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Simpson-Golabi-Behmel syndrome

MIM.312870 Xq26

Tuesday 10 February 2004

Digital cases

 Case 124 : Liver in Simpson-Golabi-Behmel syndrome

Types

 type 1 SGBS1 / X-linked recessive SGBS1 (MIM.312870 / GPC3)
 type 2 SGBS2 / X-linked recessive SGBS2 (MIM.300209 / CXORF5)

Synopsis

 systemic anomalies

  • macrosomy, gigantism, overgrowth syndrome
  • hydrops fetalis (8599356)

 craniofacial anomalies

  • macrocephaly
  • coarse facies
  • ears anomalies: accessory tragus (preauricular pits, preauricular tags)
  • eyes anomalies: downslanting palpebral fissures, hypertelorism, epicanthal folds
  • nose anomalies: broad flat nasal bridge, short nose, upturned nose
  • mouth anomalies: macrostomia, macroglossia, midline groove of lower lip, broad secondary alveolar ridge, submucous cleft lip, cleft palate
  • dental malocclusion

 cardiovascular anomalies

 thoracic anomalies

  • lung segmentation defects
  • cervical ribs
  • pectus excavatum
  • 13 pairs of thoracic ribs
  • supernumerary nipples
  • diaphragmatic hernia

 abdominal anomalies

 hepatic anomalies

 genital anomalies (19842194)

 urogenital anomalies

  • nephromegaly
  • renal cysts
  • duplication of renal pelvis
  • hypospadias

 skeletal anomalies

  • advanced bone age
  • vertebral segmentation defects
  • fusion of C2-C3 posterior elements
  • six lumbar vertebrae
  • sacral defects
  • coccygeal defects
  • scoliosis

 limb anomalies

  • flared iliac wing
  • narrow sacroiliac notches in infancy
  • short broad hands
  • postaxial polydactyly
  • syndactyly 2nd-3rd fingers
  • broad thumbs
  • distal phalangeal hypoplasia
  • two carpal ossification centers present at birth
  • short broad feet
  • syndactyly 2nd-3rd toes
  • broad toes
  • clubfoot
  • coccygeal skin tags
  • fingernail hypoplasia

 cerebral anomalies

 predisposition to tumors

Etiology

 Locus SGBS1 at Xq26 (MIM.312870): mutation in the gene for glypican-3 (GPC3) (MIM.300037)
 Locus SGBS2 at Xp22 (MIM.300209)

See also

 macrosomy
 gigantism
 overgrowth syndromes