Phocomelia thrombocytopenia encephalocele

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Phocomelia Thrombocytopenia Encephalocele is a rare and complex medical condition that involves a combination of three distinct anomalies: phocomelia, thrombocytopenia, and encephalocele. This condition is characterized by the congenital absence or severe malformation of limbs (phocomelia), a lower than normal platelet count in the blood (thrombocytopenia), and a neural tube defect resulting in the protrusion of brain tissue and membranes through openings in the skull (encephalocele).

Etiology[edit | edit source]

The exact cause of Phocomelia Thrombocytopenia Encephalocele is not well understood. It is believed to involve a combination of genetic and environmental factors. Genetic mutations or disruptions during the early stages of fetal development may lead to the malformations associated with this condition. Environmental factors, such as exposure to certain drugs or chemicals during pregnancy, may also play a role.

Symptoms[edit | edit source]

The symptoms of Phocomelia Thrombocytopenia Encephalocele vary depending on the severity and combination of the anomalies present. Common symptoms include:

  • Phocomelia: The presence of extremely short or absent limbs.
  • Thrombocytopenia: Symptoms related to low platelet count, such as easy bruising, excessive bleeding from cuts, and petechiae (small red or purple spots on the body).
  • Encephalocele: Neurological symptoms depending on the size and location of the encephalocele, which may include developmental delays, motor skill impairment, and seizures.

Diagnosis[edit | edit source]

Diagnosis of Phocomelia Thrombocytopenia Encephalocele typically involves a combination of physical examination, imaging studies (such as ultrasound or MRI), and blood tests. Prenatal diagnosis may be possible through advanced imaging techniques that can identify structural abnormalities before birth.

Treatment[edit | edit source]

Treatment for Phocomelia Thrombocytopenia Encephalocele is multidisciplinary and focuses on managing the symptoms and preventing complications. Treatment options may include:

  • Surgical intervention: Surgery may be necessary to repair the encephalocele and address any limb abnormalities.
  • Therapy: Physical and occupational therapy can help improve mobility and daily functioning.
  • Medication: Medications may be prescribed to manage symptoms related to thrombocytopenia and to prevent seizures associated with encephalocele.

Prognosis[edit | edit source]

The prognosis for individuals with Phocomelia Thrombocytopenia Encephalocele varies widely and depends on the severity of the anomalies and the success of treatment interventions. Early diagnosis and comprehensive care can improve the quality of life for affected individuals.


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Contributors: Prab R. Tumpati, MD