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Brachydactyly type B2(BDB2)

MedGen UID:
409880
Concept ID:
C1969652
Disease or Syndrome
Synonym: BDB2
SNOMED CT: Brachydactyly type B2 (770406002)
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
Gene (location): NOG (17q22)
 
Monarch Initiative: MONDO:0012658
OMIM®: 611377
Orphanet: ORPHA140908

Definition

Brachydactyly type B2 (BDB2) is a subtype of brachydactyly characterized by hypoplasia/aplasia of distal phalanges in combination with distal symphalangism, fusion of carpal/tarsal bones, and partial cutaneous syndactyly (summary by Lehmann et al., 2007). [from OMIM]

Clinical features

From HPO
Cutaneous syndactyly of toes
MedGen UID:
320423
Concept ID:
C1834737
Congenital Abnormality
A soft tissue continuity in the anteroposterior axis between adjacent foot digits that involves at least half of the proximodistal length of one of the two involved digits; or, a soft tissue continuity in the A/P axis between two digits of the foot that does not meet the prior objective criteria.
Short distal phalanx of finger
MedGen UID:
326590
Concept ID:
C1839829
Finding
Short distance from the end of the finger to the most distal interphalangeal crease or the distal interphalangeal joint flexion point. That is, hypoplasia of one or more of the distal phalanx of finger.
Short 1st metacarpal
MedGen UID:
376561
Concept ID:
C1849311
Finding
A developmental defect characterized by reduced length of the first metacarpal (long bone) of the hand.
Aplasia/Hypoplasia of the distal phalanges of the hand
MedGen UID:
396110
Concept ID:
C1861336
Finding
Absence or underdevelopment of the distal phalanges.
Aplasia/Hypoplasia of the middle phalanges of the hand
MedGen UID:
354674
Concept ID:
C1862152
Finding
Absent phalangeal crease
MedGen UID:
349522
Concept ID:
C1862479
Finding
Absence of one or more interphalangeal creases (i.e., of the transverse lines in the skin between the phalanges of the fingers).
Proximal placement of thumb
MedGen UID:
356033
Concept ID:
C1865572
Finding
Proximal mislocalization of the thumb.
Cutaneous finger syndactyly
MedGen UID:
866898
Concept ID:
C4021254
Congenital Abnormality
A soft tissue continuity in the A/P axis between two fingers that extends distally to at least the level of the proximal interphalangeal joints, or a soft tissue continuity in the A/P axis between two fingers that lies significantly distal to the flexion crease that overlies the metacarpophalangeal joint of the adjacent fingers.
Aplasia/Hypoplasia of the distal phalanges of the toes
MedGen UID:
892342
Concept ID:
C4021326
Finding
Absence or underdevelopment of the distal phalanges of the toes.
Aplasia/Hypoplasia of the middle phalanges of the toes
MedGen UID:
869548
Concept ID:
C4023976
Finding
Sensorineural hearing loss disorder
MedGen UID:
9164
Concept ID:
C0018784
Disease or Syndrome
A type of hearing impairment in one or both ears related to an abnormal functionality of the cochlear nerve.
Tarsal synostosis
MedGen UID:
539393
Concept ID:
C0265654
Congenital Abnormality
Synostosis (bony fusion) involving one or more bones of the tarsus (calcaneus, talus, cuboid, navicular, cuneiiform bones).
Carpal synostosis
MedGen UID:
98468
Concept ID:
C0431863
Congenital Abnormality
Synostosis (bony fusion) involving one or more bones of the carpus (scaphoid, lunate, triquetrum, trapezium, trapezoid, capitate, hamate, pisiform).
Distal symphalangism of hands
MedGen UID:
350607
Concept ID:
C1862158
Finding
The term distal symphalangism refers to a bony fusion of the distal and middle phalanges of the digits of the hand, in other words the distal interphalangeal joint (DIJ) is missing which can be seen either on x-rays or as an absence of the distal interphalangeal finger creases.
Proximal symphalangism of hands
MedGen UID:
867247
Concept ID:
C4021607
Anatomical Abnormality
The term proximal symphalangism refers to a bony fusion of the middle and proximal phalanges of the digits of the hand, in other words the proximal interphalangeal joint (PIJ) is missing which can be seen either on x-rays or as an absence of the proximal interphalangeal finger creases.
Aplasia/Hypoplasia of the nails
MedGen UID:
347794
Concept ID:
C1859077
Finding
Aplasia or developmental hypoplasia of the nail.
Hypermetropia
MedGen UID:
43780
Concept ID:
C0020490
Disease or Syndrome
An abnormality of refraction characterized by the ability to see objects in the distance clearly, while objects nearby appear blurry.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
Follow this link to review classifications for Brachydactyly type B2 in Orphanet.

Professional guidelines

Recent clinical studies

Diagnosis

Shao J, Liu Y, Zhao S, Sun W, Zhan J, Cao L
BMC Pediatr 2022 Sep 5;22(1):528. doi: 10.1186/s12887-022-03564-z. PMID: 36064339Free PMC Article
Ishino T, Takeno S, Hirakawa K
Eur J Med Genet 2015 Sep;58(9):427-32. Epub 2015 Jul 26 doi: 10.1016/j.ejmg.2015.06.005. PMID: 26211601
Potti TA, Petty EM, Lesperance MM
Hum Mutat 2011 Aug;32(8):877-86. Epub 2011 Jun 21 doi: 10.1002/humu.21515. PMID: 21538686

Prognosis

Shao J, Liu Y, Zhao S, Sun W, Zhan J, Cao L
BMC Pediatr 2022 Sep 5;22(1):528. doi: 10.1186/s12887-022-03564-z. PMID: 36064339Free PMC Article
Liu F, Huang Y, Liu L, Liang B, Qu Z, Huang G, Li C, Tian R, Jiang Z, Liu F, Yu X, Huang Y, Liu J, Tang Z
Clin Chim Acta 2014 Feb 15;429:129-33. Epub 2013 Dec 8 doi: 10.1016/j.cca.2013.12.004. PMID: 24326127

Clinical prediction guides

Shao J, Liu Y, Zhao S, Sun W, Zhan J, Cao L
BMC Pediatr 2022 Sep 5;22(1):528. doi: 10.1186/s12887-022-03564-z. PMID: 36064339Free PMC Article
Liu F, Huang Y, Liu L, Liang B, Qu Z, Huang G, Li C, Tian R, Jiang Z, Liu F, Yu X, Huang Y, Liu J, Tang Z
Clin Chim Acta 2014 Feb 15;429:129-33. Epub 2013 Dec 8 doi: 10.1016/j.cca.2013.12.004. PMID: 24326127
Potti TA, Petty EM, Lesperance MM
Hum Mutat 2011 Aug;32(8):877-86. Epub 2011 Jun 21 doi: 10.1002/humu.21515. PMID: 21538686

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