The syndrome is characterized by a multitude of signs and symptoms, including severe growth retardation, hypocalcemia associated with hypoparathyroidism, skeletal and facial deformities. Kennycaffey syndrome kcs is a rare bone dysplasia characterized by postnatal growth retardation with proportionate short stature, thickening of the cortex of the long bones that appear otherwise small and thin, osteosclerosis of the skull with macrocephaly, associated with transient or permanent hypoparathyroidism. This is likely a hereditary disorder of the endocrine system, specifically that of the parathyroid gland which does not manufacture sufficient quantities of the parathyroid hormone. The manifestation of the condition occurs at birth or during early infancy. Test kennycaffey syndrome panel preventiongenetics. Kennycaffey syndrome type 1 kcs 1 is a rare autosomal recessive skeletal disorder.
Journal of pediatric ophthalmology and strabismus a 21yearold man with kenny caffey syndrome had been observed since 1993 for hyperopia. Less than 100 patients have been reported in the literature, and estimates for prevalence and incidence are not available. Characterization of optical coherence topography findings in kenny caffey syndrome. Test kennycaffey syndrome type 2 via the fam111a gene. Basal serum somatomedin c levels were normal for age, but did not increase during short. Forgotten diseases research foundation sanjadsakati. Forgotten diseases research foundation kennycaffey. Orphanet is a european reference portal for information on rare diseases and orphan drugs. Linkage mapping of the kennycaffey syndrome and evidence. Kennycaffey syndrome type 2 is a genetic disorder that affects the skeleton. It was first described in saudi arabia, but has been seen in qatari, kuwaiti, omani and other children from the middle east as well as elsewhere. Kenny caffey syndrome is a rare syndrome characterized by growth retardation, uniformly small slender long bones with medullary stenosis, thickened cortex of the long bones, hypocalcemia possibly with tetany at an early age, hyperphosphatemia, ocular abnormalities, and normal intelligence.
It is characterized by growth retardation and thickening of long bones in the limbs. Kenny caffey syndrome kcs is a rare inherited disorder, with only 65 cases reported between 1966 and 2012, almost exclusively in middle eastern populations. Kennycaffey syndrome, type 2 hereditary ocular diseases. Congenital cataracts have been reported in one patient. Treatment often includes calcium and vitamin d supplements and addressing any medical issues as they occur. Kennycaffey syndrome nord national organization for rare. Characterization of optical coherence topography findings in. Editorin the december 1998 issue of journal of medical genetics, four letters discussed whether or not kennycaffey syndrome kcs is a part of catch 22. Kennycaffey syndrome is a rare hereditary multisystem syndrome, first reported in 1966 by kenny and linarelli, that is characterized by dwarfism, cortical thickening of the long bones, transient hypocalcemia with hypoparathyroidism at an early age, and normal intelligence.
Kenny caffey syndrome is a rare syndrome characterized by dysmorphic features, growth retardation, uniformly small slender long bones with thickened cor tex and medullar y stenosis. Alternatively, it might be speculated that its function is related to the function of tbce, the causative gene for the clinically closely related kenny caffey syndrome type 1. Age and sex distribution kennycaffey syndrome is an uncommon genetic disorder, occurring at a frequency of less than 1. We report an 8monthold girl child with kenny caffey syndrome who had all the characteristic clinical. Pdf kennycaffey syndrome type 1 in an egyptian girl.
A very rare inherited skeletal disorder involving thickening of the long bones of the body and head abnormalities. Sanjadsakati syndrome is a rare autosomal recessive genetic condition seen in offspring of middle eastern origin. Feb 07, 2018 kenny caffey syndrome type 2 is a genetic disorder that affects the skeleton, head, and eyes. Pubmed is a searchable database of medical literature and lists journal. Kennycaffey syndrome type 1 genetic and rare diseases. Kenny caffey syndrome kcs is considered a tremendously rare hereditary skeletal disorder which includes the following features. Kennycaffey syndrome type 2 genetic and rare diseases. Diagnosis kenny caffey syndrome type 1 signs and symptoms of kenny caffey syndrome, type 1 may vary on an individual basis for each. Editorin the december 1998 issue of journal of medical genetics, four letters discussed whether or not kenny caffey syndrome kcs is a part of catch 22.
The rare osteosclerotic bone dysplasia kennycaffey syndrome kcs is one of few syndromes associated with. Kennycaffey syndrome in two sibs born to consanguineous parents. Kennycaffey syndrome kcs is a rare congenital disorder caused by mutations in the tbce or fam111a gene. Revision of the reports on patients in kuwait identified as kcs type 1 showed that they fulfilled the criteria for sss, and might be considered as such. Short stature and hypoparathyroidism in a child with kenny. Kenny caffey syndrome kcs is a very rare dysmorphologic syndrome characterized by proportionate short stature, cortical thickening and medullary stenosis of tubular bones, delayed closure of. The present cases confirm the presence of clinical variability and co firm autosomal recessive inheritance of kenny. Kenny caffey syndrome type 1 an autosomal recessive condition omim.
Kennycaffey syndrome type 2 is a genetic disorder that affects the skeleton, head, and eyes. Hypocalcemia with hypoparathyroidism presents at an early age. Full text get a printable copy pdf file of the complete article 1. Hypoparathyroidism, retarded growth and development, and.
There was a history of 6 affected sibs dying in infancy with hypocalcemic convulsions. Kenny caffey syndrome is a rare genetic condition causing skeletal abnormalities. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to. Kenny caffey syndrome type 2 is a genetic disorder characterized by abnormalities affecting the skeleton, the head, and the eyes. Its manifested by growth retardation, thickening of the long bones. Prevention kenny caffey syndrome type 1 not supplied. Kennycaffey syndrome type 2 kcs2 is an extremely rare hereditary skeletal disorder characterized by thickening of the long bones, thin marrow cavities in the. The first two died in the neonatal period while the remaining affected brother and sister had all the characteristic clinical, biochemical, and radiological abnormalities of the syndrome. Caffey syndrome was first evaluated because of growth retardation and hypocalcemia. Treatment often includes calcium and vitamin d supplements.
The bone abnormalities mainly affect the jawbone, shoulder blades scapulae, collarbones clavicles, and the shafts diaphyses of long bones in the. The sister died at 10 days of age with generalized hypertonic seizures associated with hypocalcemia. Kenny caffey syndrome kcs is a rare syndrome reported almost exclusively in middle eastern populations. A rare primary bone dysplasia syndrome characterized by growth retardation with proportionate short stature.
Kenny caffey syndrome type 1 is a genetic condition, and therefore, there are no methods or guidelines available to prevent its occurrence. Hrd is an extremely rare disorder characterized by hypoparathyroidism that is present at birth congenital. The kenny caffey syndrome is a hereditary, extremely strange disease that is transmitted in an autosomal dominant way and is characterized by growth failure, ocular anomalies, hypocalcemia and. To aid clinicians in the investigation and management of children with hypoparathyroidism, we describe the phenotype of a 6yearold child with hypoparathyroidism and short stature diagnosed with kenny caffey syndrome kcs type 2 and the subsequent response to growth hormone gh treatment. Kenny caffey syndrome type 1 is an autosomal recessive disorder characterized by growth retardation, thickening of the long bones, medullary stenosis thin marrow cavities and dysmorphic features, and recurrent hypocalcemia due to hypoparathyroidism parvari et al. We present here a documented case of a 7monthold girl with the characteristic symptoms of growth retardation, dysmorphic. Click on the link to view a sample search on this topic. These included severe pre and postnatal growth retardation, cortical thickening of the tubular bones with medullary. All rights reser6ed short report kenny caffey syndrome. Kennycaffey syndrome is a rare syndrome characterized by growth retardation, uniformly small slender long bones with medullary stenosis, thickened cortex of the long bones, hypocalcemia possibly with tetany at an early age, hyperphosphatemia, ocular abnormalities, and normal intelligence. Recurrent episodes of hypocalcemia in the blood are common. Pdf kennycaffey syndrome type 1 is a rare hereditary skeletal disorder.
Medullary stenosis of the long bones is common, and delayed closure of the anterior fontanelle occurs in 90% fontanelle may remain open into teenage years. Kenny caffey syndrome is classified into two types in terms of clinical phenotypes and corresponding genetic defects. Kenny caffey syndrome is a rare syndrome characterised by growth retardation, uniformly small slender long bones with medullary stenosis, thickened cortex of the long bones, hypocalcemia possibly with tetany at an early age, hyperphosphatemia, ocular abnormalities, and normal intelligence. It is characterized by severe growth retardationshort stature, dysmorphic features, episodic hypocalcaemia, hypoparathyroidism, seizures, and medullary stenosis of long bones with thickened cortices. Genetic and rare diseases information center gard, supported by ordrncats and nhgri. Kenny caffey syndrome is an extremely rare skeletal disorder characterized by abnormalities in the long bones and the head. Kenny caffey syndrome type 2 is an autosomal dominant disorder characterized by impaired skeletal development tiny bones with constricted medullary cavities, dysfunction of the cranial sutures, defective dentition and microphthalmia and primary hypoparathyroidism with. Genetic causes of hypomagnesemia, a clinical overview. The present report widens the spectrum of catch 22 microdeletion to accommodate kennycaffey syndrome. It causes frequent episodes of low blood calcium hypocalcemia. An autosomal recessive form of kenny caffey syndrome, a disorder characterized by impaired skeletal development with small and dense bones, short stature, and primary hypoparathyroidism with hypocalcemia.
Excessive new bone formation hyperostosis is characteristic of caffey disease. Linkage mapping of the kennycaffey syndrome and evidence for. The laterborn brother had neonatal hypoparathyroidism. Journal of pediatric ophthalmology and strabismus a 21yearold man with kennycaffey syndrome had been observed since 1993 for hyperopia. The first two died in the neonatal period while the remaining.
We present here a documented case of a 7monthold girl with the. Kenny caffey syndrome type 2 omim 127000, is an autosomal dominant disorder, sharing some of those clinical and radiological finding. Jan 01, 2019 pubmed is a searchable database of medical literature and lists journal articles that discuss kenny caffey syndrome type 1. More detailed information about the symptoms, causes, and treatments of kenny caffey syndrome is available below. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Kennycaffey syndrome type 1 kcs1 omim 244460 is a rare autosomal recessive syndrome characterized by growth retardation, dysmorphic features,uniformly small slender long bones with thickened cortex and medullary stenosis. Kenny caffey syndrome kcs is a rare congenital disorder caused by mutations in the tbce or fam111a gene. We report four sibs with kenny caffey syndrome in a consanguineous bedouin family. Kennycaffey syndrome nord national organization for. Pdf characterization of optical coherence topography. Download pdf abstract 798 clinical geneticsdysmorphology platform, tuesday, 54 the rare osteosclerotic bone dysplasia kenny caffey syndrome kcs is. Kennycaffey syndrome type 2 kcs2 is an extremely rare hereditary skeletal disorder characterized by thickening of the long bones, thin marrow cavities in the bones medullary stenosis, and abnormalities affecting the head and eyes. They are one 14year boy and one 15 year girl into one family.
These included severe pre and postnatal growth retardation, cortical thickening of the tubular bones with medullary stenosis. Individuals with the condition have a shortened stature and thickened long bones. Kennycaffey syndrome symptoms, diagnosis, treatments and. Hypoparathyroidism in children is a heterogeneous group with diverse genetic etiologies.
Pubmed is a searchable database of medical literature and lists journal articles that discuss kennycaffey syndrome type 1. There is a report of pseudopapilledema in a 6 year old and another patient has been described with tortuous and dilated retinal vessels. Kenny caffey syndrome type 1 is a rare hereditary skeletal disorder. The bone abnormalities mainly affect the jawbone, shoulder blades scapulae, collarbones clavicles, and the shafts diaphyses of long bones in the arms and legs. Kennycaffey syndrome type 1 in an egyptian girl metwalley ka.
An unusual congenital syndrome was first reported in 1966 by kenny and linarelli, who described two patients with dwarfism, cortical thickening of the long bones, transient hypocalcemia, and normal intelligence,1 the radiological features in the condition being reported by caffey. The autosomal recessive kenny caffey syndrome locus maps to chromosome 1q42q43. In 5 patients with autosomal dominant kenny caffey syndrome and 5 patients with gracile bone dysplasia, unger et al. All cases show absence of macrocephaly and early psychomotor retardation. Here we report a clinical and genetic study of 21 patients with sss. We are reporting two cases with kenny caffey syndrome hrd or sanjad sakati syndrome from alassad university hospital in lattakia, syria. Kennycaffey syndrome type 1 definition of kennycaffey. Pdf we report four sibs with kennycaffey syndrome in a consanguineous bedouin family. Its manifested by growth retardation, thickening of the long bones, medullary stenosis thin marrow cavities and dysmorphic features, in addition to recurrent episodes of hypocalcemia caused by hypoparathyroidism which occur in early life. Kenny caffey syndrome type 2 kcs2 is an extremely rare hereditary skeletal disorder characterized by thickening of the long bones, thin marrow cavities in the bones medullary stenosis, and abnormalities affecting the head and eyes.
Kenny caffey syndrome kcs is a rare bone dysplasia characterized by postnatal growth retardation with proportionate short stature, thickening of the cortex of the long bones that appear otherwise small and thin, osteosclerosis of the skull with macrocephaly, associated with transient or permanent hypoparathyroidism. The syndrome occurs without any racial, ethnic, or gender bias. Caffey disease, also called infantile cortical hyperostosis, is a bone disorder that most often occurs in babies. Kenny caffey syndrome with severe respiratory and gastrointestinal. Kennycaffey syndrome is a rare hereditary skeletal syndrome characterized by dysmorphic features, severe growth retardation, classical radiological changes. Kennycaffey syndrome type 1 kcs1 omim 244460 is a rare syndrome characterized by growth retardation, uniformly small slender long. Kcs is autosomal dominant and caused by a mutation in fam111a. Abstract 798 clinical geneticsdysmorphology platform, tuesday, 54. Kenny caffey syndrome type 1 kcs1 omim 244460 is a rare autosomal recessive syndrome characterized by growth retardation, dysmorphic features,uniformly small slender long bones with thickened cortex and medullary stenosis. Kenny caffey syndrome type 1 is the recessive form of kcs, and is also called hypoparathyroidismretardationdysmophic hrd syndrome or sanjadsakati syndrome. Characterization of optical coherence topography findings. This syndrome is caused by changes pathogenic variants in the fam111a gene and is inherited in an autosomal dominant pattern. However, it is distinguished by corneal and retinal calcifications, congenital cataracts, normal mentality, deficient tcell immunity, and transient hypoparathyrodism. Kcs2 kenny caffey syndrome is an extremely rare skeletal disorder characterized by abnormalities in the long bones and the head.
Both cases are presented with severe hypocalcemic seizures, growth retardation, dysmorphic features. Proportionate growth retardation prenatal and postnatal associated with delayed bone age is the most common feature. Franceschini p, testa a, bogetti g, girardo e, guala a, lopezbell g, buzio g, ferrario e, piccato e. Like the similar condition kenny caffey syndrome, type 2 kcs2, sss causes hypoparathyroidism low levels of parathyroid hormone.
Sanjadsakati and autosomal recessive kenny caffey syndromes are allelic. Pdf kennycaffey syndrome without the catch 22 deletion. Kenny caffey syndrome is characterized by severe proportionate short stature, cortical thickening and medullary stenosis of the tubular bones, delayed closure of the anterior fontanel, eye abnormalities, and transient hypocalcemia. Sss is a relatively severe disorder that causes seizures, growth failure, failure to thrive, and intellectual disabilities. Sabry ma, farag ti, shaltout aa, zaki m, almazidi z, abulhassan ma sabrya. Parathyroid hormone is important for regulating the levels of calcium and phosphorus in the blood.
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