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Ocular manifestations in Wolf-Hirschhorn syndrome.
[wolf-hirschhorn syndrome]
Wolf-
Hirschhorn
syndrome
(
WHS
)
multiple
congenital
anomalies
/
mental
retardation
is
caused
by
partial
deletion
of
the
short
arm
of
chromosome
4
and
can
be
considered
a
contiguous
gene
syndrome
,
characterized
by
typical
facial
appearance
,
mental
retardation
,
growth
delay
,
and
seizures
.
We
investigated
the
ocular
defects
in
a
population
of
10
patients
with
WHS
and
analyzed
the
relationship
between
ocular
findings
and
the
extent
of
deletion
on
chromosome
4
.
T
he
ocular
abnormalities
found
included
hypertelorism
,
strabismus
,
refractive
errors
,
epicanthal
folds
,
proptosis
,
downslanting
palpebral
fissures
,
microphthalmos
,
microcornea
,
iris
coloboma
,
optic
nerve
coloboma
,
ocular
cyst
,
ptosis
,
glaucoma
,
and
nystagmus
.
Different
breakpoints
of
the
chromosomal
rearrangement
were
observed
in
individual
patients
,
ranging
from
4
p
15
.
1
to
4
p
16
.
3
,
and
the
size
of
chromosomal
deletion
ranged
from
2
.
6
to
26
million
base
pairs
.
Congenital
glaucoma
and
colobomatous
ocular
cysts
have
rarely
been
described
in
WHS
patients
that
were
previously
reported
.
In
all
cases
exhibiting
strabismus
,
an
exodeviation
was
present
.
Comparing
genotype
with
ocular
phenotype
,
a
relationship
between
the
size
of
deletion
and
the
severity
of
the
ocular
involvement
was
observed
in
all
cases
but
one
.
Diseases
Validation
Diseases presenting
"ocular findings"
symptom
cohen syndrome
erdheim-chester disease
fabry disease
holt-oram syndrome
kabuki syndrome
oculocutaneous albinism
wolf-hirschhorn syndrome
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