{"Name":"Adducted thumbs-arthrogryposis syndrome, Christian type","DiseaseID__c":"GARD:0010277","id":10277,"encodedName":"adducted-thumbs-arthrogryposis-syndrome-christian-type","IsDeleted":false,"Disease_Name_Full__c":"Adducted thumbs-arthrogryposis syndrome, Christian type","Xref_IDs__c":"C5975706; MEDGEN:1875234; MONDO:0008724; OMIM:201550; ORPHA:2952","USA_Estimate__c":"1,000","No_of_Specialist_Tagsa__c":4,"No_of_ClinGen_records__c":0,"No_of_GeneReviews__c":0,"No_of_HHS_records__c":0,"World_Estimate__c":"1 to 8,000","No_of_HRSA_records__c":0,"Evidence_Based_Score__c":0,"No_of_Disease_Descriptions__c":4,"Disease_Characteristics_Score__c":7,"No_of_Age_at_Onset__c":1,"Description_Source__c":"MONDO:0008724","Disease_Description__c":"A type of arthrogryposis characterized by congenital cleft palate, microcephaly, craniostenosis and arthrogryposis (limitation of extension of elbows, flexed adducted thumbs, camptodactyly and clubfeet). Additional features include facial dysmorphism ('myopathic' stiff face, antimongoloid slanting, external ophthalmoplegia, telecanthus, low-set large malrotated ears, open mouth, mierogenia and high arched palate). Velopharyngeal insufficiency with difficulties in swallowing, increased secretion of the nose and throat, prominent occiput, generalized muscular hypotonia with mild cyanosis and no spontaneous movements, seizures, torticollis, areflexia, intellectual disability, hypertrichosis of the lower extremities, and scleredema (in the first days of life; see this term) are also observed. The disease often leads to early death. Transmission is autosomal recessive. No new cases have been described since 1983.","GARD_Name__c":"Adducted thumbs-arthrogryposis syndrome, Christian type","GARD_Synonym__c":"adducted thumbs syndrome","Curated_Disease_Description_Source__c":"PlainLanguagePilotV1-Sep23","Curated_Disease_Description__c":"Adducted thumbs-arthrogryposis syndrome, Christian type is a rare genetic condition that affects the development of the body and often leads to early death. It is caused by a recessive gene, meaning a person must inherit one copy of the gene from each parent to develop the condition. The syndrome is characterized by several physical features, including: congenital cleft palate, microcephaly (small head size), craniosynostosis (premature fusion of skull bones), arthrogryposis (limited movement of joints), and intellectual disability. Other physical features may include: differences in facial features, difficulty swallowing due to velopharyngeal insufficiency (incomplete closure of opening between oral and nasal cavities), generalized muscular hypotonia (low muscle tone), cyanosis (bluish skin color), hypertrichosis of the lower extremities (excessive hair growth on legs), and scleredema (hardening and thickening of the skin).","Curated_USA_Estimate_Source__c":null,"Curated_USA_Estimate__c":"1,000","Age_at_Onset_Snippet_Text__c":"as a Newborn","SourceID__c":"ORPHA:2952","Deprecated__c":"No","Disease_Concept_Type__c":"Rare Disease Entity","MONDO_ID__c":"MONDO:0008724","ORPHANET_ID__c":"ORPHA:2952","Replaced_By_ID__c":null,"Display_Spanish_Disease_Name__c":"Síndrome de pulgares en aducción-artrogriposis, tipo christian","Spanish_Description_Source__c":"ORPHA:2952","Spanish_Description__c":"Es un tipo de artrogriposis caracterizada por paladar hendido congénito, microcefalia, craneostenosis y artrogriposis (limitación de la extensión de los codos, pulgares flexionados y aducidos, camptodactilia y pie equinovaro). Otras características adicionales incluyen dismorfia facial (cara rígida \"miopática'', inclinación antimongoloide de las hendiduras palpebrales, oftalmoplejía externa, telecanto, orejas grandes y malrotadas y de implantación baja, boca abierta, microgenia y paladar ojival). También se ha descrito insuficiencia velofaríngea con dificultades para tragar, secreción aumentada de la nariz y la garganta, occipucio prominente, hipotonía muscular generalizada con ligera cianosis y sin movimientos espontáneos, crisis epilépticas, tortícolis, arreflexia, discapacidad intelectual, hipertricosis de las extremidades inferiores y escleredema (en los primeros días de vida (ver este término). La enfermedad conduce a menudo a la muerte prematura. La transmisión es autosómica recesiva. No se han descrito nuevos casos en la literatura desde 1983.","Spanish_Disease_Name__c":"síndrome de pulgares en aducción-artrogriposis, tipo christian","Spanish_GARD_Synonym__c":null,"Category_Linearization__c":"ORPHA:93890","icd10_id__c":null,"mesh_id__c":null,"omim_id__c":null,"snomed_id__c":null,"umls_id__c":null,"GARD_Disease__c":[{"Curated_Disease_Description__c":"Adducted thumbs-arthrogryposis syndrome, Christian type is a rare genetic condition that affects the development of the body and often leads to early death. It is caused by a recessive gene, meaning a person must inherit one copy of the gene from each parent to develop the condition. The syndrome is characterized by several physical features, including: congenital cleft palate, microcephaly (small head size), craniosynostosis (premature fusion of skull bones), arthrogryposis (limited movement of joints), and intellectual disability. Other physical features may include: differences in facial features, difficulty swallowing due to velopharyngeal insufficiency (incomplete closure of opening between oral and nasal cavities), generalized muscular hypotonia (low muscle tone), cyanosis (bluish skin color), hypertrichosis of the lower extremities (excessive hair growth on legs), and scleredema (hardening and thickening of the skin).","Curated_Disease_Description_Source__c":"PlainLanguagePilotV1-Sep23","GARD_Synonym__c":"adducted thumbs syndrome","Name":"Adducted thumbs-arthrogryposis syndrome, Christian type","Curated_USA_Estimate__c":"1,000","estimateUsa":"1,000"}],"GARD_Disease_Tag__c":[{"Tag_Name__c":"Genetics","Tag_Category__c":"Cause;Disease Category;Specialist","category_description":"Genetic diseases affect the DNA, or genetic instructions, which directs how tissues, organs, and body systems function.","curated_tag_name":"Genetic diseases"},{"Tag_Name__c":"Congenital Abnormality","Tag_Category__c":"Disease Category","category_description":"Birth defects are structural changes present at birth that can affect almost any part of the body, including how the body looks, works, or both.","curated_tag_name":"Birth defects"},{"Tag_Name__c":"Orthopedics","Tag_Category__c":"Specialist"},{"Tag_Name__c":"Otolaryngology","Tag_Category__c":"Specialist"},{"Tag_Name__c":"Craniofacial Anomalies","Tag_Category__c":"Account","curated_tag_name":"Craniofacial anomalies"},{"Tag_Name__c":"Congenital limb malformation","Tag_Category__c":"Account","curated_tag_name":"Limb anomalies"},{"Tag_Name__c":"Pediatrics","Tag_Category__c":"Specialist"}],"Age_At_Onset__c":[{"Age_At_Onset__c":"Neonatal","Provided_By__c":"ORPHA:2952"}],"External_Identifier_Disease__c":[{"URL__c":"https://www.orpha.net/en/disease/detail/2952","Source__c":"C5975706; MONDO:0008724","Xref__c":"ORPHA:2952"},{"URL__c":"https://www.omim.org/entry/201550","Source__c":"C5975706; MONDO:0008724; ORPHA:2952","Xref__c":"OMIM:201550"},{"URL__c":"http://purl.obolibrary.org/obo/MONDO_0008724","Source__c":"GARD:0010277","Xref__c":"MONDO:0008724"},{"URL__c":"https://www.ncbi.nlm.nih.gov/medgen/?term=1875234","Source__c":"C5975706","Xref__c":"MEDGEN:1875234"},{"URL__c":"https://uts.nlm.nih.gov/uts/umls/concept/C5975706","Source__c":"C5975706","Xref__c":"C5975706"}],"Inheritance__c":["Autosomal recessive"],"GARD_Disease_Feature__c":[{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"The presence of a high and narrow palate.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0002705","HPO_Synonym__c":"Gothic palate; High narrow palate; High vaulted palate; High, narrow palate; Narrow and high arched palate; Narrow, high-arched palate; Narrow, high-arched roof of mouth; Narrow, highly arched palate; Narrow, highly arched roof of mouth","HPO_Name__c":"High, narrow palate","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Difficulty in swallowing.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0002015","HPO_Synonym__c":"Difficulty swallowing; Poor swallowing; Swallowing difficulties; Swallowing difficulty","HPO_Name__c":"Dysphagia","Feature_System__c":"Nervous System; Digestive System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Craniosynostosis refers to the premature closure of the cranial sutures. Primary craniosynostosis refers to the closure of one or more sutures due to abnormalities in skull development, and secondary craniosynostosis results from failure of brain growth.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0001363","HPO_Synonym__c":"Cranial suture synostosis; Craniosyostosis; Early fusion of cranial sutures; Premature closure of cranial sutures; Premature suture closure","HPO_Name__c":"Craniosynostosis","Feature_System__c":"Musculoskeletal System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Hypertrichosis is increased hair growth that is abnormal in quantity or location.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0000998","HPO_Name__c":"Hypertrichosis","Feature_System__c":"Skin System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"A type of gliosis that occurs in the vicinity of injured neurons.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0006990","HPO_Name__c":"Myelin-dependent gliosis","Feature_System__c":"Nervous System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Height of the palate more than 2 SD above the mean (objective) or palatal height at the level of the first permanent molar more than twice the height of the teeth (subjective).","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0000218","HPO_Synonym__c":"Elevated palate; High arched palate; High palate; High, arched palate; High-arched palate; Increased palatal height; Palate high-arched; Palate, high-arched","HPO_Name__c":"High palate","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Head circumference below 2 standard deviations below the mean for age and sex.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0000252","HPO_Synonym__c":"Abnormally small cranium; Abnormally small skull; Decreased circumference of cranium; Decreased size of cranium; Decreased size of skull; Reduced head circumference; small cranium; Small head circumference","HPO_Name__c":"Microcephaly","Feature_System__c":"Nervous System; Musculoskeletal System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Cleft palate is a developmental defect of the palate resulting from a failure of fusion of the palatine processes and manifesting as a separation of the roof of the mouth (soft and hard palate).","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0000175","HPO_Synonym__c":"Cleft hard and soft palate; Cleft of hard and soft palate; Cleft of palate; Cleft palate; Cleft roof of mouth; Palatoschisis; Uranostaphyloschisis","HPO_Name__c":"Cleft palate","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Inability of velopharyngeal sphincter to sufficiently separate the nasal cavity from the oral cavity during speech.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0000220","HPO_Synonym__c":"Velopharyngeal incompetence","HPO_Name__c":"Velopharyngeal insufficiency","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Defective structure and function of myelin sheaths of the white matter of the brain.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0007266","HPO_Synonym__c":"Areas of dysmyelination on MRI; Dysmyelination of the brain","HPO_Name__c":"Cerebral dysmyelination","Feature_System__c":"Nervous System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Multiple congenital contractures in different body areas.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0002804","HPO_Synonym__c":"Arthrogryposis; Arthrogryposis multiplex; Arthrogryposis, congenital; Multiple congenital contractures","HPO_Name__c":"Arthrogryposis multiplex congenita","Feature_System__c":"Musculoskeletal System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"A disorder of muscle unrelated to impairment of innervation or neuromuscular junction.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0003198","HPO_Synonym__c":"Muscle tissue disease; Myopathic changes","HPO_Name__c":"Myopathy","Feature_System__c":"Musculoskeletal System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"Generalized muscular hypotonia (abnormally low muscle tone).","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0001290","HPO_Synonym__c":"Generalized decreased muscle tone; Generalized muscular hypotonia; Hypotonia, generalized","HPO_Name__c":"Generalized hypotonia","Feature_System__c":"Musculoskeletal System","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0002093","HPO_Synonym__c":"Respiratory impairment","HPO_Name__c":"Respiratory insufficiency","Feature_System__c":"Respiratory system","HPO_Feature_Type__c":"Symptom"}},{"Provided_By__c":"OMIM:201550","Feature__r":{"HPO_Description__c":"A facial appearance characteristic of myopathic conditions. The face appears expressionless with sunken cheeks, bilateral ptosis, and inability to elevate the corners of the mouth, due to muscle weakness.","HPO_Feature_URL__c":"https://hpo.jax.org/browse/term/HP:0002058","HPO_Synonym__c":"Myopathic face; Myopathic facial appearance","HPO_Name__c":"Myopathic facies","HPO_Feature_Type__c":"Symptom"}}],"tags":{"Cause":["Genetics"],"Disease Category":["Genetics","Congenital Abnormality"],"Specialist":["Genetics","Orthopedics","Otolaryngology","Pediatrics"],"Account":["Craniofacial Anomalies","Congenital limb malformation"]},"synonyms":["adducted thumbs syndrome"]}