Silver russell syndrome is a clinically heterogeneous syndrome and belongs to the group of congenital imprinting disorders. Growth hormone treatment renal tubular acidosis triangular face. Proportionate short stature limb andor facial asymmetry triangular faces with prominent normal head circumference 5. The silver russell syndrome srs is a rare heterogeneous genetic disorder whose pathogenesis remains controversial. Russell silver syndrome is a rare condition with multiple comorbid orthopedic problems, notably including functionlimiting llds. The diagnosis is mainly based on the clinical association of characteristic. This is usually characterized by asymmetry in the size of the two halves or other parts of the body.
A negative molecular test result does not rule out the diagnosis of rss. Genetics of silverrussell syndrome eggermann major. Rss can be caused by changes on either chromosome 7. Children with rss have an increased risk for developmental delay both motor and cognitive and learning disabilities. Russellsilver syndrome genetic and rare diseases information. Silverrussell syndrome srs is a congenital developmental disorder characterized by pre. A collection of disease information resources and questions answered by our. Adapted from wollman h, kirchner t, enders h et al. But some 40 years later, identification of the gene responsible has led to research that is advancing our understanding of a wide spectrum of neurological diseases it is impossible to predict which of the thousands of papers. Russell silver syndrome rss is a form of dwarfism characterized by intrauterine growth retardation with subsequent severe postnatal growth impairment, dysmorphic facial features including mandibular and facial hypoplasia, limb asymmetry, and a constellation of endocrine abnormalities including hypoglycemia and various patterns of hypogonadism 1,2. Silverrussell syndrome srs and beckwithwiedemann syndrome. Russellsilver syndrome is a growth disorder characterized by slow growth before and after birth. Specific problems with speech delay have been reported, particularly in people with a certain genetic cause for rss called maternal uniparental disomy of. Silver and russell were the first to diagnose this syndrome and independently reported the characteristic features in 1953 and 1954 respectively 7, 8.
Russell silver syndrome at a glance russell silver syndrome rss is characterized by slow growth both in utero and after birth, short stature, and specific facial features. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. An adult female with typical features of silver russell dwarfism gave birth to a viable infant. All epigenetic srs subtypes benefit from gh treatment with a trend. Silver russell syndrome srs is a very rare genetic disorder that appears no later than early childhood. Russell silver syndrome is a disorder present at birth that involves poor growth, low birth weight, short height, and differences in the size of the two sides of the body. If you have problems viewing pdf files, download the latest version of adobe. Some cases of rss may warrant a cytogenetic analysis to detect chromosome translocations. A noteable imprinting disorder is silver russell syndrome srs, a congenital disease characterised by intrauterine and postnatal growth retardation, relative macrocephaly, a typical triangular face, asymmetry and further less characteristic features.
Enable javascript to view the expandcollapse boxes. The silver russell syndrome global alliance is an umbrella organization composed of parentsupport organizations from around the world along with key medical specialists experienced in treating silver russell syndrome. Despite the abnormalities in sexual development that may be associated with the silver russell syndrome, fertility is not necessarily impaired, at least in females. Babies with this condition have a low birth weight and often fail. Pdf the silverrussell syndrome srs is characterised by severe intrauterine growth retardation, with a preserved head circumference, leading to a. Silverrussell syndrome srs originally was described by silver and colleagues in 1953 and, soon afterwards, by russell in 1954. All records of patients with suspected silver russell syndrome under the care of the two genetic clinics between january 2010 and september 2015 were retrieved from the computer database. The incidence is unknown but is estimated at 1 per every 30,000 to 100,000 live births. Russell silver syndrome rss is characterized by intrauterine growth restriction iugr and subsequent postnatal growth deficiency. Reproductive ability of an adult female with silver. Full text get a printable copy pdf file of the complete article 1. Cognitive abilities associated with the silverrussell. Hence the synonyms are russell syndrome, silver syndrome, silver russell syndrome, russell silver dwarfism and silver russell dwarfism. This is usually characterized by asymmetry in the size of the two.
Pdf this consensus statement summarizes recommendations for clinical diagnosis. Bergeson,md \sb\a 38monthold patient with silver \xreq\ russell syndrome srsand ambiguous genitaliahada 46,xykaryotypeon leuko cyte and fibroblast cultures. A 15yearold male boy with hemihypertrophy left side of the body was admitted in the hospital with the history of repeated attacks of convulsion. Cgffamily srs consensus 122017 silver russell syndrome. Silver russell syndrome occurs mostly in isolated cases because of. Pdf diagnosis and management of silverrussell syndrome.
Russellsilver syndrome genetics home reference nih. Symptoms range over a broad clinical spectrum from severe to so mild that they go undetected. When early in his career john russell silver described a previously unrecognised familial disease he expected it to remain a minor footnote in the medical record. A case report article pdf available in cases journal 11. Silverrussell syndrome srs, also called silverrussell dwarfism or russellsilver.
Silver russell syndrome global alliance genetic and rare. If you have problems viewing pdf files, download the latest version of adobe reader. The patient was diagnosed as silver russell syndrome on clinical ground. For language access assistance, contact the ncats public information officer. In 1953, silver et al reported two unrelated children with congenital hemihypertrophy, low birth weight, and short stature. It is characterized by stunted growth and limb or facial asymmetry. This will largely replace the testing of single genes, or of several genes in succession as is now customary. Patients and families in countries other than the united states can also visit the website for the silver russell syndrome global alliance to find rss support groups in their country. The alliances primary mission is to contribute to the worldwide standardization of.
Silver russell syndrome srs, or russell silver syndrome rsssrs is a rare disorder characterized by intrauterine growth retardation and postnatal growth deficiency along with a handful of common physical characteristics and a range of other symptoms. This is the third srschildwith ambiguousgenitalia describedinthe literature. Silver russell syndrome the complete silver russell. People with rss may face challenges from birth to adulthood. The average adult height for patients without growth hormone treatment is 411 for males and 47 for females. Silverrussell syndrome srs was reported independently by silver et al. The longterm outlook associated with russellsilver syndrome is generally good, but may depend on how severely affected a person is and whether complications arise. What links here related changes upload file special pages permanent link page information wikidata item cite. A noteable imprinting disorder is silverrussell syndrome srs, a congenital. Below are the links to the authors original submitted files for images. Babies with this condition have a low birth weight and often fail to grow and gain weight at the expected rate failure to thrive. Russell 1954 described 5 unrelated children with intrauterine growth retardation and characteristic facial features, including triangular.
Detailed information about the speech and language problems in children with russellsilver syndrome rss is limited. The projected cost of consumables for sequencing all 2 human genes the exome using the solid platform is 2000 euros. Russellsilver syndrome rss is a rare condition associated with poor growth. Diagnosis and management of silverrussell syndrome. Of the 28 livebirth patients with silver russell syndrome, 35. Russellsilver syndrome rss, sometimes called silverrussell syndrome srs, is a congenital condition. Congential imprinting disorders show a broad spectrum of epimutations and mutations in differentially methylated regions. However, the clinical spectrum is broad and the clinical diagnosis often subjective.
Rss can be caused by changes on either chromosome 7 or 11. Silverrussell syndrome and beckwithwiedemann syndrome. Russellsilver syndrome at a glance russellsilver syndrome rss is characterized by slow growth both in utero and after birth, short stature, and specific facial features. Silverrussell syndrome without body asymmetry in three patients. Chronic renal failure in russellsilver syndrome article pdf available in journal of the korean society of pediatric nephrology 2. Imprinting of human grb10 and its mutations in two patients with russellsilver syndrome. Silver russell syndrome delimits a candidate gene region. As a result, many rss patients seek limb length equalization procedures. Babies with this condition have a low birth weight and often fail to grow and gain weight.
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