Bart syndrome Overview Bart syndrome is a rare genetic disorder (a form of aplasia cutis congenita type VI) present at birth, characterized by the triad of localized absence of skin (often on lower extremities), skin blistering (epidermolysis bullosa), and nail dystrophy. It is typically managed conservatively with wound care to prevent infection, often showing good prognosis. Symptoms Cardiomyopathy: Often presents as enlarged/weakened heart muscle (dilated) or left ventricular noncompaction, usually appearing before age 5 and leading to significant heart failure risks. Neutropenia: Chronic or cyclical low levels of neutrophils (a type of white blood cell), leading to frequent infections, mouth ulcers, and sepsis. Skeletal Myopathy: Significant muscle weakness, particularly in the proximal muscles, resulting in reduced muscle tone (hypotonia) and fatigue. Growth Delay : Prepubertal growth retardation and a distinct, thinner physical build. Metabolic Abnormalities: Increased urinary...
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...