Coarse facial features

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Coarse facial features or coarse facies describes a constellation of facial features that are present in many inborn errors of metabolism.[1]

Coarse facies
16 year old with rapidly progressing Maroteaux-Lamy syndrome (MPS-VI).jpg
A 16 year old with Mucopolysaccharidosis showing coarse facial features.
SpecialtyMedical genetics

Features include:[1]

  • large, bulging head
  • prominent scalp veins
  • "saddle-like, flat bridged nose with broad, fleshy tip"
  • large lips and tongue
  • small, widely spaced and/or malformed teeth
  • hypertrophic alveolar ridges and/or gums

Heads tend to be longer than normal from front to back, with a bulging forehead. This is because of the earlier than normal or premature fusion of skull bones in an affected individual.

Causes[]

Several conditions are associated with coarse facial features.[2]

  • Acromegaly
  • Aspartylglycosaminuria
  • Borjeson Syndrome
  • Congenital hypothyroidism
  • Fucosidosis type 1
  • GM1 gangliosidosis
  • Hyper IgE
  • Hypomelanosis of Ito
  • I cell disease
  • Infantile sialic acid storage disorder
  • Job syndrome
  • McCune-Albright Syndrome
  • Morquio syndrome
  • Mucolipidosis III
  • Mucopolysaccharidosis type 2 Hunter syndrome- mild form
  • Mucopolysaccharidosis type 2 Hunter syndrome- severe form
  • Mucopolysaccharidosis type 3
  • Mucopolysaccharidosis type 6
  • Mucopolysaccharidosis type I Hurler syndrome
  • Mucopolysaccharidosis type I Hurler/Scheie syndrome
  • Mucopolysaccharidosis type I Scheie syndrome
  • Multiple endocrine neoplasia type 2b
  • Nodulosis-arthropathy-osteolysis syndrome
  • Sialuria syndrome
  • Simpson-Golabi-Behmel syndrome
  • Winchester syndrome

See also[]

References[]

  1. ^ a b Kagalwala, T. Y.; Bharucha, B. A.; Khare, R. D.; Kumta, N. B. (1 November 1988). "Diagnostic approach to coarse facies". The Indian Journal of Pediatrics. 55 (6): 861–870. doi:10.1007/BF02727817. PMID 3235137. S2CID 27241573.
  2. ^ "Causes of Coarse facial features". WrongDiagnosis.com. 18 November 2010. Retrieved 3 January 2011.

External links[]


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