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Aplasia of the distal phalanges of the toes

MedGen UID:
869335
Concept ID:
C4023761
Finding
Synonym: Absent outermost bone of the toes
 
HPO: HP:0010645

Definition

Absence of the distal phalanges of the toes. [from HPO]

Conditions with this feature

Adams-Oliver syndrome 4
MedGen UID:
815422
Concept ID:
C3809092
Disease or Syndrome
Adams-Oliver syndrome (AOS) is characterized by aplasia cutis congenita (ACC) of the scalp and terminal transverse limb defects (TTLD). ACC lesions usually occur in the midline of the parietal or occipital regions, but can also occur on the abdomen or limbs. At birth, an ACC lesion may already have the appearance of a healed scar. ACC lesions less than 5 cm often involve only the skin and almost always heal over a period of months; larger lesions are more likely to involve the skull and possibly the dura, and are at greater risk for complications, which can include infection, hemorrhage, or thrombosis, and can result in death. The limb defects range from mild (unilateral or bilateral short distal phalanges) to severe (complete absence of all toes or fingers, feet or hands, or more, often resembling an amputation). The lower extremities are almost always more severely affected than the upper extremities. Additional major features frequently include cardiovascular malformations/dysfunction (23%), brain anomalies, and less frequently renal, liver, and eye anomalies.
Endove syndrome, limb-only type
MedGen UID:
1787128
Concept ID:
C5543128
Disease or Syndrome
Limb-only ENDOVE syndrome (ENDOVESL) is characterized by marked mesomelic shortening and deformation of the lower limbs due to severe hypoplasia of the tibia and fibula. Patients also exhibit abnormalities of the digits of the hands and feet, with cutaneous and osseous syndactyly as well as dysplastic, missing, and/or volar nails. In addition, genitourinary anomalies have been observed (Allou et al., 2021).

Professional guidelines

PubMed

Sepulveda W, Dezerega V, Horvath E, Aracena M
J Ultrasound Med 1999 Oct;18(10):707-10. doi: 10.7863/jum.1999.18.10.707. PMID: 10511304

Recent clinical studies

Etiology

Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Belthur MV, Linton JL, Barnes DA
J Pediatr Orthop 2011 Jun;31(4):435-47. doi: 10.1097/BPO.0b013e3182199a68. PMID: 21572282
Galois L, Mainard D, Delagoutte JP
Acta Orthop Belg 2002 Oct;68(4):376-80. PMID: 12415940
Sepulveda W, Dezerega V, Horvath E, Aracena M
J Ultrasound Med 1999 Oct;18(10):707-10. doi: 10.7863/jum.1999.18.10.707. PMID: 10511304
Todd G, Saxe N
Arch Dermatol 1994 Jun;130(6):759-62. PMID: 8002647

Diagnosis

Holmes LB, Nasri HZ
Am J Med Genet A 2022 Nov;188(11):3236-3241. Epub 2022 Sep 8 doi: 10.1002/ajmg.a.62941. PMID: 36073773
Hirata Y, Shiiya C, Miyamoto J, Saito M
J Dermatol 2022 Sep;49(9):925-927. Epub 2022 Jun 6 doi: 10.1111/1346-8138.16486. PMID: 35670035
Holmes LB, Nasri HZ
Am J Med Genet A 2022 Jun;188(6):1746-1751. Epub 2022 Mar 2 doi: 10.1002/ajmg.a.62697. PMID: 35234329
Todd G, Saxe N
Arch Dermatol 1994 Jun;130(6):759-62. PMID: 8002647
Verloes A, Bonneau D, Guidi O, Berthier M, Oriot D, Van Maldergem L, Koulischer L
J Med Genet 1993 Feb;30(2):158-61. doi: 10.1136/jmg.30.2.158. PMID: 8445623Free PMC Article

Therapy

Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Bokhari A, Connolly S, Coull BA, Harvey EA, Holmes LB
Teratology 2002 Sep;66(3):122-6. doi: 10.1002/tera.10085. PMID: 12210473
Cohen PD, Lester RS
J Cutan Med Surg 1999 Oct;3(6):302-5. doi: 10.1177/120347549900300605. PMID: 10575159
Turan I
J Foot Surg 1990 Mar-Apr;29(2):176-8. PMID: 2338477
Yang TS, Chi CC, Tsai CJ, Chang MJ
Obstet Gynecol 1978 Dec;52(6):682-4. PMID: 733136

Prognosis

Ozyavuz Cubuk P, Duz MB
Eur J Med Genet 2021 Nov;64(11):104343. Epub 2021 Sep 14 doi: 10.1016/j.ejmg.2021.104343. PMID: 34530144
Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Belthur MV, Linton JL, Barnes DA
J Pediatr Orthop 2011 Jun;31(4):435-47. doi: 10.1097/BPO.0b013e3182199a68. PMID: 21572282
Galois L, Mainard D, Delagoutte JP
Acta Orthop Belg 2002 Oct;68(4):376-80. PMID: 12415940
Nakashima T, Hojo T, Suzuki K, Ijichi M
Ann Anat 1995 May;177(3):275-8. doi: 10.1016/S0940-9602(11)80199-8. PMID: 7598223

Clinical prediction guides

Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Létard P, Guimiot F, Dupont C, Rosenblatt J, Delezoide AL, Khung-Savatovsky S
Am J Med Genet A 2018 Nov;176(11):2325-2330. Epub 2018 Oct 17 doi: 10.1002/ajmg.a.40505. PMID: 30328679
Belthur MV, Linton JL, Barnes DA
J Pediatr Orthop 2011 Jun;31(4):435-47. doi: 10.1097/BPO.0b013e3182199a68. PMID: 21572282
Nakashima T, Hojo T, Suzuki K, Ijichi M
Ann Anat 1995 May;177(3):275-8. doi: 10.1016/S0940-9602(11)80199-8. PMID: 7598223
Todd G, Saxe N
Arch Dermatol 1994 Jun;130(6):759-62. PMID: 8002647

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