[The Langer-Giedion syndrome (TRP 2). A case report].

Radiol Med

Istituto di Scienze Radiologiche, Policlinico Universitario, G. Martino, Messina.

Published: April 1994

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Trichorhinophalangeal Syndrome Orthopaedic Manifestations and Management: A Systematic Review.

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August 2024

From the Geisinger Commonwealth School of Medicine, Scranton, PA (Ms. E. Ellison, Mr. Grampp, Mr. S. Ellison); the Department of Pediatric Genetics, Geisinger Medical Center, Danville, PA (Dr. A. Seeley); and the Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA (Dr. M. Seeley).

Trichorhinophalangeal syndrome (TRPS) is an autosomal dominant genetic malformation disorder which is best characterized by both its craniofacial and skeletal abnormalities. The purpose of this paper is to identify the various orthopedic manifestations and management in patients with TRPS. A systematic search of PubMed, Ovid MEDLINE, and Cochrane Library was conducted.

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Trichorhinophalangeal syndrome (TRPS) is a genetic disorder caused by point mutations or deletions in the gene-encoding transcription factor TRPS1. TRPS patients display a range of skeletal dysplasias, including reduced jaw size, short stature, and a cone-shaped digit epiphysis. Certain TRPS patients experience early onset coxarthrosis that leads to a devastating drop in their daily activities.

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Here we report the case of a young boy with developmental delay, thin sparse hair, early closure of the anterior fontanel, bilateral choanal atresia, brachyturicephaly; and dysmorphic features closely resembling those seen in trichorhinophalangeal syndrome (TRPS). These features include sparse hair, sparse lateral eyebrows, a bulbous pear shaped nose, a long philtrum, thin lips, small/hypoplastic nails, pes planovalgus; bilateral cone-shaped epiphyses at the proximal 5th phalanx, slender long bones, coxa valga, mild scoliosis, and delayed bone age. Given that TRPS had been excluded by a thorough genetic analysis, whole exome sequencing was performed and a heterozygous likely pathogenic variant was identified in the FBXO11 gene (NM_001190274.

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Article Synopsis
  • Tricho-rhino-phalangeal syndrome (TRPS) is a rare malformation syndrome with unique facial, ectodermal, and skeletal traits, categorized into different types based on genetic causes.
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