Noonan syndrome turner syndrome, male female pseudoturner syndrome turners syndrome, male. Noonan syndrome is caused by a faulty gene, which is usually inherited from one of the childs parents. Noonan syndrome is a disorder that involves unusual facial characteristics, short stature, heart defects present at birth, bleeding problems, developmental delays, and malformations of the bones of the rib cage. The lifespan of people with noonan s syndrome can be similar to the general population, however, noonan syndrome can be associated with several health conditions that can contribute to mortality.
Objectiveto characterise the histopathology of the left ventricular hypertrophy commonly associated with noonan syndrome by assessing the extent of myocyte disarray. A 4yearold girl has been hospitalized with abdominal pain and weight and height loss. Os meninos frequentemente apresentam criptorquidia e manifestam puberdade tardia. Lezione sindrome di noonan 2014 ospedale pediatrico bambino gesu e accademia nazionale di medicina corso fad. Associazione nazionale sindrome di noonan e rasopatie odv, lugo, veneto, italy. Noonan syndrome clinical management guidelines 5 baseline investigations full cardiac evaluation at diagnosis. Epv, mho yo alt ecg otras alteraciones cardiacas 3. Noonan syndrome ns is characterized by characteristic facies, short stature, congenital heart defect, and developmental delay of variable degree. In the controls disarray was present in the septum in 38 23% of fields and in the free wall in 24 28%. Correlazioni genotipofenotipo nella sindrome di noonan e nelle sindromi correlate prof. The diagnosis of a congenital heart condition such as hypertrophic cardiomyopathy in patients with noonan syndromeneurofibromatosis makes it advisable to start with a genetic study of ptpn11 rather than with nf1.
Ns is one of the ras opathies, which are a class of pediatric disorders associated with genes that are members of the mitogenactivated protein kinase rasmapk pathway. A person who has noonan syndrome may have inherited. Another of the remaining patients had a mutation in the sos1 gene. Affected individuals can bear some clinical features similar to that of turner syndrome. Management of noonan syndrome a clinical guideline pdf. Il primo test prenatale noninvasivo per lo screening di. Test accuracy increased significantly when the cohort was analyzed by specific ethnic population, with sensitivities ranging from 0. Noonan syndrome atlas of genetics and cytogenetics in. Abstract germline mutations in ptpn11, the gene encoding the src. The distinctive facial features consist of a broad forehead, hypertelorism, downslanting palpebral fissures, ptosis, higharched palate and lowset, posteriorly rotated ears. Facial features include widely spaced eyes, lightcolored eyes, lowset ears, a short neck, and a small lower jaw. Associazione nazionale sindrome di noonan e rasopatie odv codice fiscale 92044140264.
Pdf clinical and molecular study of the noonan syndrome. Leopard syndrome ls, or noonan syndrome ns with multiple lentigines omim 151100, is an autosomal dominant disorder characterized by multiple lentigines or cafe au lait spots, electrocardiographic abnormalities, ocular hypertelorism, pulmonary valve stenosis or hypertrophic cardiomyopathy, genital abnormalities, constitutional growth delay, and deafness. Structural, functional, and clinical characterization of a. Lee ann jungs iec 509 class on intervention planning for children with special needs at the university of kentucky. Heart problems may include pulmonary valve stenosis. Resultsin the patients with noonan syndrome myocardial disarray was present in the ventricular septum in 24 57% mean sd of fields and in the free wall in 222 68%. Nras sindrome di noonan 6cancers ptpn11 sindrome noonan 1 sindrome di leopardcancers ptpn11 leucemia mielomonocitica giovanile jmml raf1 sindrome di noonan 5 sindrome di leopard 2 rit1 sindrome di noonan 8 shoc2 sindrome noonan simile con capelli caduchi in fase anagen sos1 sindrome di noonan 4 patologie scheletriche col2a1 acondrogenesi. Basi molecolari della sindrome di noonan e di malattie. The incidence of ns is estimated as 1 in 1,000 to 1 in 2,500 births, so it is still a relatively rare condition. Unsubscribe from sindrome di noonan e rasopatie odv. Gli aspetti cognitivi e comportamentali nella sindrome di. Noonan syndrome is a condition that affects many areas of the body. The greatest contributor to mortality in individuals with noonan syndrome is complications of cardiovascular disease.
Among 41 consecutive children with classic noonan syndrome, 27 patients 66% presented cardiac anomalies. Files are available under licenses specified on their description page. Raf1, a gene that encodes a protein member of the raf serinethreonine kinase family, has been found to be mutated in 3% to 17% of cases with noonan syndrome. Noonan syndrome ns is a genetically and phenotypically heterogeneous nonaneuploidic congenital rasopathy. Gli aspetti cognitivi e comportamentali nella sindrome di noonan sindrome di noonan e rasopatie odv. Faults in at least 8 different genes have been linked to noonan syndrome. Thousands of events were organised over 100 countries and r. Aug 23, 2018 please use one of the following formats to cite this article in your essay, paper or report. Noonan syndrome ns is a genetic disorder that may present with mildly unusual facial features, short height, congenital heart disease, bleeding problems, and skeletal malformations. Management of noonan syndrome the rasopathies network. Refer patient in second half of first year or at diagnosis for formal developmental assessment. Noonan syndrome is a genetic disorder that may cause short stature, distinctive facial features and heart abnormalities aside from face and heart abnormalities, there may be associated bleeding abnormalities, scoliosis, infertility in males, lymphedema, and intellectual disability. Live stream di sindrome di noonan e rasopatie odv youtube.
Noonan s syndrome, once referred to as male turners or pseudoturners syndrome, has recently been applied to patients with short stature, delayed puberty, hypertelorism, congenital heart disease, mental retardation, and normal chromosomal analysis. The campaign continues to grow each year since it was first launched in 2008. Unique cerebrovascular anomalies in the authors 20 noonan. The invitae noonan syndrome panel analyzes up to 16 genes that are associated with noonan syndrome ns. Rino piccione 1, alessandro burelli 1, elena benelli 1, elisabetta rinaldi 1.
It is characterized by mildly unusual facial features, short stature, heart defects, bleeding problems, skeletal malformations, and many other signs and symptoms. Monitor and plot growth on appropriate ns and agebased growth chart. Talla noonan syndrome ns is one of the more common genetic conditions. If an internal link intending to refer to a specific person led you to this page, you may wish to change that link by adding the persons given names to the link. Associazione nazionale sindrome di noonan e rasopatie odv. Sep 15, 2011 this presentation on noonan syndrome was developed for dr. Five patients 12% presented with a significant left ventricular outflow tract.
Noonan syndrome is a clinically variable developmental disorder defined by short stature, facial dysmorphism and a wide spectrum of congenital heart defects. Often, a short and webbed neck, lowset ears, low hairline at the back of the neck, short stature, and swollen hands and feet are seen at birth. The severity of ns is the same in males and females. Noonan syndrome is a genetic multisystem disorder characterised by distinctive facial features, developmental delay, learning difficulties, short stature, congenital heart disease, renal anomalies, lymphatic malformations, and bleeding difficulties. Angeli noonan associazione italiana sindrome di noonan angelinoonan. Other findings can include broad or webbed neck, unusual chest shape with superior pectus carinatum and inferior pectus excavatum, cryptorchidism, varied coagulation defects, lymphatic dysplasias, and ocular abnormalities. This page was last edited on 12 august 2019, at 23. All structured data from the file and property namespaces is available under the creative commons cc0 license. Baseline neuropsychological assessment at primary school entry.
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