Microcephaly facial clefting preaxial polydactyly

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Microcephaly facial clefting preaxial polydactyly is a rare genetic disorder characterized by a combination of distinct physical anomalies. This condition is marked by the presence of microcephaly, which is a medical condition involving a smaller than normal head size for a person's age and sex, often indicative of underdevelopment of the brain. Additionally, individuals with this syndrome exhibit facial clefting, which can range from cleft lip and palate to more complex craniofacial clefts, affecting the appearance and function of the face. Preaxial polydactyly, another hallmark of this syndrome, involves the presence of extra fingers on the thumb side of the hand, which is a form of polydactyly.

Symptoms and Characteristics[edit | edit source]

The primary features of Microcephaly facial clefting preaxial polydactyly syndrome include:

  • Microcephaly: Significantly reduced head circumference, reflecting inadequate brain development.
  • Facial Clefting: This may include cleft lip, cleft palate, or both, and can affect feeding, speech, and hearing.
  • Preaxial Polydactyly: The presence of extra digits in the hands, typically on the thumb side, which may require surgical correction for functional or cosmetic reasons.

Other potential features can include developmental delays, intellectual disability, and various other physical anomalies, depending on the individual case.

Causes[edit | edit source]

The exact cause of Microcephaly facial clefting preaxial polydactyly syndrome is not well understood, but it is believed to be genetic in nature. The condition is likely the result of mutations in specific genes, inherited in an autosomal recessive pattern. This means that an individual must inherit two copies of the mutated gene, one from each parent, to be affected by the disorder.

Diagnosis[edit | edit source]

Diagnosis of this syndrome is based on the physical characteristics and symptoms present at birth or identified early in life. Genetic testing may be utilized to confirm the diagnosis and identify the specific mutation(s) involved. Prenatal diagnosis may be possible in families with a known history of the condition, through the use of ultrasound or genetic testing of fetal DNA.

Treatment[edit | edit source]

There is no cure for Microcephaly facial clefting preaxial polydactyly syndrome, and treatment is supportive and symptomatic. Management may include:

  • Surgical correction of cleft lip and/or palate and polydactyly.
  • Early intervention programs to address developmental delays and intellectual disability.
  • Regular monitoring and supportive care for other health issues that may arise.

Prognosis[edit | edit source]

The prognosis for individuals with Microcephaly facial clefting preaxial polydactyly syndrome varies depending on the severity of the symptoms and the presence of associated health issues. With appropriate care and support, many affected individuals can lead fulfilling lives.

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Contributors: Prab R. Tumpati, MD