Jeune- syndrome Q77.-

Last updated on: 12.03.2021

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History
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First description in 1954 by the French pediatrician Mathis Jeune.

Definition
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Jeune syndrome, also known as "asphyxiating thoracic dysplasia", was first described by Jeune et al. in 1954 (Engelskirchen 2006).

Etiopathogenesis
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It is an autosomal recessive inheritance caused by mutations on different chromosomes:

  • Depending on the underlying mutation, the following types can be distinguished:
  • Type 1 with mutations on chromosome 15 gene locus q13[5].
  • Type 2 with mutations in the IFT80 gene on chromosome 3 gene locus q25.33[6]
  • Type 3 (Verma-Naumoff syndrome) with mutations in the DYNC2H1 gene on chromosome 11 gene locus q22.3[7]
  • Type 4 with mutations in the TTC21B gene on chromosome 2 gene locus q24.3[8]
  • Type 5 with mutations in the WDR19 gene on chromosome 4 gene locus p14[9]
  • Type 10 with mutations in the IFT172 gene on chromosome 2 gene locus p23.3[10]
  • Type 11 with mutations in the WDR34 gene on chromosome 9 gene locus q34.11[11]

Each of these genes encodes a flagellar transport protein, and there may be other, as yet unknown mutations.

Clinical features
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The clinical picture is characterized by the following symptoms:

  • narrow, long thorax
  • shortened ribs
  • pronounced hypoplasia of the lungs
  • short stature
  • shortening of the extremities
  • nephronophthisis
  • fibrocytic changes of the liver and pancreas
  • (Engelskirchen 2006)

Therapy
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Thoracic dilation plastic surgery (Engelskirchen 2006)

Progression/forecast
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Since hardly any long-term observations are available, the prognosis cannot be assessed in more detail (Engelskirchen 2006).

Literature
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  1. Bartels H (2013) Spatial damage of the kidney in sonographic images: textbook and atlas. Springer Verlag 121
  2. Engelskirchen R et al (2006) Asphyxiating thoracic dysplasia (Jeune syndrome): successful multisession correction. Monthly Journal of Pediatrics (12)
  3. Entezami M et al. (2002) Sonographic diagnosis of malformation: teaching atlas of fetal ultrasonography. Selected syndromes and associations. Thieme Verlag 245
  4. Risler T et al (2008) Specialist nephrology. Elsevier Urban and Fischer Publishers 372 - 373, 752 - 754.
  5. Schmidt F et al. (2006) Rosiglitazone long-term therapy in patients with Alström- Hallgren syndrome. Diabetology and Metabolism 1 (3) 168 - 172.
  6. Sohn C et al (2013) Ultrasound in gynecology and obstetrics. Thieme Verlag 243 - 244

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Last updated on: 12.03.2021