Amish lethal microcephaly Overview Amish lethal microcephaly is a very rare syndrome characterized by extreme microcephaly and early death, within the first year. Amish lethal microcephaly is a rare, severe inherited metabolic and developmental disorder found almost exclusively in the Old Order Amish community in Pennsylvania, where it affects roughly 1 in 500 newborns. It causes extreme smallness of the head and an underdeveloped brain, leading to death usually within the first six months of life. Symptoms Physical and Neurological Symptoms Extreme microcephaly: Head size is significantly below normal for age and gender due to an underdeveloped brain. Distinct facial features: A sloping forehead and micrognathia (an unusually small lower jaw and chin). Seizures: Generalized tonic-clonic or bilateral seizures often develop. Severe irritability : Infants frequently display extreme irritability starting around the second or third month of life. Temperature instability: Difficulty contr...
Trichothiodystrophy Overview Trichothiodystrophy (TTD) is a rare inherited, genetic disease characterized by a broad spectrum of abnormalities. Patients with different symptoms are linked together by the common feature of short, dry, brittle, sulfur-deficient hair which has a characteristic “tiger tail” pattern (alternating light and dark bands) under polarizing microscopy. The signs and symptoms vary widely between patients. Typically, patients are born preterm and with low birth weight. Maternal pregnancy complications are common. Infants may be born with a shiny parchment-like covering on the skin that peels off over several days to weeks (collodion membrane). Through childhood they may have developmental delay or intellectual disability, short stature with poor weight gain, dry, scaly skin (ichthyosis), eye abnormalities (the most common being congenital cataracts), recurrent infections and bone abnormalities. Nearly half (42%) of patients with TTD have extreme sensitivity to ultra...