SERKAL syndrome

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SERKAL syndrome
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Synonyms
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Specialty Medical genetics
Symptoms Ambiguous genitalia, renal agenesis, lung hypoplasia, adrenal hypoplasia
Complications N/A
Onset Prenatal
Duration Lifelong
Types N/A
Causes Mutations in the WNT4 gene
Risks
Diagnosis Genetic testing, prenatal ultrasound
Differential diagnosis
Prevention
Treatment Supportive care
Medication
Prognosis Poor
Frequency Rare
Deaths


Other Names: Sex reversion-kidneys, adrenal and lung dysgenesis syndrome SERKAL (SEx Reversion, Kidneys, Adrenal and Lung dysgenesis) syndrome is characterised by female to male sex reversal and developmental anomalies of the kidneys, adrenal glands and lungs.

Epidemiology[edit | edit source]

The syndrome is lethal and has been described in three foetuses.

Cause[edit | edit source]

It is caused by homozygous missense mutations in the WNT4 gene.

Inheritance[edit | edit source]

It is transmitted as an autosomal recessive trait.

Signs and symptoms[edit | edit source]

For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. 100% of people have these symptoms

  • Growth delay(Delayed growth)
  • Oligohydramnios(Low levels of amniotic fluid)
  • Pulmonary hypoplasia(Small lung)
  • Renal agenesis(Absent kidney)
  • Sex reversal

30%-79% of people have these symptoms

  • Abnormality of the adrenal glands(Adrenal abnormalities)
  • Congenital diaphragmatic hernia
  • Hypoplasia of the bladder(Underdeveloped bladder)
  • Hypospadias
  • Malrotation of small bowel
  • Oral cleft(Cleft of the mouth)
  • Pulmonic stenosis(Narrowing of pulmonic valve)
  • Ventricular septal defect(Hole in heart wall separating two lower heart chambers)
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NIH genetic and rare disease info[edit source]

SERKAL syndrome is a rare disease.


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