Genetic of multi system disorders Flashcards
What are the modes of inheritance?
Chromosomal
Single gene disorders
Multifactorial
What are the modes of chromosomal inheritance?
Numerical e.g. trisomy 21
Structural e.g. translocations, deletions
What are the methods of single gene inheritance?
Autosomal dominant e.g. TS, NF1
Autosomal recessive e.g. CF
X linked e.g. Duchenne’s
What are the aspects of multifactorial inheritance?
Polygenic
Enironmental
What is the method of inheritance of neurofibromatosis type 1?
Autosomal dominant
What is the gene in NF1?
17q tumour suppressor gene
What is the diagnostic criteria for NF1?
2+ characteristic symptoms
What are the diagnostic symptoms for NF1?
6+ cafe au lait spots 2+ neurofibromas Axillary freckling Lisch nnodules Optic glioma Thinning of long bone cortex FH
What are the further features of NF1?
Macrocephaly Short stature Noonan looking face Learning difficulties Epilepsy Scoliosis Pseudoarthrosis of tibia Raised BP Neoplasia- CNS or endocrine
What causes raised BP in NF1?
Renal artery stenosis
Phaechromocytoma
What are the main features of NF2?
Acoustic neuroma- usually bilateral
CNS and spinal tumours
Cafe au lait spots
What is the gene defect in NF2?
Defect on chromosome 22
What is the classic triad of tuberous sclerosis?
Epilepsy
Learning difficulties- autistic features common
Skin lesions
What skin lesions are common in TS?
Depigmented macules Angiofibromas Fibrous plaque on forehead Shagreen patches Ungual fibromas
What is the presentation of TS?
Classic triad- epilepsy, learning difficulties, skin lesions
Hamartomas in different organs- phakomas= retinal
Kidneys- cysts and angiomyolipoma
Rhabdomylosis of heart