Coffin–Siris syndrome

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Coffin–Siris syndrome
Synonyms Dwarfism-Onychodysplasia, Fifth Digit Syndrome, Mental Retardation with Hypoplastic 5th Fingernails and Toenails, Short Stature-Onychodysplasia
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Coffin–Siris Syndrome is a rare genetic disorder that causes developmental delays and absent fifth finger and toe nails. There had been 31 reported cases by 1991.[1] The number of occurrences since then has grown and is now reported to be around 80.[2]

The differential includes Nicolaides–Baraitser syndrome.[3]

Presentation[edit | edit source]

Causes[edit | edit source]

Autosomal dominant inheritance is the most likely, usually by de novo mutation.

This syndrome has been associated with mutations in the ARID1B gene.[7]

Mutations in SOX11 are associated to this syndrome.[8]

A second gene that has been associated with this syndrome is the AT-rich interaction domain 2 (ARID2) gene.[9]

The diagnosis is generally based on the presence of major and at least one minor clinical sign and can be confirmed by molecular genetic testing of the causative genes. Recent studies revealed that fifth finger nail/distal phalanx hypoplasia or aplasia is not a mandatory finding.

Diagnosis[edit | edit source]

Treatment[edit | edit source]

There is no known cure or standard for treatment. Treatment is based on symptoms and may include physical, occupational and speech therapy and educational services as well.

References[edit | edit source]

  1. metrowebukmetro (2008-10-13). "Twisted spine girl back playing football". Metro. Retrieved 13 June 2015.
  2. "Coffin-Siris syndrome". Genetics Home Reference. 8 June 2015. Retrieved 13 June 2015.
  3. Cha, Ariana Eunjung (4 June 2015). "NIH researchers sequence healthy volunteers' DNA and find they aren't so healthy after all". Washington Post. Retrieved 13 June 2015. {{cite web}}: Unknown parameter |name-list-format= ignored (help)
  4. "Greenville: A home of one's own - Ledger Transcript". Ledger Transcript. 2015-05-14. Retrieved 13 June 2015.

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Contributors: Prab R. Tumpati, MD