
a
small
terminal
deletion
(
breakpoint
within
4
p
16
.
3
)
compared
to
those
with
a
large
deletion
(
breakpoint
more
proximal
than
4
p
16
.
3
)
.
Further
,
fine-grained
facial
analysis
of
several
individuals
with
an
atypical
genotype
and
/
or
phenotype
suggests
that
multiple
genes
contiguously
contribute
to
the
characteristic
Wolf-
Hirschhorn
syndrome
facial
phenotype
.
Diseases
Validation
Diseases presenting
"atypical genotype"
symptom
congenital toxoplasmosis
wolf-hirschhorn syndrome
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