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Enuresis nocturna(ENUR1)

MedGen UID:
124355
Concept ID:
C0270327
Finding; Mental or Behavioral Dysfunction
Synonyms: BEDWETTING; Nocturnal enuresis
SNOMED CT: Bed wetting (8009008); Bedwetting (8009008); Nocturnal incontinence of urine (8009008); Wets bed (8009008); Nocturnal enuresis (8009008)
 
HPO: HP:0010677
Monarch Initiative: MONDO:0000022
OMIM®: 600631

Definition

Nocturnal enuresis, or nightly bedwetting in children more than 7 years of age, affects about 10% of 7-year-old children, with a wide range of frequencies between populations. The affliction is often linked to major social maladjustments and occupies considerable time in general medical practice. From the age of 7, there is a spontaneous cure rate of 15% per year, such that few remain affected after the age of 16 years. There are 2 types of nocturnal enuresis: type I, the primary form (PNE), with at least 3 nightly episodes in children older than 7 years, where the child has always had the disorder, and type II, or secondary type, where the child has been dry for at least 6 months but enuresis has recurred (summary by Eiberg et al., 1995). Genetic Heterogeneity of Nocturnal Enuresis ENUR1 has been mapped to chromosome 13q, and ENUR2 has been mapped to chromosome 12q. [from OMIM]

Clinical features

From HPO
Enuresis nocturna
MedGen UID:
124355
Concept ID:
C0270327
Mental or Behavioral Dysfunction
Nocturnal enuresis, or nightly bedwetting in children more than 7 years of age, affects about 10% of 7-year-old children, with a wide range of frequencies between populations. The affliction is often linked to major social maladjustments and occupies considerable time in general medical practice. From the age of 7, there is a spontaneous cure rate of 15% per year, such that few remain affected after the age of 16 years. There are 2 types of nocturnal enuresis: type I, the primary form (PNE), with at least 3 nightly episodes in children older than 7 years, where the child has always had the disorder, and type II, or secondary type, where the child has been dry for at least 6 months but enuresis has recurred (summary by Eiberg et al., 1995). Genetic Heterogeneity of Nocturnal Enuresis ENUR1 has been mapped to chromosome 13q, and ENUR2 has been mapped to chromosome 12q.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEnuresis nocturna

Conditions with this feature

Enuresis nocturna
MedGen UID:
124355
Concept ID:
C0270327
Mental or Behavioral Dysfunction
Nocturnal enuresis, or nightly bedwetting in children more than 7 years of age, affects about 10% of 7-year-old children, with a wide range of frequencies between populations. The affliction is often linked to major social maladjustments and occupies considerable time in general medical practice. From the age of 7, there is a spontaneous cure rate of 15% per year, such that few remain affected after the age of 16 years. There are 2 types of nocturnal enuresis: type I, the primary form (PNE), with at least 3 nightly episodes in children older than 7 years, where the child has always had the disorder, and type II, or secondary type, where the child has been dry for at least 6 months but enuresis has recurred (summary by Eiberg et al., 1995). Genetic Heterogeneity of Nocturnal Enuresis ENUR1 has been mapped to chromosome 13q, and ENUR2 has been mapped to chromosome 12q.
Nocturnal enuresis, 2
MedGen UID:
331473
Concept ID:
C1833268
Disease or Syndrome
Nocturnal enuresis where the child has been dry for at least 6 months but enuresis has recurred.
Familial renal glucosuria
MedGen UID:
757652
Concept ID:
C3245525
Disease or Syndrome
Patients with familial renal glucosuria have decreased renal tubular resorption of glucose form the urine in the absence of hyperglycemia and any other signs of tubular dysfunction. Glucosuria in these patients can range from less than 1 to over 150 g/1.73 m(2) per day (Santer and Calado, 2010).
Osteogenesis imperfecta type 13
MedGen UID:
766801
Concept ID:
C3553887
Disease or Syndrome
Osteogenesis imperfecta (OI) is a connective tissue disorder characterized by bone fragility and low bone mass. Due to considerable phenotypic variability, Sillence et al. (1979) developed a classification of OI subtypes based on clinical features and disease severity: OI type I, with blue sclerae (166200); perinatal lethal OI type II, also known as congenital OI (166210); OI type III, a progressively deforming form with normal sclerae (259420); and OI type IV, with normal sclerae (166220). Most cases of OI are autosomal dominant with mutations in 1 of the 2 genes that code for type I collagen alpha chains, COL1A1 (120150) and COL1A2 (120160). Martinez-Glez et al. (2012) described osteogenesis imperfecta type XIII, an autosomal recessive form of the disorder characterized by normal teeth, faint blue sclerae, severe growth deficiency, borderline osteoporosis, and an average of 10 to 15 fractures a year affecting both upper and lower limbs and with severe bone deformity.
ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
MedGen UID:
862975
Concept ID:
C4014538
Disease or Syndrome
ADNP-related disorder is characterized by hypotonia, severe speech and motor delay, mild-to-severe intellectual disability, and characteristic facial features (prominent forehead, high anterior hairline, wide and depressed nasal bridge, and short nose with full, upturned nasal tip) based on a cohort of 78 individuals. Features of autism spectrum disorder are common (stereotypic behavior, impaired social interaction). Other common findings include additional behavioral problems, sleep disturbance, brain abnormalities, seizures, feeding issues, gastrointestinal problems, visual dysfunction (hypermetropia, strabismus, cortical visual impairment), musculoskeletal anomalies, endocrine issues including short stature and hormonal deficiencies, cardiac and urinary tract anomalies, and hearing loss.
Myofibrillar myopathy 7
MedGen UID:
934678
Concept ID:
C4310711
Disease or Syndrome
Myofibrillar myopathy-7 (MFM7) is an autosomal recessive muscle disorder characterized by early childhood onset of slowly progressive muscle weakness that primarily affects the lower limbs and is associated with joint contractures (summary by Straussberg et al., 2016). For a general phenotypic description and a discussion of genetic heterogeneity of myofibrillar myopathy, see MFM1 (601419).
Marbach-Schaaf neurodevelopmental syndrome
MedGen UID:
1794260
Concept ID:
C5562050
Disease or Syndrome
Marbach-Schaaf neurodevelopmental syndrom (MASNS) is characterized by global developmental delay with speech delay and behavioral abnormalities, including autism spectrum disorder and ADHD. Affected individuals also show movement disorders, such as dyspraxia and apraxia. More variable features include high pain tolerance, sleep disturbances, and variable nonspecific dysmorphic features (summary by Marbach et al., 2021).

Professional guidelines

PubMed

Taborga Díaz E, Martínez Suárez V, Alcántara-Canabal L, Suárez Castañón C, Cebrián Muíños C
An Pediatr (Engl Ed) 2021 Aug;95(2):101-107. Epub 2021 Jun 29 doi: 10.1016/j.anpede.2020.08.005. PMID: 34210621
Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Ebiloglu T, Ergin G, Irkilata HC, Kibar Y
Neurourol Urodyn 2016 Jan;35(1):58-61. Epub 2014 Oct 30 doi: 10.1002/nau.22678. PMID: 25358855

Recent clinical studies

Etiology

Taborga Díaz E, Martínez Suárez V, Alcántara-Canabal L, Suárez Castañón C, Cebrián Muíños C
An Pediatr (Engl Ed) 2021 Aug;95(2):101-107. Epub 2021 Jun 29 doi: 10.1016/j.anpede.2020.08.005. PMID: 34210621
Gizli Çoban Ö, Önder A, Sürer Adanır A
Arch Pediatr 2021 Jan;28(1):59-63. Epub 2020 Nov 19 doi: 10.1016/j.arcped.2020.10.002. PMID: 33223199
Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H
Dtsch Arztebl Int 2011 Sep;108(37):613-20. Epub 2011 Sep 16 doi: 10.3238/arztebl.2011.0613. PMID: 21977217Free PMC Article
Gozmen S, Keskin S, Akil I
Pediatr Nephrol 2008 Aug;23(8):1293-6. Epub 2008 May 28 doi: 10.1007/s00467-008-0817-y. PMID: 18506489

Diagnosis

Taborga Díaz E, Martínez Suárez V, Alcántara-Canabal L, Suárez Castañón C, Cebrián Muíños C
An Pediatr (Engl Ed) 2021 Aug;95(2):101-107. Epub 2021 Jun 29 doi: 10.1016/j.anpede.2020.08.005. PMID: 34210621
Gizli Çoban Ö, Önder A, Sürer Adanır A
Arch Pediatr 2021 Jan;28(1):59-63. Epub 2020 Nov 19 doi: 10.1016/j.arcped.2020.10.002. PMID: 33223199
Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Kilicoglu AG, Mutlu C, Bahali MK, Adaletli H, Gunes H, Duman HM, Toz HI, Uneri OS
J Pediatr Urol 2014 Dec;10(6):1261-6. Epub 2014 Aug 6 doi: 10.1016/j.jpurol.2014.07.005. PMID: 25164391
Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H
Dtsch Arztebl Int 2011 Sep;108(37):613-20. Epub 2011 Sep 16 doi: 10.3238/arztebl.2011.0613. PMID: 21977217Free PMC Article

Therapy

Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Balaban M, Aktas A, Sevinc C, Yucetas U
Arch Ital Urol Androl 2016 Jul 4;88(2):111-4. doi: 10.4081/aiua.2016.2.111. PMID: 27377086
Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H
Dtsch Arztebl Int 2011 Sep;108(37):613-20. Epub 2011 Sep 16 doi: 10.3238/arztebl.2011.0613. PMID: 21977217Free PMC Article
Gozmen S, Keskin S, Akil I
Pediatr Nephrol 2008 Aug;23(8):1293-6. Epub 2008 May 28 doi: 10.1007/s00467-008-0817-y. PMID: 18506489
Hirasing RA, van Leerdam FJ, Bolk-Bennink L, Janknegt RA
Scand J Urol Nephrol 1997 Dec;31(6):533-6. doi: 10.3109/00365599709030657. PMID: 9458510

Prognosis

Aral A, Usta MB, Erguner Aral A
Bull Menninger Clin 2022 Winter;86(1):67-89. doi: 10.1521/bumc.2022.86.1.67. PMID: 35258343
Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Ozkaya E, Aydın SC, Yazıcı M, Dundaröz R
Ital J Pediatr 2016 Jun 10;42(1):59. doi: 10.1186/s13052-016-0266-3. PMID: 27287763Free PMC Article
Aydil U, Işeri E, Kizil Y, Bodur S, Ceylan A, Uslu S
J Otolaryngol Head Neck Surg 2008 Apr;37(2):235-9. PMID: 19128619
Unüvar T, Sönmez F
Int Urol Nephrol 2005;37(4):751-7. doi: 10.1007/s11255-005-1660-8. PMID: 16362593

Clinical prediction guides

Taborga Díaz E, Martínez Suárez V, Alcántara-Canabal L, Suárez Castañón C, Cebrián Muíños C
An Pediatr (Engl Ed) 2021 Aug;95(2):101-107. Epub 2021 Jun 29 doi: 10.1016/j.anpede.2020.08.005. PMID: 34210621
Gizli Çoban Ö, Önder A, Sürer Adanır A
Arch Pediatr 2021 Jan;28(1):59-63. Epub 2020 Nov 19 doi: 10.1016/j.arcped.2020.10.002. PMID: 33223199
Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H
Eur Child Adolesc Psychiatry 2018 Aug;27(8):997-1009. Epub 2018 Jan 22 doi: 10.1007/s00787-018-1110-7. PMID: 29357099Free PMC Article
Kilicoglu AG, Mutlu C, Bahali MK, Adaletli H, Gunes H, Duman HM, Toz HI, Uneri OS
J Pediatr Urol 2014 Dec;10(6):1261-6. Epub 2014 Aug 6 doi: 10.1016/j.jpurol.2014.07.005. PMID: 25164391
Gozmen S, Keskin S, Akil I
Pediatr Nephrol 2008 Aug;23(8):1293-6. Epub 2008 May 28 doi: 10.1007/s00467-008-0817-y. PMID: 18506489

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