Barber-Say syndrome (BSS) and ablepharon-macrostomia syndrome (AMS) are infrequently reported congenital malformation disorders caused by mutations in the gene. Both are characterized by abnormalities in ectoderm-derived structures and cause a very unusual morphology of mainly the face in individuals with otherwise normal cognition and normal physical functioning. We studied the impact that the presence of BSS and AMS has on psychosocial functioning of affected individuals and their families, using their point of view to start with. We tabulated frequently asked questions from affected individuals and families, and a parent of an affected child and an affected adult woman offered personal testimonies. We focused on perception of illness, body satisfaction, and the consequences for an otherwise normal individual who has a disorder that interferes with body image. The importance of paying particular attention to the management of both the physical appearance and the consequences of these entities on the quality of life is stressed by the affected individuals themselves.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498967PMC
http://dx.doi.org/10.1159/000472408DOI Listing

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December 2022

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Article Synopsis
  • Ablepharon-macrostomia syndrome (AMS) and Barber-Say syndrome (BSS) are congenital disorders linked to mutations in the TWIST2 gene, featuring notable eye abnormalities including underdeveloped eyelids.
  • Mosaic expression of TWIST2 mutations is rare, with only five documented cases, and tends to result in less severe symptoms compared to typical mutations.
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Barber Say Syndrome (A New Case Report).

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January 2019

Department of Family Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Barber Say syndrome (BSS) is a rare ectodermal dysplasia with neonatal onset characterized by congenital generalized hypertrichosis, atrophic skin, ectropion and macrostomia. A literature review showed less than 20 previously reported cases of Barber Say syndrome. This presentation reports a one day old female with syndrome face, low hairline, coarse face, macrostomia, thin upper lip, bilateral ectropion and hypertelorism, hypertrichosis, senile skin appearance, hypoplastic nipples and one area of mild skin atrophy.

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Barber-Say syndrome is an unusual dysplasia caused by the mutation of the TWIST2 gene (2q37.3), which encodes a protein that acts at an epigenetic level. The case is presented of a 2-day-old male child in whom ectropion, hypertelorism, hypertrichosis and other dysmorphic features led to the clinical diagnosis of Barber-Say syndrome, which was later confirmed with genetic tests.

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