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Slanting of the palpebral fissure

MedGen UID:
412676
•Concept ID:
C2748932
•
Finding
Synonyms: Slanted palpebral fissures; Slanting palpebral fissures
 
HPO: HP:0200006

Professional guidelines

PubMed

Children with Rare Nager Syndrome-Literature Review, Clinical and Physiotherapeutic Management.
Marszałek-Kruk BA, Myśliwiec A, Lipowicz A, Wolański W, Kulesa-Mrowiecka M, Dowgierd K
Genes (Basel) 2023 Dec 24;15(1) doi: 10.3390/genes15010029. PMID: 38254920Free PMC Article
Treacher Collins Syndrome: Genetics, Clinical Features and Management.
Marszałek-Kruk BA, Wójcicki P, Dowgierd K, Śmigiel R
Genes (Basel) 2021 Sep 9;12(9) doi: 10.3390/genes12091392. PMID: 34573374Free PMC Article
Sonographic assessment of the fetal palpebral fissure slant--an additional tool in the prenatal diagnosis of syndromes.
Mielke G, Dietz K, Franz H, Reiss I, Gembruch U
Prenat Diagn 1997 Apr;17(4):323-6. PMID: 9160384

Recent clinical studies

Etiology

Children with Rare Nager Syndrome-Literature Review, Clinical and Physiotherapeutic Management.
Marszałek-Kruk BA, Myśliwiec A, Lipowicz A, Wolański W, Kulesa-Mrowiecka M, Dowgierd K
Genes (Basel) 2023 Dec 24;15(1) doi: 10.3390/genes15010029. PMID: 38254920Free PMC Article
Molecular and clinical studies in 107 Noonan syndrome affected individuals with PTPN11 mutations.
Athota JP, Bhat M, Nampoothiri S, Gowrishankar K, Narayanachar SG, Puttamallesh V, Farooque MO, Shetty S
BMC Med Genet 2020 Mar 12;21(1):50. doi: 10.1186/s12881-020-0986-5. PMID: 32164556Free PMC Article
"Dynamic Canthopexy" Drill Hole Canthal Repositioning.
Botti G, Botti C, Rossati L, Gualdi A, Nocini P, Nocini R, Bertossi D
Aesthet Surg J 2019 Nov 13;39(12):1284-1294. doi: 10.1093/asj/sjz077. PMID: 30874720
Up-slanting palpebral fissures and oblique astigmatism associated with A-pattern strabismus and overdepression in adduction in spina bifida.
Paysse EA, Khokhar A, McCreery KM, Morris MC, Coats DK
J AAPOS 2002 Dec;6(6):354-9. doi: 10.1067/mpa.2002.129042. PMID: 12506275
Broad thumb-hallux (Rubinstein-Taybi) syndrome 1957-1988.
Rubinstein JH
Am J Med Genet Suppl 1990;6:3-16. doi: 10.1002/ajmg.1320370603. PMID: 2118774

Diagnosis

Expanding the pre- and postnatal phenotype of WASHC5 and CCDC22 -related Ritscher-Schinzel syndromes.
Neri S, Maia N, Fortuna AM, Damasio J, Coale E, Willis M, Jorge P, Højte AF, Fenger CD, Møller RS, Bayat A
Eur J Med Genet 2022 Nov;65(11):104624. Epub 2022 Sep 18 doi: 10.1016/j.ejmg.2022.104624. PMID: 36130690
Treacher Collins Syndrome: Genetics, Clinical Features and Management.
Marszałek-Kruk BA, Wójcicki P, Dowgierd K, Śmigiel R
Genes (Basel) 2021 Sep 9;12(9) doi: 10.3390/genes12091392. PMID: 34573374Free PMC Article
Molecular and clinical studies in 107 Noonan syndrome affected individuals with PTPN11 mutations.
Athota JP, Bhat M, Nampoothiri S, Gowrishankar K, Narayanachar SG, Puttamallesh V, Farooque MO, Shetty S
BMC Med Genet 2020 Mar 12;21(1):50. doi: 10.1186/s12881-020-0986-5. PMID: 32164556Free PMC Article
Noonan syndrome.
van der Burgt I
Orphanet J Rare Dis 2007 Jan 14;2:4. doi: 10.1186/1750-1172-2-4. PMID: 17222357Free PMC Article
The cardiofaciocutaneous syndrome.
Roberts A, Allanson J, Jadico SK, Kavamura MI, Noonan J, Opitz JM, Young T, Neri G
J Med Genet 2006 Nov;43(11):833-42. Epub 2006 Jul 6 doi: 10.1136/jmg.2006.042796. PMID: 16825433Free PMC Article

Therapy

The first case report of Kyphoscoliotic Ehlers-Danlos syndrome of chinese origin with a novel PLOD1 gene mutation.
Ni X, Jin C, Jiang Y, Wang O, Li M, Xing X, Xia W
BMC Med Genet 2020 Oct 31;21(1):214. doi: 10.1186/s12881-020-01154-3. PMID: 33129265Free PMC Article
Early-life epileptic encephalopathy secondary to SZT2 pathogenic recessive variants.
Venkatesan C, Angle B, Millichap JJ
Epileptic Disord 2016 Jun 1;18(2):195-200. doi: 10.1684/epd.2016.0828. PMID: 27248490
EPHA4 haploinsufficiency is responsible for the short stature of a patient with 2q35-q36.2 deletion and Waardenburg syndrome.
Li C, Chen R, Fan X, Luo J, Qian J, Wang J, Xie B, Shen Y, Chen S
BMC Med Genet 2015 Apr 11;16:23. doi: 10.1186/s12881-015-0165-2. PMID: 25928000Free PMC Article
Treacher Collins syndrome: an undescribed characteristic of the condition and its management with botulinum toxin and surgery.
Warner RM, Fagan JM, Das-Gupta R
J Craniofac Surg 2008 Nov;19(6):1600-2. doi: 10.1097/SCS.0b013e31818ac1d6. PMID: 19098560
Anticipatory guidance for parents of Prader-Willi children.
Nolan ME
Pediatr Nurs 2003 Nov-Dec;29(6):427-30, 451. PMID: 14743837

Prognosis

Craniofacial characterization of Marfan Syndrome.
Johnson CM, Spruiell B, Wiesen C, Pimenta LA, Vann W, Frazier-Bowers SA
Orthod Craniofac Res 2019 May;22 Suppl 1:56-61. doi: 10.1111/ocr.12295. PMID: 31074139
"Dynamic Canthopexy" Drill Hole Canthal Repositioning.
Botti G, Botti C, Rossati L, Gualdi A, Nocini P, Nocini R, Bertossi D
Aesthet Surg J 2019 Nov 13;39(12):1284-1294. doi: 10.1093/asj/sjz077. PMID: 30874720
Cat eye syndrome.
Sharma D, Murki S, Pratap T, Vasikarla M
BMJ Case Rep 2014 May 19;2014 doi: 10.1136/bcr-2014-203923. PMID: 24842361Free PMC Article
Noonan syndrome.
van der Burgt I
Orphanet J Rare Dis 2007 Jan 14;2:4. doi: 10.1186/1750-1172-2-4. PMID: 17222357Free PMC Article
Broad thumb-hallux (Rubinstein-Taybi) syndrome 1957-1988.
Rubinstein JH
Am J Med Genet Suppl 1990;6:3-16. doi: 10.1002/ajmg.1320370603. PMID: 2118774

Clinical prediction guides

Expanding the pre- and postnatal phenotype of WASHC5 and CCDC22 -related Ritscher-Schinzel syndromes.
Neri S, Maia N, Fortuna AM, Damasio J, Coale E, Willis M, Jorge P, Højte AF, Fenger CD, Møller RS, Bayat A
Eur J Med Genet 2022 Nov;65(11):104624. Epub 2022 Sep 18 doi: 10.1016/j.ejmg.2022.104624. PMID: 36130690
Molecular and clinical studies in 107 Noonan syndrome affected individuals with PTPN11 mutations.
Athota JP, Bhat M, Nampoothiri S, Gowrishankar K, Narayanachar SG, Puttamallesh V, Farooque MO, Shetty S
BMC Med Genet 2020 Mar 12;21(1):50. doi: 10.1186/s12881-020-0986-5. PMID: 32164556Free PMC Article
Craniofacial characterization of Marfan Syndrome.
Johnson CM, Spruiell B, Wiesen C, Pimenta LA, Vann W, Frazier-Bowers SA
Orthod Craniofac Res 2019 May;22 Suppl 1:56-61. doi: 10.1111/ocr.12295. PMID: 31074139
Broad thumb-hallux (Rubinstein-Taybi) syndrome 1957-1988.
Rubinstein JH
Am J Med Genet Suppl 1990;6:3-16. doi: 10.1002/ajmg.1320370603. PMID: 2118774
Acrofacial dysostoses.
Le Merrer M, Cikuli M, Ribier J, Briard ML
Am J Med Genet 1989 Jul;33(3):318-22. doi: 10.1002/ajmg.1320330307. PMID: 2801764

Recent systematic reviews

Chromosome 6p25 deletion syndrome: A case report and review of ophthalmic features.
Le H, Jin E, Jewell A, Jackson-Cook C, Haskell GT, Couser N
Am J Med Genet A 2023 Jun;191(6):1639-1645. Epub 2023 Mar 20 doi: 10.1002/ajmg.a.63186. PMID: 36941760
Ophthalmologic and facial abnormalities of Nicolaides-Baraitser syndrome.
Simmers R, Goodwin A, Al Saif H, Couser N
Ophthalmic Genet 2022 Oct;43(5):699-702. Epub 2022 Jun 27 doi: 10.1080/13816810.2022.2089358. PMID: 35762114

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