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IMAGe, a new clinical association of intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, and genital anomalies.
- Source :
-
The Journal of clinical endocrinology and metabolism [J Clin Endocrinol Metab] 1999 Dec; Vol. 84 (12), pp. 4335-40. - Publication Year :
- 1999
-
Abstract
- We report three boys with adrenal hypoplasia congenita (AHC) and additional findings that represent a new syndrome, IMAGe: Intrauterine growth retardation, Metaphyseal dysplasia, AHC, and Genital anomalies. Each presented shortly after birth with growth retardation and severe adrenal insufficiency. Each of the three patients had mild dysmorphic features, bilateral cryptorchidism, a small penis, and hypogonadotropic hypogonadism. Skeletal surveys revealed metaphyseal dysplasia in all three and epiphyseal dysplasia in two. The patients had documented or suspected hypercalciuria and/or hypercalcemia, resulting in nephrocalcinosis in one and in prenatal liver and spleen calcifications in another. AHC presents most often either as an isolated abnormality, caused by mutations in the DAX1 gene, or as part of an Xp21 contiguous gene syndrome, caused by a deletion of the Duchenne muscular dystrophy, glycerol kinase, and DAX1 genes. All three patients with the IMAGe association had normal creatine kinase levels and no evidence of glycerol kinase deficiency. Sequence analysis of DNA from these patients revealed no mutation in the DAX1- or steroidogenic factor-1-coding sequences, nor was a deletion of DAX1 detected. Identification of the molecular basis of the IMAGe association will give new insight into the pathogenesis of this syndromic relationship involving bone, adrenal cortical, and pituitary development.
- Subjects :
- Cryptorchidism complications
Humans
Hypogonadism complications
Infant, Newborn
Karyotyping
Male
Penis abnormalities
Syndrome
Adrenal Insufficiency complications
Adrenal Insufficiency congenital
Bone Diseases, Developmental complications
Fetal Growth Retardation complications
Genitalia, Male abnormalities
Subjects
Details
- Language :
- English
- ISSN :
- 0021-972X
- Volume :
- 84
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Journal of clinical endocrinology and metabolism
- Publication Type :
- Academic Journal
- Accession number :
- 10599684
- Full Text :
- https://doi.org/10.1210/jcem.84.12.6186