Achard syndrome is a rare genetic disorder characterized by severe intellectual disability and abnormal growth. Affected individuals typically have small heads, delayed development, and distinctive facial features.
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Achard Syndrome : [MEDNOTES+MINDMAP]
Definition
- Achard Syndrome is a rare genetic disorder characterized by the underproduction of thyroid hormones (hypothyroidism) and an enlarged thyroid gland (goiter).
Epidemiology
- The prevalence of Achard Syndrome is unknown.
- It is inherited in an autosomal recessive pattern, meaning that an individual must inherit two copies of the mutated gene (one from each parent) to develop the condition.
Natural history
- Symptoms typically present at birth or within the first few weeks of life.
- Untreated, Achard Syndrome can lead to severe developmental delays and complications such as heart problems and respiratory infections.
- With early diagnosis and treatment, most individuals with Achard Syndrome can have a normal lifespan and reach their full developmental potential.
Classification/Types/Stages
- Achard Syndrome is classified as a type of hypothyroidism.
- There are no specific types or stages of Achard Syndrome.
Risk Factors:
- Genetic predisposition
- Environmental factors (such as exposure to toxins or infections)
- Pregnancy or childbirth complications
Etiology/Causes:
- Mutations in the PTPN11 gene
- Abnormalities in the RAS/MAPK signaling pathway
Signs:
- Delays in growth and development
- Physical abnormalities, such as wide set eyes, low set ears, and a small head size
- Cognitive and developmental delays
- Seizures
Symptoms:
- Poor muscle tone
- Feeding difficulties
- Breathing problems
- Heart defects
- Vision problems
Pathology/Pathogenesis:
- Achard syndrome is caused by mutations in the PTPN11 gene, which codes for a protein called SHP2. This protein plays a role in the RAS/MAPK signaling pathway, which is important for the development of various organs and tissues.
- Abnormalities in the RAS/MAPK signaling pathway can lead to abnormal development and function of various organs and tissues, resulting in the signs and symptoms of Achard syndrome.
- Diagnosis/Laboratory Diagnosis
- Identified through genetic testing
- Can be confirmed with imaging studies, including brain MRI and CT scan
- Tests Required
- Genetic testing for mutations in the EI24 gene
- Brain imaging studies to confirm diagnosis
- Associated with
- Intellectual disability
- Delays in developmental milestones
- Abnormal brain structure
- Similar diseases/syndromes
- Rett syndrome
- Angelman syndrome
- Cri du Chat syndrome
- Treatment
- No specific treatment for Achard syndrome
- Supportive care and management of symptoms and associated conditions
- Physical, occupational, and speech therapy
- Educational and behavioral interventions as needed
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