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International Birth Defects Information Systems
Kniest Syndrome

International Birth Defects Information Systems



Kniest Syndrome


Topics: | Kniest Syndrome | Achondrogenesis, Type II | Dappled Metaphysis S | Dwarfism Metatrophic | Dysplasia, Spondyloepiphyseal | Dysplasia, Spondyloepimetaphyseal | Hypochondrogenesis | Kniest Dysplasia | Metatrophic Dwarfism Type II | Metatrophic Dysplasia II | SEDc | SEMD Strudwick Type | SMED Strudwick Type | SMED Type I | Spondyloepiphyseal Dysplasia Congenita | Spondyloepimetaphyseal Dysplasia Strudwick | Strudwick S |

Service Related: | Support Groups | Professional Associations | Key Information Sources |

Languages: | English | Ukrainian |

Kniest Dysplasia
Visitor Comments [for Professionals mainly]
This disorder resembles classic metatropic dwarfism ... in many respects but is an autosomal dominant. Cartilage obtained by biopsy feels soft. Histology shows lacunae in the cartilage, giving it a Swiss-cheese appearance ... The patients cannot make a tight fist ... a violaceous hue of the palms ... face is characteristically rather flat ... Excessive urinary excretion of keratan sulfate was noted ... bony fusion between anterior arch of the atlas and the odontoid and between the posterior arch of the atlas and the cranial base ... mutation in type 2 collagen resulting in Kniest dysplasia ...

Spondyloepiphyseal Dysplasia, Congenital Type
Visitor Comments [for Professionals mainly]
Spranger and Wiedeman (1966) suggested this designation for a disorder affecting particularly the vertebrae and juxtatruncal epiphyses. Four of 6 patients had progressive myopia ... Platyspondyly, short limbs, and cleft palate were evident at birth. Other malformations included myopia, hypoplasia of abdominal musculature, abdominal and inguinal hernias, and mental retardation. Detachment of the retina occurs in some patients even without significant myopia ...

Spondyloepimetaphyseal Dysplasia, Strudwick Type
Visitor Comments [for Professionals mainly]
Features ... resembling the Morquio syndrome, and pectus carinatum and scoliosis which are usually marked. Cleft palate and retinal detachment are frequently associated, as in SED congenita ... A distinctive radiographic feature is irregular sclerotic changes, described as 'dappled' in the metaphyses of the long bones ... The eponym Strudwick is derivived from a prototype patient at the Johns Hopkins Hospital who was born with midface hemangioma, cleft palate, inguinal hernia, clubfoot ... Mental development was normal ...

Achondrogenesis, Type II
Visitor Comments [for Professionals mainly]
Spranger et al. (1974) distinguished two forms of achondrogenesis, which they called types I and Ii (and which I called types IA and IB for a long time). Type I is the classic variety described by Parenti ... the ribs tend to be thin, often with multiple fractures ... it might be confused with the broad-bone form of osteogenesis imperfecta ... Type II achondrogenesis is characterized by virtual absence of ossification in the vertebral column, sacrum and public bones ... In both forms the trunk is short with prominent abdomen and hydropic appearance. Micromelia is striking. In both, death occurs in utero or the early neonatal period. Chen et al. (1981) reported 2 cases and reviewed reported cases in extenso ... Whitley and Gorlin (1983) proposed subdividing achondrogenesis into 4 types by roentgenographic criteria and measurements ... Hypochondrogenesis ... may bear the same relationship to achondrogenesis that hypochondroplasia does to achondroplasia, ... it may be an allelic variant ...

Information about Kniest, SED, and SMD
Kniest SED Group (KSG), April 2006
Visitor Comments [Support Groups]
What is Kniest, SEDC, SMD-K? What are the symptoms ... Is a pre-natal test available? Find a Skeletal Dysplasia (dwarfism) clinic ... Questions for Families of Children Recently Diagnosed with Dwarfism ...

Kniest-Like Dysplasia, Lethal
Sconyers et al. (1983) described male and female offspring of nonconsanguineous parents who died in the neonatal period with a severe skeletal dysplasia that radiologically and histologically resembled Kniest syndrome ... Histologically, ... "Swiss cheese" appearance superficially like that of Kniest dysplasia was seen ...

Kniest-Like Dysplasia with Pursed Lips and Ectopia Lentis (Burton Syndrome)
Burton et al. (1986) described a skeletal dysplasia in 2 sibs, a male and female ... Resembled those observed in Kniest dysplasia ... Important differences were noted, specifically, microstomia, pursed lips, and ectopia lentis ... he "Swiss cheese" appearance characteristic of Kniest dysplasia was not observed. The lenses were dislocated downward in both patients ...

Achondrogenesis
I.B.I.S. Birth Defects, September 3, 2003
Visitor Comments [Ukrainian]
A fact sheet for specialists in Ukrainian
Main diagnostic criteria ... Prevalence ... Etiology ... Classification ... Clinical features ... Diagnosis and differential diagnosis ... Associated anomalies ... Prognosis ... Type of inheritance ... OMIM number ...

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Last Updated: 2023/07/18

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American Medical Association