Medical Care and Genetic Mechanisms
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1 Medical Care and Genetic Mechanisms
2 Objectives Increase identification of children with the disorder Describe the associated medical symptoms and differences in presentation with age Review guidelines for medical work-up & surveillance
3 What organ systems are affected? Audience participation
4 Variable phenotype Presenting symptom leading to diagnosis varies by age (Oskarsdottir et al. 2005) Infancy: cardiac issues 2-20 years: learning and behavioral issues
5 Case 1: video
6 Case 1: Early diagnosis Pregnancy-mother with vwd and borderline hyperglycemia Born with small, overfolded ears Laryngeal web-4 weeks in NICU 2 weeks old: right sided aortic arch discovered Hypocalcemia Feeding difficulty, aspiration, and nasal regurgitation GE reflux treated with Prevacid Dx at 4 weeks with 22q11.2DS
7 Diagnosis: FISH
8 Genetics Estimated incidence 1:4000 live births (underestimate) Most (85-90%) are de novo (new) deletion 10-15% inherited Affected individuals have a 50% chance of passing the deletion to offspring (autosomal dominant)
9 Characteristic Features Asymmetric (crying) facies Puffy eyelids Wide spaced eyes (hypertelorism) Narrow palpebral fissures Broad nasal bridge Long nose with bulbous tip Short philtrum Small ears Overfolded Helix Long, tapered fingers Kobrinsky LJ and Sullivan KE. Velocardiofacial syndrome, DiGeorge syndrome: the chromosome 22q11.2 deletion syndromes. Lancet 2007; 370:
10
11 Heart / Cardiac Problems (75%) Tetralogy of Fallot Ventricular Septal Defect Pulmonary Stenosis Truncus arteriosus Vessel anomalies Aortic arch abnormalities Vascular ring Aberrant carotid vessels Echocardiogram, EKG Neck MRI if surgical Procedures (aberrant vessels)
12 Velopharyngeal Insufficiency (VPI) aka VPD (velopharyngeal dysfunction) Hypernasal voice Nasal regurgitation
13 Bifid uvula Submucous cleft palate Ear, Nose, Throat Cleft Palate or Velopharyngeal Incompetence (VPI) (75%) Feeding difficulties Nasal regurgitation Cleft Palate (full, submucous) Hypernasal Speech, Articulation disorders Chronic ear infections, may need PE tubes SNHL (10%), CHL (45%) Vocal cord paralysis Laryngeal web Laryngeal web Speech%20and%20Language/phonation_disorders_data.htm surgery/cleftpalate.htm Nasopharyngoscopy Routine hearing screens
14 Back to the case other history Gastrointestinal Poor feeding and hypotonia G-tube placed GERD (gastroesophageal reflux disease) Frequent infections Bronchitis, croup, sinus infections Recurrent ear infections (9x s/year) PE tubes
15 Immune (25-30%) Low T cells (usually mild with normal function) due to thymus involvement Antibody production usually intact Usually improves with age Recurrent infections: ear infections, sinusitis, bronchitis, pneumonia T and B cell counts, antibody levels, other immune function tests Important to know immune status before giving live vaccines or blood transfusions May want to check titers for adequate vaccine response
16 Endocrine Endocrine Hypoparathyroidism (25%) Low calcium levels (hypocalcemia) Seizures Hypothyroid Short stature Ionized calcium levels, thyroid levels Endocrinology referral if <3 rd percentile on growth curves
17 Recommendations Routine medical surveillance (see summary slide at end) Classroom accommodations and medication for ADHD: stimulant (*cardiac SE) ADHD and anxiety: Strattera Occupational therapy evaluation Social skills group
18 Case 2: Late Diagnosis Concerning constellation of ongoing medical problems in the first 4 years of life Difficulty Breastfeeding Bottle fed with regular nipple, no nasal regurgitation Dysphagia, poor weight gain, GERD Speech delay-st at 27 months of age Hypotonia- ongoing PT Eczema-severe in infancy, morphea
19 Hospitalization, Age 3 Leg pain followed by adenopathy, epistaxis, bruising, gingival bleeding, hepatomegaly, fever Anemia, thrombocytopenia (10k) Admitted and leukemia ruled out but. Significant thrombocytopenia, required transfusion Bone marrow normal, but megakaryocytosis Positive CMV titers Consistent with CMV, but healthy 3 year olds... HIV, Immunoglobulin normal, no further work-up
20 Platelet Problems in 22q11.2 DS ITP: incidence about 4% 200 times more common than GP Other cytopenias, Evan s syndrome Bernard Soulier Syndrome Macrothrombocytopenia Functional problem: binding site for VWf Platelet count usually normal The GPIBB gene is in the typically deleted region of 22q11, haplo-insufficiency of GPIBB Lawrence, 2003
21 Autoimmunity in 22q11.2 DS Autoimmune disease in about 10% Idiopathic Thrombocytopenic Purpura Juvenile Rheumatoid Arthritis Celiac disease Raynaud s phenomenon Autoimmune thryoiditis (Gennery, 2002)
22 Mechanism of Autoimmunity Autoimmunity occurs when self, non-self recognition is impaired and immune mediated damage to self occurs. Self-antigen recognition develops in the thymus during thymic education Strongly self-reactive cells undergo negative selection and are deleted in the thymus Abnormal thymus results in escape of self-reactive T-cells which would normally be deleted. (Tooke, 2007)
23 By age 10 Constipation, weight loss and hematochezia: requiring EGD, colonoscopy GI and Hematology consults Work up for bleeding disorder again unremarkable CBC, Coags, VWf, hemophillia w/u all negative Dental problems, caries, crowding Pes planus: requiring orthotics 3 urinary tract infections: no imaging Allergic rhinitis and recurrent ear infections
24 Something a bit more familiar Sensory difficulties, especially auditory Looses track of time Anxious, nervous when kids are mean and stays in class at recess, recently asked to see counselor Sleep problems became more significant, daytime somnolence more obvious Hard worker, good girl
25 Case 2: Final clue Obstructive sleep apnea confirmed by multiple sleep studies, requiring surgery at age 10 New onset hypernasal speech after T&A Genetics consult for VPI FISH for 22q11.2 DS
26 Lovely Girl
27 Other surveillance Musculoskeletal Cervical spine series (5-view) after 4 years Monitoring for scoliosis Ophthalmologic Yearly exams with dilation Renal Abdominal ultrasound for structural abnormalities Dental Yearly exams
28 Other surveillance Developmental Delays Motor delays Speech and language delays Learning disabilities Social immaturity
29 Summary of Recommendations At diagnosis or at least once Echocardiogram Immune function ENT-nasendoscopy Cervical spine films Renal ultrasound Genetic counseling Yearly Eye exam Hearing exam CBC, calcium, thyroid Dental As needed Craniofacial/cleft palate team Chest MRI to assess vasculature if surgical procedure in neck area Endocrinology Immunology Hematology Rheumatology Orthopedics Gastroenterology Neurology Developmental pediatrician or child psychiatry School involvement
30 Summary There is a characteristic physical phenotype 22q11.2DS affects many organ systems (heart, immune, endocrine, ENT, GI) Infants are usually identified because of heart or feeding/palate problems Older children often present with learning or mental health issues
31 References Kobrynski LJ and Sullivan KE. Velocardiofacial syndrome, DiGeorge syndrome: the chromosome 22q11.2 deletion syndromes. Lancet 2007; 370: McDonald-McGinn, Emmanuael BS, Zackai EH. 22q11.2 Deletion Syndrome. GeneReviews; Shprintzen RJ Velocardiofacial syndrome. In Cassidy SB and Allanson JE, Management of Genetic Syndromes, p New York: Wiley-Liss, Inc.
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