Bart-Pumphrey syndrome Overview Bart-Pumphrey syndrome is a rare autosomal dominant genetic disorder characterized by the triad of knuckle pads, leukonychia (white nails), and sensorineural hearing loss, often accompanied by palmoplantar keratoderma (thickened skin on palms/soles). Caused by mutations in the GJB2 gene, it primarily affects skin and hearing from childhood. Symptoms Knuckle Pads: Wart-like, hyperkeratotic (thickened) plaques over the interphalangeal joints of the fingers and toes. These are often the most common finding. Hearing Loss: Sensorineural hearing loss is nearly always present and ranges from moderate to profound, generally occurring from birth. Leukonychia : White discoloration of the nails, which may be total (whole nail) or partial, sometimes accompanied by brittle or thickened nails. Palmoplantar Keratoderma: Diffuse thickening of the skin on the palms of the hands and soles of the feet. Causes Gene Mutation: Mutations in GJB2 (gap junction bet...
Yorifuji-Okuno syndrome Overview Yorifuji-Okuno syndrome (pancreatic hypoplasia-diabetes-congenital heart disease syndrome) is an extremely rare genetic disorder characterized by the triad of underdeveloped pancreas (pancreatic hypoplasia), neonatal/early-onset diabetes mellitus, and congenital heart defects. It is an autosomal dominant condition linked to GATA6 gene mutations, often causing severe, life-limiting health issues from infancy, though some cases may have varied severity. Symptoms Neonatal/Early-Onset Diabetes: Severe hyperglycemia and diabetes mellitus resulting from a lack of insulins. Pancreatic Hypoplasia/Agenesis: Underdevelopment or absence of the pancreas, leading to endocrine (insulin) and sometimes exocrine (digestive enzyme) insufficiency. Congenital Heart Defects: Common defects include ventricular or atrial septal defects, transposition of the great vessels, patent ductus arteriosus, and pulmonary stenosis. Other Potential Anomalies: Cases may include intraut...