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Central hypoventilation syndrome, congenital, 3(CCHS3)

MedGen UID:
1794174
Concept ID:
C5561964
Disease or Syndrome
Synonym: CCHS3
 
Gene (location): LBX1 (10q24.32)
 
Monarch Initiative: MONDO:0030539
OMIM®: 619483

Definition

Congenital central hypoventilation syndrome-3 (CCHS3) is an autosomal recessive disorder characterized by slow and shallow breathing due to a deficiency in autonomic control of respiration. Affected individuals present in the neonatal period with respiratory insufficiency and absence of the hypercapnic reflex that stimulates breathing. Patients also have gastrointestinal problems manifest as feeding difficulties and diarrhea or constipation. Other features may include poor heat tolerance and paroxysmal hypertension (Hernandez-Miranda et al., 2018). For a discussion of genetic heterogeneity of CCHS, see CCHS1 (209880). [from OMIM]

Clinical features

From HPO
Episodic hypertension
MedGen UID:
347389
Concept ID:
C1857175
Finding
Feeding difficulties
MedGen UID:
65429
Concept ID:
C0232466
Finding
Impaired ability to eat related to problems gathering food and getting ready to suck, chew, or swallow it.
Chronic constipation
MedGen UID:
98325
Concept ID:
C0401149
Sign or Symptom
Constipation for longer than three months with fewer than 3 bowel movements per week, straining, lumpy or hard stools, and a sensation of anorectal obstruction or incomplete defecation.
Episodic vomiting
MedGen UID:
333228
Concept ID:
C1838993
Finding
Paroxysmal, recurrent episodes of vomiting.
Apnea
MedGen UID:
2009
Concept ID:
C0003578
Sign or Symptom
Lack of breathing with no movement of the respiratory muscles and no exchange of air in the lungs. This term refers to a disposition to have recurrent episodes of apnea rather than to a single event.
Respiratory failure
MedGen UID:
257837
Concept ID:
C1145670
Disease or Syndrome
A severe form of respiratory insufficiency characterized by inadequate gas exchange such that the levels of oxygen or carbon dioxide cannot be maintained within normal limits.
Central hypoventilation
MedGen UID:
812169
Concept ID:
C3805839
Finding
Heat intolerance
MedGen UID:
66659
Concept ID:
C0231274
Pathologic Function
The inability to maintain a comfortable body temperature in warm or hot weather.

Professional guidelines

PubMed

Trang H, Bourgeois P, Cheliout-Heraut F
Orphanet J Rare Dis 2020 Nov 17;15(1):322. doi: 10.1186/s13023-020-01601-7. PMID: 33203435Free PMC Article
Shi J, Al-Shamli N, Chiang J, Amin R
Sleep Med Clin 2020 Dec;15(4):511-526. Epub 2020 Sep 30 doi: 10.1016/j.jsmc.2020.07.002. PMID: 33131661
Ogata T, Muramatsu K, Miyana K, Ozawa H, Iwasaki M, Arakawa H
BMC Pediatr 2020 Jul 13;20(1):342. doi: 10.1186/s12887-020-02239-x. PMID: 32660452Free PMC Article

Recent clinical studies

Etiology

Ghelab Z, Bokov P, Teissier N, Micaelli D, Patout M, Hayotte A, Dauger S, Delclaux C, Dudoignon B
Pediatr Pulmonol 2023 Jun;58(6):1761-1767. Epub 2023 Apr 4 doi: 10.1002/ppul.26399. PMID: 37014159
Barbagelata E, Ambrosino I, Díaz DE Terán T, González M, Nicolini A, Banfi P, Ferraioli G, Solidoro P
Minerva Med 2023 Jun;114(3):372-378. Epub 2022 Oct 31 doi: 10.23736/S0026-4806.22.08261-1. PMID: 36315241
Sunkonkit K, Chiang J, Moraes TJ, To W, Schneiderman JE, Cifra B, Amin R
Pediatr Pulmonol 2021 Jun;56(6):1694-1703. Epub 2021 Feb 1 doi: 10.1002/ppul.25278. PMID: 33524248
Gallego J
Compr Physiol 2012 Jul;2(3):2255-79. doi: 10.1002/cphy.c100037. PMID: 23723037
Hunt CE, Silvestri JM
Curr Opin Pulm Med 1997 Nov;3(6):445-8. doi: 10.1097/00063198-199711000-00011. PMID: 9391766

Diagnosis

Barbagelata E, Ambrosino I, Díaz DE Terán T, González M, Nicolini A, Banfi P, Ferraioli G, Solidoro P
Minerva Med 2023 Jun;114(3):372-378. Epub 2022 Oct 31 doi: 10.23736/S0026-4806.22.08261-1. PMID: 36315241
Maloney MA, Keens TG, Vanderlaan MB, Perez IA
Am J Obstet Gynecol MFM 2020 Nov;2(4):100237. Epub 2020 Sep 21 doi: 10.1016/j.ajogmf.2020.100237. PMID: 33345936
Rand CM, Carroll MS, Weese-Mayer DE
Clin Chest Med 2014 Sep;35(3):535-45. Epub 2014 Jul 26 doi: 10.1016/j.ccm.2014.06.010. PMID: 25156769
Gallego J
Compr Physiol 2012 Jul;2(3):2255-79. doi: 10.1002/cphy.c100037. PMID: 23723037
Hunt CE, Silvestri JM
Curr Opin Pulm Med 1997 Nov;3(6):445-8. doi: 10.1097/00063198-199711000-00011. PMID: 9391766

Therapy

Attali V, Straus C, Pottier M, Buzare MA, Morélot-Panzini C, Arnulf I, Similowski T
Orphanet J Rare Dis 2017 Jan 23;12(1):18. doi: 10.1186/s13023-017-0569-5. PMID: 28115003Free PMC Article
Basu SM, Chung FF, AbdelHakim SF, Wong J
Anesth Analg 2017 Jan;124(1):169-178. doi: 10.1213/ANE.0000000000001470. PMID: 27918326
Silvestri JM, Hanna BD, Volgman AS, Jones PJ, Barnes SD, Weese-Mayer DE
Pediatr Pulmonol 2000 May;29(5):351-8. doi: 10.1002/(sici)1099-0496(200005)29:5<351::aid-ppul3>3.0.co;2-z. PMID: 10790246
Klein DF
J Clin Psychiatry 1996;57 Suppl 6:21-7. PMID: 8647794
Paton JY, Swaminathan S, Sargent CW, Hawksworth A, Keens TG
Am Rev Respir Dis 1993 May;147(5):1185-91. doi: 10.1164/ajrccm/147.5.1185. PMID: 8484629

Prognosis

Chang GY, Salazar T, Karnwal A, Kun SS, Ellashek J, Shin CE, McComb JG, Keens TG, Perez IA
Sleep Breath 2023 May;27(2):505-510. Epub 2022 May 13 doi: 10.1007/s11325-022-02632-z. PMID: 35554785
Ghosh RN, Guglani L, Westbrook AL, Mao CY, Bai S, Keens TG, Kasi AS
Pediatr Pulmonol 2022 Jul;57(7):1660-1667. Epub 2022 May 5 doi: 10.1002/ppul.25940. PMID: 35460211
Bardanzellu F, Pintus MC, Fanos V, Marcialis MA
Curr Pediatr Rev 2019;15(3):139-153. doi: 10.2174/1573396315666190621103954. PMID: 31223092
Basu SM, Chung FF, AbdelHakim SF, Wong J
Anesth Analg 2017 Jan;124(1):169-178. doi: 10.1213/ANE.0000000000001470. PMID: 27918326
Weese-Mayer DE, Silvestri JM, Marazita ML, Hoo JJ
Am J Med Genet 1993 Sep 1;47(3):360-7. doi: 10.1002/ajmg.1320470313. PMID: 8135282

Clinical prediction guides

Ghelab Z, Bokov P, Teissier N, Micaelli D, Patout M, Hayotte A, Dauger S, Delclaux C, Dudoignon B
Pediatr Pulmonol 2023 Jun;58(6):1761-1767. Epub 2023 Apr 4 doi: 10.1002/ppul.26399. PMID: 37014159
Finch CE, Leu RM, Harford KL, Westbrook AL, Kasi AS
J Clin Sleep Med 2023 Mar 1;19(3):549-554. doi: 10.5664/jcsm.10384. PMID: 36541215Free PMC Article
Trang H, Bourgeois P, Cheliout-Heraut F
Orphanet J Rare Dis 2020 Nov 17;15(1):322. doi: 10.1186/s13023-020-01601-7. PMID: 33203435Free PMC Article
Musthaffa YM, Goyal V, Harris MA, Kapur N, Leger J, Harris M
J Pediatr Endocrinol Metab 2018 Dec 19;31(12):1325-1333. doi: 10.1515/jpem-2018-0086. PMID: 30447143
Basu SM, Chung FF, AbdelHakim SF, Wong J
Anesth Analg 2017 Jan;124(1):169-178. doi: 10.1213/ANE.0000000000001470. PMID: 27918326

Recent systematic reviews

Slattery SM, Perez IA, Ceccherini I, Chen ML, Kurek KC, Yap KL, Keens TG, Khaytin I, Ballard HA, Sokol EA, Mittal A, Rand CM, Weese-Mayer DE
Clin Auton Res 2023 Jun;33(3):231-249. Epub 2022 Nov 20 doi: 10.1007/s10286-022-00908-8. PMID: 36403185
Basu SM, Chung FF, AbdelHakim SF, Wong J
Anesth Analg 2017 Jan;124(1):169-178. doi: 10.1213/ANE.0000000000001470. PMID: 27918326

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