HAMAMY SYNDROME
HAMAMY SYNDROME ( CRANIOFACIAL DYSPLASIA - OSTEOPENIA SYNDROME) *Extremely rare *Autosomal Recessive *Affected gene: IRX5 (responsible for orchestrating cell movements during fetal development) *Clinical features: - Severe Telecanthus( increased distance between medial canthi of eye) - Brachycephaly - Midface prominence - Sparse lateral eyebrow - Upslanting palpebral fissure - Broad nasal bridge - Pointed nasal Tip - Flat filtrum - Anteverted nostrils - Large mouth - Thin upper vermilion border - High Arched Palate - Mild micrognathia - Agenesis of lacrimal punctae - Lacrimal - Salivary apparatus agenesis - Recurrent fractures (Osteopenia) - Mild to moderate Sensory Neural Hearing Loss - Sloping shoulders - Enamel Hypoplasia - Severe Myopia - Protruding ears - Mild intellectual disability - Congenital Cardiac Anomalies + Intraventricular conduction delay - Hypochromic Microcytic Anemia
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lesion present since birth.. No discharge. Spot dx..
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a girl of 4 1/2 years age hands as shown. birth by caeserian section. cried immediately. no significant prenatal or perinatal abnormal history. normal intelligence, normal development history of similar abnormality of hands in maternal uncle. He is otherwise normal, married & has children also. What is this abnormality?
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