Schwartz–Jampel syndrome
Schwartz–Jampel syndrome (SJS), also known as chondrodystrophic myotonia, is a rare genetic disorder characterized by myotonia, skeletal abnormalities, and growth retardation. It was first described by Dr. Oscar Schwartz and Dr. Robert Jampel in 1962.
Signs and Symptoms[edit | edit source]
Individuals with Schwartz–Jampel syndrome typically present with:
- Myotonia: Prolonged muscle contractions leading to stiffness.
- Skeletal abnormalities: Including short stature, joint contractures, and kyphoscoliosis.
- Facial features: A characteristic facial appearance with blepharophimosis, a small mouth, and a pursed-lip appearance.
- Growth retardation: Delayed growth and development.
Genetics[edit | edit source]
Schwartz–Jampel syndrome is inherited in an autosomal recessive manner. Mutations in the HSPG2 gene, which encodes the protein perlecan, are responsible for the condition. Perlecan is essential for the structural integrity of the extracellular matrix in various tissues.
Diagnosis[edit | edit source]
Diagnosis of Schwartz–Jampel syndrome is based on clinical evaluation, family history, and genetic testing. Electromyography (EMG) can be used to detect myotonia, and radiographic imaging can reveal skeletal abnormalities.
Treatment[edit | edit source]
There is no cure for Schwartz–Jampel syndrome, but treatment focuses on managing symptoms. This may include:
- Physical therapy: To improve mobility and reduce joint contractures.
- Medications: Such as muscle relaxants to alleviate myotonia.
- Orthopedic surgery: To correct severe skeletal deformities.
Prognosis[edit | edit source]
The prognosis for individuals with Schwartz–Jampel syndrome varies. While the condition is chronic, many individuals can lead relatively normal lives with appropriate management of symptoms.
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Contributors: Prab R. Tumpati, MD