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Heterotaxy

MedGen UID:
75620
Concept ID:
C0266642
Congenital Abnormality
Synonyms: Laterality sequence; Situs ambiguus
SNOMED CT: Situs ambiguus (14821001); Heterotaxy (14821001); Heterotaxis (14821001); Heterotaxia (14821001); Isomerism sequence (24614000); Laterality sequence (24614000)
 
HPO: HP:0030853
Orphanet: ORPHA157769

Definition

An abnormality in which the internal thoraco-abdominal organs demonstrate abnormal arrangement across the left-right axis of the body. [from HPO]

Conditions with this feature

Laterality defects, autosomal dominant
MedGen UID:
322042
Concept ID:
C1832813
Disease or Syndrome
Primary ciliary dyskinesia 14
MedGen UID:
462486
Concept ID:
C3151136
Disease or Syndrome
Primary ciliary dyskinesia-14 (CILD14) is an autosomal recessive disorder characterized by recurrent respiratory infections associated with defects in ciliary inner dynein arms and axonemal disorganization (Merveille et al., 2011). For a general phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Heterotaxy, visceral, 7, autosomal
MedGen UID:
902629
Concept ID:
C4225217
Disease or Syndrome
Autosomal visceral heterotaxy-7 is an autosomal recessive developmental disorder characterized by complex congenital heart malformations and/or situs inversus and caused by defects in the normal left-right asymmetric positioning of internal organs. The phenotype is variable (summary by Guimier et al., 2015). For a discussion of the genetic heterogeneity of visceral heterotaxy, see HTX1 (306955).
Diets-Jongmans syndrome
MedGen UID:
1714920
Concept ID:
C5394263
Disease or Syndrome
Diets-Jongmans syndrome (DIJOS) is an autosomal dominant disorder characterized by mild to moderately impaired intellectual development with a recognizable facial gestalt (summary by Diets et al., 2019).

Professional guidelines

PubMed

Svetanoff WJ, Srivatsa S, Diefenbach K, Nwomeh BC
Semin Pediatr Surg 2022 Feb;31(1):151141. Epub 2022 Feb 18 doi: 10.1016/j.sempedsurg.2022.151141. PMID: 35305800
Akalın M, Demirci O, Kumru P, Yücel İK
Prenat Diagn 2022 Apr;42(4):435-446. Epub 2022 Feb 4 doi: 10.1002/pd.6110. PMID: 35102577
Soofi M, Alpert MA, Barbadora J, Mukerji B, Mukerji V
Am J Med Sci 2021 Sep;362(3):233-242. Epub 2021 May 28 doi: 10.1016/j.amjms.2021.05.020. PMID: 34052215

Recent clinical studies

Etiology

Saba TG, Geddes GC, Ware SM, Schidlow DN, Del Nido PJ, Rubalcava NS, Gadepalli SK, Stillwell T, Griffiths A, Bennett Murphy LM, Barber AT, Leigh MW, Sabin N, Shapiro AJ
Orphanet J Rare Dis 2022 Sep 9;17(1):351. doi: 10.1186/s13023-022-02515-2. PMID: 36085154Free PMC Article
Bolkier Y, Barel O, Marek-Yagel D, Atias-Varon D, Kagan M, Vardi A, Mishali D, Katz U, Salem Y, Tirosh-Wagner T, Jacobson JM, Raas-Rothschild A, Chorin O, Eliyahu A, Sarouf Y, Shlomovitz O, Veber A, Shalva N, Javasky E, Ben Moshe Y, Staretz-Chacham O, Rechavi G, Mane S, Anikster Y, Vivante A, Pode-Shakked B
J Med Genet 2022 Jul;59(7):691-696. Epub 2021 Jul 2 doi: 10.1136/jmedgenet-2021-107775. PMID: 34215651
Wallmeier J, Nielsen KG, Kuehni CE, Lucas JS, Leigh MW, Zariwala MA, Omran H
Nat Rev Dis Primers 2020 Sep 17;6(1):77. doi: 10.1038/s41572-020-0209-6. PMID: 32943623
Tinker SC, Gilboa SM, Moore CA, Waller DK, Simeone RM, Kim SY, Jamieson DJ, Botto LD, Reefhuis J; National Birth Defects Prevention Study
Am J Obstet Gynecol 2020 Feb;222(2):176.e1-176.e11. Epub 2019 Aug 24 doi: 10.1016/j.ajog.2019.08.028. PMID: 31454511Free PMC Article
Bishop JC, McCormick B, Johnson CT, Miller J, Jelin E, Blakemore K, Jelin AC
Fetal Diagn Ther 2020;47(2):98-103. Epub 2019 Jun 5 doi: 10.1159/000500471. PMID: 31167209Free PMC Article

Diagnosis

Bolkier Y, Barel O, Marek-Yagel D, Atias-Varon D, Kagan M, Vardi A, Mishali D, Katz U, Salem Y, Tirosh-Wagner T, Jacobson JM, Raas-Rothschild A, Chorin O, Eliyahu A, Sarouf Y, Shlomovitz O, Veber A, Shalva N, Javasky E, Ben Moshe Y, Staretz-Chacham O, Rechavi G, Mane S, Anikster Y, Vivante A, Pode-Shakked B
J Med Genet 2022 Jul;59(7):691-696. Epub 2021 Jul 2 doi: 10.1136/jmedgenet-2021-107775. PMID: 34215651
Wallmeier J, Nielsen KG, Kuehni CE, Lucas JS, Leigh MW, Zariwala MA, Omran H
Nat Rev Dis Primers 2020 Sep 17;6(1):77. doi: 10.1038/s41572-020-0209-6. PMID: 32943623
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Leigh MW, Pittman JE, Carson JL, Ferkol TW, Dell SD, Davis SD, Knowles MR, Zariwala MA
Genet Med 2009 Jul;11(7):473-87. doi: 10.1097/GIM.0b013e3181a53562. PMID: 19606528Free PMC Article

Therapy

Duong SQ, Zaniletti I, Lopez L, Sutherland SM, Shin AY, Collins RT 2nd
Pediatr Cardiol 2022 Jun;43(5):952-959. Epub 2022 Jan 22 doi: 10.1007/s00246-021-02804-w. PMID: 35064275
Riguetto CM, Pelichek S, Moura Neto A
Arch Endocrinol Metab 2019 May 30;63(4):445-448. doi: 10.20945/2359-3997000000142. PMID: 31166366Free PMC Article
Shao PL, Wu MH, Wang JK, Hsu HW, Huang LM, Chiu SN
Pediatr Res 2017 Jul;82(1):101-107. Epub 2017 Apr 18 doi: 10.1038/pr.2017.39. PMID: 28419083
Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Tan YW, Khalil A, Kakade M, Carvalho JS, Bradley S, Cleeve S, Giuliani S
J Pediatr 2016 Apr;171:153-62.e1-3. Epub 2016 Feb 8 doi: 10.1016/j.jpeds.2015.12.074. PMID: 26868865

Prognosis

Bishop JC, McCormick B, Johnson CT, Miller J, Jelin E, Blakemore K, Jelin AC
Fetal Diagn Ther 2020;47(2):98-103. Epub 2019 Jun 5 doi: 10.1159/000500471. PMID: 31167209Free PMC Article
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Tan YW, Khalil A, Kakade M, Carvalho JS, Bradley S, Cleeve S, Giuliani S
J Pediatr 2016 Apr;171:153-62.e1-3. Epub 2016 Feb 8 doi: 10.1016/j.jpeds.2015.12.074. PMID: 26868865
Wolla CD, Hlavacek AM, Schoepf UJ, Bucher AM, Chowdhury S
J Cardiovasc Comput Tomogr 2013 Nov-Dec;7(6):408-16. Epub 2013 Nov 7 doi: 10.1016/j.jcct.2013.11.008. PMID: 24331937Free PMC Article
Shiraishi I, Ichikawa H
Circ J 2012;76(9):2066-75. Epub 2012 Aug 3 doi: 10.1253/circj.cj-12-0957. PMID: 22864291

Clinical prediction guides

Tinker SC, Gilboa SM, Moore CA, Waller DK, Simeone RM, Kim SY, Jamieson DJ, Botto LD, Reefhuis J; National Birth Defects Prevention Study
Am J Obstet Gynecol 2020 Feb;222(2):176.e1-176.e11. Epub 2019 Aug 24 doi: 10.1016/j.ajog.2019.08.028. PMID: 31454511Free PMC Article
Bishop JC, McCormick B, Johnson CT, Miller J, Jelin E, Blakemore K, Jelin AC
Fetal Diagn Ther 2020;47(2):98-103. Epub 2019 Jun 5 doi: 10.1159/000500471. PMID: 31167209Free PMC Article
Liu S, Chen W, Zhan Y, Li S, Ma X, Ma D, Sheng W, Huang G
Sci Rep 2019 Apr 30;9(1):6683. doi: 10.1038/s41598-019-43109-6. PMID: 31040315Free PMC Article
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Leigh MW, Pittman JE, Carson JL, Ferkol TW, Dell SD, Davis SD, Knowles MR, Zariwala MA
Genet Med 2009 Jul;11(7):473-87. doi: 10.1097/GIM.0b013e3181a53562. PMID: 19606528Free PMC Article

Recent systematic reviews

Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Loomba RS, Geddes GC, Basel D, Benson DW, Leuthner SR, Hehir DA, Ghanayem N, Shillingford AJ
Congenit Heart Dis 2016 Dec;11(6):537-547. Epub 2016 Jul 18 doi: 10.1111/chd.12395. PMID: 27425254
Tan YW, Khalil A, Kakade M, Carvalho JS, Bradley S, Cleeve S, Giuliani S
J Pediatr 2016 Apr;171:153-62.e1-3. Epub 2016 Feb 8 doi: 10.1016/j.jpeds.2015.12.074. PMID: 26868865
Oldfield BJ, Stewart RW
South Med J 2016 Jan;109(1):38-41. doi: 10.14423/SMJ.0000000000000399. PMID: 26741872
Loomba RS, Willes RJ, Kovach JR, Anderson RH
Congenit Heart Dis 2016 Jan-Feb;11(1):7-18. Epub 2015 Jul 29 doi: 10.1111/chd.12288. PMID: 26219620

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