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Restless legs

MedGen UID:
48427
Concept ID:
C0035258
Disease or Syndrome
Synonym: Restless legs syndrome
SNOMED CT: Willis-Ekbom disease (32914008); Restless legs (32914008); Restless legs syndrome (32914008)
 
HPO: HP:0012452
Monarch Initiative: MONDO:0005391

Definition

A feeling of uneasiness and restlessness in the legs after going to bed (sometimes causing insomnia). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRestless legs

Conditions with this feature

Restless legs syndrome, susceptibility to, 1
MedGen UID:
360293
Concept ID:
C1876177
Finding
Restless legs syndrome (RLS) is a neurologic sleep/wake disorder characterized by uncomfortable and unpleasant sensations in the legs that appear at rest, usually at night, inducing an irresistible desire to move the legs. The disorder results in nocturnal insomnia and chronic sleep deprivation (Bonati et al., 2003). Genetic Heterogeneity of Restless Legs Syndrome RLS1 has been mapped to chromosome 12q. Other susceptibility loci for RLS include RLS2 (608831) on chromosome 14q13-q31; RLS3 (610438) on chromosome 9p24-p22; RLS4 (610439) on chromosome 2q33; RLS5 (611242) on chromosome 20p13; RLS6 (611185) on chromosome 6p21; RLS7 (612853) on chromosome 2p14; and RLS8 (615197) on chromosome 5q31.
L-ferritin deficiency
MedGen UID:
816420
Concept ID:
C3810090
Disease or Syndrome
A rare genetic haematologic disease characterised by decreased or undetectable serum L-ferritin with otherwise normal laboratory parameters. Clinical signs and symptoms include generalised seizures, atypical restless leg syndrome, mild neuropsychologic impairment and progressive hair loss. Asymptomatic cases have also been reported.

Professional guidelines

PubMed

Silber MH, Buchfuhrer MJ, Earley CJ, Koo BB, Manconi M, Winkelman JW; Scientific and Medical Advisory Board of the Restless Legs Syndrome Foundation
Mayo Clin Proc 2021 Jul;96(7):1921-1937. doi: 10.1016/j.mayocp.2020.12.026. PMID: 34218864
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Ramar K, Olson EJ
Am Fam Physician 2013 Aug 15;88(4):231-8. PMID: 23944726

Recent clinical studies

Etiology

Facco FL, Chan M, Patel SR
Obstet Gynecol 2022 Aug 1;140(2):321-339. Epub 2022 Jul 6 doi: 10.1097/AOG.0000000000004866. PMID: 35852285
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Gupta R, Rawat VS
Handb Clin Neurol 2020;172:169-186. doi: 10.1016/B978-0-444-64240-0.00010-6. PMID: 32768087
Kolla BP, Mansukhani MP, Bostwick JM
Sleep Med Rev 2018 Apr;38:131-140. Epub 2017 Jun 15 doi: 10.1016/j.smrv.2017.06.002. PMID: 28822709
Allen RP
Sleep Med Clin 2015 Sep;10(3):207-14, xi. Epub 2015 Jul 15 doi: 10.1016/j.jsmc.2015.05.022. PMID: 26329430Free PMC Article

Diagnosis

Silber MH, Buchfuhrer MJ, Earley CJ, Koo BB, Manconi M, Winkelman JW; Scientific and Medical Advisory Board of the Restless Legs Syndrome Foundation
Mayo Clin Proc 2021 Jul;96(7):1921-1937. doi: 10.1016/j.mayocp.2020.12.026. PMID: 34218864
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Trenkwalder C, Allen R, Högl B, Clemens S, Patton S, Schormair B, Winkelmann J
Lancet Neurol 2018 Nov;17(11):994-1005. Epub 2018 Sep 21 doi: 10.1016/S1474-4422(18)30311-9. PMID: 30244828
Tipton PW, Wszołek ZK
Pol Arch Intern Med 2017 Dec 22;127(12):865-872. Epub 2017 Nov 9 doi: 10.20452/pamw.4148. PMID: 29120993
Klingelhoefer L, Bhattacharya K, Reichmann H
Clin Med (Lond) 2016 Aug;16(4):379-82. doi: 10.7861/clinmedicine.16-4-379. PMID: 27481386Free PMC Article

Therapy

Silvestri R, DelRosso LM
Sleep Med Clin 2021 Jun;16(2):305-314. Epub 2021 Apr 10 doi: 10.1016/j.jsmc.2021.02.006. PMID: 33985655
Hargrove N, El Tobgy N, Zhou O, Pinder M, Plant B, Askin N, Bieber L, Collister D, Whitlock R, Tangri N, Bohm C
Clin J Am Soc Nephrol 2021 Apr 7;16(4):560-574. Epub 2021 Mar 25 doi: 10.2215/CJN.15080920. PMID: 33766925Free PMC Article
Anguelova GV, Vlak MHM, Kurvers AGY, Rijsman RM
Sleep Med Clin 2020 Jun;15(2):277-288. doi: 10.1016/j.jsmc.2020.02.013. PMID: 32386701
Harrison EG, Keating JL, Morgan PE
Disabil Rehabil 2019 Aug;41(17):2006-2014. Epub 2018 Mar 21 doi: 10.1080/09638288.2018.1453875. PMID: 29561180
Klingelhoefer L, Bhattacharya K, Reichmann H
Clin Med (Lond) 2016 Aug;16(4):379-82. doi: 10.7861/clinmedicine.16-4-379. PMID: 27481386Free PMC Article

Prognosis

Earley CJ, Jones BC, Ferré S
Exp Neurol 2022 Oct;356:114158. Epub 2022 Jun 30 doi: 10.1016/j.expneurol.2022.114158. PMID: 35779614Free PMC Article
Büttner-Teleagă A, Kim YT, Osel T, Richter K
Int J Environ Res Public Health 2021 Nov 7;18(21) doi: 10.3390/ijerph182111696. PMID: 34770209Free PMC Article
Van Ryswyk E, Mukherjee S, Chai-Coetzer CL, Vakulin A, McEvoy RD
Am J Hypertens 2018 Jul 16;31(8):857-864. doi: 10.1093/ajh/hpy082. PMID: 29788034
Pengo MF, Won CH, Bourjeily G
Chest 2018 Jul;154(1):196-206. Epub 2018 Apr 19 doi: 10.1016/j.chest.2018.04.005. PMID: 29679598Free PMC Article
Carter KA, Hathaway NE, Lettieri CF
Am Fam Physician 2014 Mar 1;89(5):368-77. PMID: 24695508

Clinical prediction guides

Halioua B, Chelli C, Misery L, Taieb J, Taieb C
Acta Derm Venereol 2022 Apr 27;102:adv00699. doi: 10.2340/actadv.v102.1991. PMID: 35191513Free PMC Article
Garcia-Borreguero D, Garcia-Malo C, Granizo JJ, Ferré S
Mov Disord 2021 Oct;36(10):2387-2392. Epub 2021 Jun 17 doi: 10.1002/mds.28668. PMID: 34137476Free PMC Article
Winkelmann J, Allen RP, Högl B, Inoue Y, Oertel W, Salminen AV, Winkelman JW, Trenkwalder C, Sampaio C
Mov Disord 2018 Jul;33(7):1077-1091. Epub 2018 May 14 doi: 10.1002/mds.27260. PMID: 29756335
Kraus MA, Fluck RJ, Weinhandl ED, Kansal S, Copland M, Komenda P, Finkelstein FO
Am J Kidney Dis 2016 Nov;68(5S1):S33-S42. doi: 10.1053/j.ajkd.2016.05.023. PMID: 27772641
Johns MW
Sleep 1991 Dec;14(6):540-5. doi: 10.1093/sleep/14.6.540. PMID: 1798888

Recent systematic reviews

Kuang B, Li D, Lobbezoo F, de Vries R, Hilgevoord A, de Vries N, Huynh N, Lavigne G, Aarab G
Sleep Med 2022 Jan;89:31-47. Epub 2021 Nov 19 doi: 10.1016/j.sleep.2021.11.008. PMID: 34879286
Büttner-Teleagă A, Kim YT, Osel T, Richter K
Int J Environ Res Public Health 2021 Nov 7;18(21) doi: 10.3390/ijerph182111696. PMID: 34770209Free PMC Article
Lu Q, Zhang X, Wang Y, Li J, Xu Y, Song X, Su S, Zhu X, Vitiello MV, Shi J, Bao Y, Lu L
Sleep Med Rev 2021 Aug;58:101436. Epub 2021 Jan 22 doi: 10.1016/j.smrv.2021.101436. PMID: 33571887
DelRosso LM, Picchietti DL, Spruyt K, Bruni O, Garcia-Borreguero D, Kotagal S, Owens JA, Simakajornboon N, Ferri R; International Restless Legs Syndrome Study Group (IRLSSG)
Sleep Med Rev 2021 Apr;56:101406. Epub 2020 Dec 1 doi: 10.1016/j.smrv.2020.101406. PMID: 33341437
Kolla BP, Mansukhani MP, Bostwick JM
Sleep Med Rev 2018 Apr;38:131-140. Epub 2017 Jun 15 doi: 10.1016/j.smrv.2017.06.002. PMID: 28822709

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