Proximal symphalangism

From WikiMD's WELLNESSPEDIA

Alternate names

Strasburger-Hawkins-Eldridge syndrome; Strasburger-Hawkins-Eldridge-Hargrave-McKusick syndrome; Vessel’s syndrome; Hereditary absence of proximal interphalangeal joints; Proximal symphalangism; Cushing's symphalangism ; Symphalangism, proximal, 1A (subtype); Symphalangism, proximal, 1B (subtype)

Definition

Proximal symphalangism, which is also called Cushing's symphalangism, is a rare genetic condition characterized by the fusion of the proximal joints in the hands and feet.

Cause

It is caused by a mutation in the NOG gene or GDF5 gene.

Inheritance

Autosomal dominant pattern, a 50/50 chance.

This condition is inherited in an autosomal dominant pattern.

Signs and symptoms

  • These individuals usually have straight fingers and are unable to make a fist.
  • Other joints may also be affected, leading to stiff joints in the elbows, ankles and wrists.
  • Hearing loss due to the fusion of the auditory ossicles (bones in the middle ear) is also a characteristic feature.

Clinical presentation

For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed.

80%-99% of people have these symptoms

30%-79% of people have these symptoms

5%-29% of people have these symptoms

  • Aplasia/Hypoplasia of the middle phalanges of the hand(Absent/small middle finger bone of the hand)
  • Aplasia/Hypoplasia of the middle phalanges of the toes(Absent/small middle bones of toe)
  • Clinodactyly of the 5th finger(Permanent curving of the pinkie finger)
  • Distal symphalangism of hands(Fused outermost bones of hand)
  • Finger syndactyly
  • Strabismus
  • Cross-eyed

Diagnosis

Treatment

NIH genetic and rare disease info

Proximal symphalangism is a rare disease.


Resources

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