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Lymphatic malformation 7(LMPHM7)

MedGen UID:
934596
Concept ID:
C4310629
Disease or Syndrome
Synonyms: Hydrops fetalis, nonimmune, and/or atrial septal defect, susceptibility to; LMPHM7
 
Gene (location): EPHB4 (7q22.1)
 
Monarch Initiative: MONDO:0015009
OMIM®: 617300

Definition

LMPHM7 is an autosomal dominant disorder with variable expressivity. Some patients may develop severe nonimmune lymphatic-related hydrops fetalis (LRHF) in utero, resulting in early death, whereas others may have milder manifestations, such as atrial septal defect (ASD) or varicose veins as adults. The hydrops and/or swelling improves spontaneously in those who survive the neonatal period (summary by Martin-Almedina et al., 2016). For a discussion of genetic heterogeneity of lymphatic malformation, see 153100. [from OMIM]

Clinical features

From HPO
Atrial septal defect
MedGen UID:
6753
Concept ID:
C0018817
Congenital Abnormality
Atrial septal defect (ASD) is a congenital abnormality of the interatrial septum that enables blood flow between the left and right atria via the interatrial septum.
Pericardial effusion
MedGen UID:
10653
Concept ID:
C0031039
Disease or Syndrome
Accumulation of fluid within the pericardium.
Varicose disease
MedGen UID:
21827
Concept ID:
C0042345
Disease or Syndrome
Enlarged and tortuous veins.
Abdominal distention
MedGen UID:
34
Concept ID:
C0000731
Finding
Distention of the abdomen.
Ascites
MedGen UID:
416
Concept ID:
C0003962
Disease or Syndrome
Accumulation of fluid in the peritoneal cavity.
Anemia
MedGen UID:
1526
Concept ID:
C0002871
Disease or Syndrome
A reduction in erythrocytes volume or hemoglobin concentration.
Chylothorax
MedGen UID:
40305
Concept ID:
C0008733
Disease or Syndrome
Accumulation of excessive amounts of lymphatic fluid (chyle) in the pleural cavity.
Pleural effusion
MedGen UID:
10805
Concept ID:
C0032227
Disease or Syndrome
The presence of an excessive amount of fluid in the pleural cavity.
Pulmonary edema
MedGen UID:
11026
Concept ID:
C0034063
Pathologic Function
Fluid accumulation in the lungs.
Respiratory distress
MedGen UID:
96907
Concept ID:
C0476273
Sign or Symptom
Respiratory distress is objectively observable as the physical or emotional consequences from the experience of dyspnea. The physical presentation of respiratory distress is generally referred to as labored breathing, while the sensation of respiratory distress is called shortness of breath or dyspnea.
Edema
MedGen UID:
4451
Concept ID:
C0013604
Pathologic Function
An abnormal accumulation of fluid beneath the skin, or in one or more cavities of the body.
Lymphedema
MedGen UID:
6155
Concept ID:
C0024236
Disease or Syndrome
Localized fluid retention and tissue swelling caused by a compromised lymphatic system.
Facial edema
MedGen UID:
154241
Concept ID:
C0542571
Pathologic Function
Swelling due to an excessive accumulation of fluid in facial tissues.
Non-immune hydrops fetalis
MedGen UID:
105327
Concept ID:
C0455988
Disease or Syndrome
Hydrops fetalis is a descriptive term for generalized edema of the fetus, with fluid accumulation in extravascular components and body cavities. It is not a diagnosis in itself, but a symptom and end-stage result of a wide variety of disorders. In the case of immune hydrops fetalis, a frequent cause is maternofetal incompatibility as in that related to a number of genetic anemias and metabolic disorders expressed in the fetus; in other instances, it remains idiopathic and likely multifactorial (summary by Bellini et al., 2009). Nonimmune hydrops fetalis accounts for 76 to 87% of all described cases of hydrops fetalis (Bellini et al., 2009). Genetic Heterogeneity of Hydrops Fetalis In southeast Asia, alpha-thalassemia (604131) is the most common cause of hydrops fetalis, accounting for 60 to 90% of cases. Almost all of these cases result from homozygous deletion of the HBA1 (141800) and HBA2 (141850) genes. A few cases have been reported that had 1 apparently normal alpha-globin gene, termed the hemoglobin H (613978) hydrops fetalis syndrome (summary by Chui and Waye, 1998). Other genetic disorders predisposing to NIHF include other congenital anemias, such as erythropoietic porphyria (e.g., 606938.0013), and many metabolic disorders, such as one form of Gaucher disease (e.g., 606463.0009), infantile sialic acid storage disease (269920), mucopolysaccharidosis type VII (253220), glycogen storage disease IV (232500), congenital disorder of glycosylation type Ia (212065), and disorders of lymphatic malformation (see, e.g., LMPHM1, 153100).
Increased nuchal translucency
MedGen UID:
869253
Concept ID:
C4023676
Finding
Nuchal translucency is the sonographic appearance of subcutaneous accumulation of liquid in the back of the fetal neck in the first trimester of pregnancy (11-14 gestational weeks of pregnancy).

Professional guidelines

PubMed

Dar P, Jacobsson B, Clifton R, Egbert M, Malone F, Wapner RJ, Roman AS, Khalil A, Faro R, Madankumar R, Edwards L, Strong N, Haeri S, Silver R, Vohra N, Hyett J, Demko Z, Martin K, Rabinowitz M, Flood K, Carlsson Y, Doulaveris G, Daly S, Hallingström M, MacPherson C, Kao C, Hakonarson H, Norton ME
Am J Obstet Gynecol 2022 Jul;227(1):79.e1-79.e11. Epub 2022 Jan 13 doi: 10.1016/j.ajog.2022.01.002. PMID: 35033576
Bertino F, Trofimova AV, Gilyard SN, Hawkins CM
Pediatr Radiol 2021 Jun;51(7):1162-1184. Epub 2021 Apr 16 doi: 10.1007/s00247-021-04968-2. PMID: 33860862
Sharma P, Shaheen NJ, Katzka D, Bergman JJGHM
Gastroenterology 2020 Feb;158(3):760-769. Epub 2019 Nov 12 doi: 10.1053/j.gastro.2019.09.051. PMID: 31730766

Recent clinical studies

Etiology

Bhattarai D, McGinn DE, Crowley TB, Giunta V, Gaiser K, Zackai EH, Emanuel BS, Heimall J, Jyonouchi S, Lee J, Sun D, McDonald-McGinn DM, Sullivan KE
J Clin Immunol 2023 May;43(4):794-807. Epub 2023 Feb 3 doi: 10.1007/s10875-023-01443-5. PMID: 36735193
Bertino F, Trofimova AV, Gilyard SN, Hawkins CM
Pediatr Radiol 2021 Jun;51(7):1162-1184. Epub 2021 Apr 16 doi: 10.1007/s00247-021-04968-2. PMID: 33860862
Pinto E, Dori Y, Smith C, DeWitt A, Williams C, Griffis H, Escobar F, Biko DM, Krishnamurthy G, Rome J, Glatz AC, Liu M, Ravishankar C, Zhang H, Taha D
J Perinatol 2021 Mar;41(3):494-501. Epub 2020 Sep 2 doi: 10.1038/s41372-020-00771-3. PMID: 32879418
Tennant LB, Mulliken JB, Perez-Atayde AR, Kozakewich HP
Pediatr Dermatol 2006 May-Jun;23(3):208-15. doi: 10.1111/j.1525-1470.2006.00219.x. PMID: 16780464
Greene AK, Burrows PE, Smith L, Mulliken JB
Plast Reconstr Surg 2005 Jan;115(1):22-30. PMID: 15622227

Diagnosis

Rogerson D, Alkelai A, Giordano J, Pantrangi M, Hsiao MC, Nhan-Chang CL, Motelow JE, Aggarwal V, Goldstein D, Wapner R, Shawber CJ
Prenat Diagn 2023 Jun;43(6):703-716. Epub 2023 Apr 3 doi: 10.1002/pd.6345. PMID: 36959127Free PMC Article
Mede A, Chotai PN, Huh WJ, Tan M
J Surg Res 2023 May;285:197-204. Epub 2023 Jan 23 doi: 10.1016/j.jss.2022.12.026. PMID: 36696706
Dietrich E, Grimaux X, Martin L, Samimi M
Ann Dermatol Venereol 2022 Dec;149(4):228-237. Epub 2022 Oct 11 doi: 10.1016/j.annder.2022.03.011. PMID: 36229262
Bertino F, Trofimova AV, Gilyard SN, Hawkins CM
Pediatr Radiol 2021 Jun;51(7):1162-1184. Epub 2021 Apr 16 doi: 10.1007/s00247-021-04968-2. PMID: 33860862
Sharma P, Shaheen NJ, Katzka D, Bergman JJGHM
Gastroenterology 2020 Feb;158(3):760-769. Epub 2019 Nov 12 doi: 10.1053/j.gastro.2019.09.051. PMID: 31730766

Therapy

Lu N, Kacin AJ, Shaffer AD, Stapleton AL
Otolaryngol Head Neck Surg 2023 Oct;169(4):1012-1019. Epub 2023 Mar 23 doi: 10.1002/ohn.331. PMID: 36950877
Itkin M, Rabinowitz DA, Nadolski G, Stafler P, Mascarenhas L, Adams D
Chest 2020 Aug;158(2):681-691. Epub 2020 Mar 24 doi: 10.1016/j.chest.2020.02.058. PMID: 32220591
Sharma P, Shaheen NJ, Katzka D, Bergman JJGHM
Gastroenterology 2020 Feb;158(3):760-769. Epub 2019 Nov 12 doi: 10.1053/j.gastro.2019.09.051. PMID: 31730766
Lerat J, Mounayer C, Scomparin A, Orsel S, Bessede JP, Aubry K
Eur Ann Otorhinolaryngol Head Neck Dis 2016 Dec;133(6):393-396. Epub 2016 Aug 3 doi: 10.1016/j.anorl.2016.07.004. PMID: 27497629
Greene AK, Burrows PE, Smith L, Mulliken JB
Plast Reconstr Surg 2005 Jan;115(1):22-30. PMID: 15622227

Prognosis

Mede A, Chotai PN, Huh WJ, Tan M
J Surg Res 2023 May;285:197-204. Epub 2023 Jan 23 doi: 10.1016/j.jss.2022.12.026. PMID: 36696706
Zhou J, Yang K, Chen S, Ji Y
Orphanet J Rare Dis 2021 Jun 8;16(1):260. doi: 10.1186/s13023-021-01893-3. PMID: 34103076Free PMC Article
Pinto E, Dori Y, Smith C, DeWitt A, Williams C, Griffis H, Escobar F, Biko DM, Krishnamurthy G, Rome J, Glatz AC, Liu M, Ravishankar C, Zhang H, Taha D
J Perinatol 2021 Mar;41(3):494-501. Epub 2020 Sep 2 doi: 10.1038/s41372-020-00771-3. PMID: 32879418
Lopez-Gutierrez JC, Miguel M, Diaz M, Ros Z, Tovar JA
Lymphat Res Biol 2012 Dec;10(4):164-72. Epub 2012 Dec 5 doi: 10.1089/lrb.2012.0004. PMID: 23215742
Greene AK, Burrows PE, Smith L, Mulliken JB
Plast Reconstr Surg 2005 Jan;115(1):22-30. PMID: 15622227

Clinical prediction guides

Wang H, Xie C, Lin W, Zhou J, Yang W, Guo Z
Ann Surg 2023 Oct 1;278(4):e870-e875. Epub 2023 Feb 24 doi: 10.1097/SLA.0000000000005832. PMID: 36825502Free PMC Article
Bhattarai D, McGinn DE, Crowley TB, Giunta V, Gaiser K, Zackai EH, Emanuel BS, Heimall J, Jyonouchi S, Lee J, Sun D, McDonald-McGinn DM, Sullivan KE
J Clin Immunol 2023 May;43(4):794-807. Epub 2023 Feb 3 doi: 10.1007/s10875-023-01443-5. PMID: 36735193
Baldo F, Fachin A, Da Re B, Rubinato E, Bobbo M, Barbi E
BMC Pediatr 2022 Dec 24;22(1):734. doi: 10.1186/s12887-022-03804-2. PMID: 36566191Free PMC Article
Itkin M, Rabinowitz DA, Nadolski G, Stafler P, Mascarenhas L, Adams D
Chest 2020 Aug;158(2):681-691. Epub 2020 Mar 24 doi: 10.1016/j.chest.2020.02.058. PMID: 32220591
Boon LM, Ballieux F, Vikkula M
Clin Plast Surg 2011 Jan;38(1):7-19. doi: 10.1016/j.cps.2010.08.012. PMID: 21095468Free PMC Article

Recent systematic reviews

Sun J, Wang C, Li J, Song D, Guo L
Braz J Otorhinolaryngol 2023 Jul-Aug;89(4):101285. Epub 2023 Jun 29 doi: 10.1016/j.bjorl.2023.101285. PMID: 37423005Free PMC Article
Dietrich E, Grimaux X, Martin L, Samimi M
Ann Dermatol Venereol 2022 Dec;149(4):228-237. Epub 2022 Oct 11 doi: 10.1016/j.annder.2022.03.011. PMID: 36229262
Tonni G, Granese R, Martins Santana EF, Parise Filho JP, Bottura I, Borges Peixoto A, Giacobbe A, Azzerboni A, Araujo Júnior E
J Perinat Med 2017 Feb 1;45(2):149-165. doi: 10.1515/jpm-2016-0074. PMID: 27508950
D'Antonio F, Khalil A, Zidere V, Carvalho JS
Ultrasound Obstet Gynecol 2016 Apr;47(4):423-32. Epub 2016 Mar 16 doi: 10.1002/uog.15805. PMID: 26643657
Grande M, Jansen FA, Blumenfeld YJ, Fisher A, Odibo AO, Haak MC, Borrell A
Ultrasound Obstet Gynecol 2015 Dec;46(6):650-8. doi: 10.1002/uog.14880. PMID: 25900824

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