Coarse facial features
Coarse facial features or coarse facies describes a constellation of facial features that are present in many inborn errors of metabolism.[1]
Features include:[1]
- large, bulging head
- prominent scalp veins
- "saddle-like, flat bridged nose with broad, fleshy tip"
- large lips and tongue
- small, widely spaced and/or malformed teeth
- hypertrophic alveolar ridges and/or gums
Heads tend to be longer than normal from front to back, with a bulging forehead. This is because of the earlier than normal or premature fusion of skull bones in an affected individual.
Causes
Several conditions are associated with coarse facial features.[2]
- Acromegaly
- Alpha-mannosidosis type II
- Aspartylglycosaminuria
- Battaglia Neri syndrome
- Borjeson Syndrome
- Chromosome 6q deletion syndrome
- Coarse face - hypotonia - constipation
- Congenital hypothyroidism
- Dandy-Walker malformation (with mental retardation basal ganglia disease and seizures)
- Dyggve-Melchior-Clausen Syndrome
- Fucosidosis type 1
- Fucosidosis type II
- Gangliosidosis generalized GM1 (type 1)
- Gangliosidosis GM1 (type 3)
- GM1 gangliosidosis
- Goldberg syndrome
- Hyde-Forster-Mccarthy-Berry syndrome
- Hyper IgE
- Hypomelanosis of Ito
- I cell disease
- Immunodeficiency due to defect in MAPBP-interacting protein
- Infantile sialic acid storage disorder
- Job syndrome
- Mannosidosis (alpha B lysosomal)
- McCune-Albright Syndrome
- Mental retardation (X-linked - epilepsy - progressive joint contractures - typical face)
- Mental retardation (X-linked Raynaud type)
- Miescher's syndrome
- Morquio syndrome
- Morquio syndrome type A
- Morquio syndrome type B
- MPS 3 C
- MPS 3 D
- Mucolipidosis III
- Mucopolysaccharidosis type 2 Hunter syndrome- mild form
- Mucopolysaccharidosis type 2 Hunter syndrome- severe form
- Mucopolysaccharidosis type 3
- Mucopolysaccharidosis type 6
- Mucopolysaccharidosis type 7 Sly syndrome
- Mucopolysaccharidosis type I Hurler syndrome
- Mucopolysaccharidosis type I Hurler/Scheie syndrome
- Mucopolysaccharidosis type I Scheie syndrome
- Multiple endocrine abnormalities - adenylyl cyclase dysfunction
- Multiple endocrine neoplasia type 2b
- Neuraminidase deficiency (type II juvenile form)
- Nodulosis-arthropathy-osteolysis syndrome
- Nonkeratan-sulfate-excreting Morquio syndrome
- Pituitary tumors (adult)
- Sialidosis type II (congenital)
- Sialidosis type II (infantile)
- Sialuria syndrome
- Simpson-Golabi-Behmel syndrome
- Simpson-Golabi-Behmel syndrome - type 1 (SGBS1)
- Skeletal dysplasia - coarse facies - mental retardation
- Spondyloepimetaphyseal dysplasia (genevieve type)
- Sulfatidosis juvenile (Austin type)
- Winchester syndrome
See also
References
- ^ a b Kagalwala, T. Y.; Bharucha, B. A.; Khare, R. D.; Kumta, N. B. (1 November 1988). "Diagnostic approach to coarse facies". The Indian Journal of Pediatrics. 55 (6): 861–870. doi:10.1007/BF02727817. PMID 3235137.
- ^ "Causes of Coarse facial features". WrongDiagnosis.com. 18 November 2010. Retrieved 3 January 2011.
External links
- https://web.archive.org/web/20090106211640/http://www.mps1disease.com/patient/about/mps_pt_symptom_coarse_facial_features.asp
- http://www.wrongdiagnosis.com/
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