Entry - 100050 - AARSKOG SYNDROME, AUTOSOMAL DOMINANT - OMIM
100050

AARSKOG SYNDROME, AUTOSOMAL DOMINANT


Clinical Synopsis
 

Growth
- Mild to moderate short stature
Head
- Normocephaly
Hair
- Widow's peak
Facies
- Maxillary hypoplasia
- Broad nasal bridge
- Anteverted nostrils
- Long philtrum
- Broad upper lip
- Curved linear dimple below the lower lip
Eyes
- Hypertelorism
- Ptosis
- Down-slanted palpebral fissures
- Ophthalmoplegia
- Strabismus
- Hyperopic astigmatism
- Large cornea
Ears
- Floppy ears
- Lop-ears
Mouth
- Cleft lip/palate
GU
- Shawl scrotum
- Saddle-bag scrotum
- Cryptorchidism
Limbs
- Brachydactyly
- Digital contractures
- Clinodactyly
- Mild syndactyly
- Transverse palmar crease
- Lymphedema of the feet
Joints
- Ligamentous laxity
- Osteochondritis dissecans
- Proximal finger joint hyperextensibility
- Flexed distal finger joints
- Genu recurvatum
- Flat feet
Skin
- Stretchable skin
Spine
- Cervical spine hypermobility
- Odontoid anomaly
Heme
- Macrocytic anemia
- Hemochromatosis
GI
- Hepatomegaly
- Portal cirrhosis
- Imperforate anus
- Rectoperineal fistula
Pulmonary
- Interstitial pulmonary disease
Thorax
- Sternal deformity
Inheritance
- Sex-influenced autosomal dominant form
- also X-linked form

TEXT

Description

Aarskog syndrome is characterized by short stature and facial, limb, and genital anomalies. One form of the disorder is X-linked (see 305400), but there is also evidence for autosomal dominant and autosomal recessive (227330) inheritance (summary by Grier et al., 1983).


Clinical Features

Grier et al. (1983) reported father and 2 sons with typical Aarskog syndrome, including short stature, hypertelorism, and shawl scrotum. Stretchable skin was present in these patients.


Inheritance

Grier et al. (1983) tabulated the findings in 82 previously reported cases of Aarskog syndrome and noted that X-linked recessive inheritance was repeatedly suggested. However, their family had father-to-son transmission, and a family reported by Welch (1974) had affected males in 3 consecutive generations. Grier et al. (1983) suggested autosomal dominant inheritance with strong sex-influence and possibly ascertainment bias resulting from use of the shawl scrotum as a main criterion.

Van de Vooren et al. (1983) studied a large family in which Aarskog syndrome was segregating with variable expression in 3 generations and with male-to-male transmission. Because 3 daughters of affected males had no features of Aarskog syndrome and 2 sons of an affected male had several features of the syndrome, van de Vooren et al. (1983) suggested sex-influenced autosomal dominant inheritance.


REFERENCES

  1. Grier, R. E., Farrington, F. H., Kendig, R., Mamunes, P. Autosomal dominant inheritance of the Aarskog syndrome. Am. J. Med. Genet. 15: 39-46, 1983. [PubMed: 6344635, related citations] [Full Text]

  2. van de Vooren, M. J., Niermeijer, M. F., Hoogeboom, A. J. M. The Aarskog syndrome in a large family, suggestive for autosomal dominant inheritance. Clin. Genet. 24: 439-445, 1983. [PubMed: 6652957, related citations] [Full Text]

  3. Welch, J. P. Elucidation of a 'new' pleiotropic connective tissue disorder. Birth Defects Orig. Art. Ser. X(10): 138-146, 1974.


Contributors:
Nara Sobreira - updated : 4/22/2013
Creation Date:
Victor A. McKusick : 6/4/1986
carol : 04/24/2013
carol : 4/22/2013
carol : 2/16/2011
alopez : 6/3/1997
mimadm : 3/11/1994
carol : 7/7/1993
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/26/1989
marie : 3/25/1988

100050

AARSKOG SYNDROME, AUTOSOMAL DOMINANT


ORPHA: 915;   DO: 0111825;  



TEXT

Description

Aarskog syndrome is characterized by short stature and facial, limb, and genital anomalies. One form of the disorder is X-linked (see 305400), but there is also evidence for autosomal dominant and autosomal recessive (227330) inheritance (summary by Grier et al., 1983).


Clinical Features

Grier et al. (1983) reported father and 2 sons with typical Aarskog syndrome, including short stature, hypertelorism, and shawl scrotum. Stretchable skin was present in these patients.


Inheritance

Grier et al. (1983) tabulated the findings in 82 previously reported cases of Aarskog syndrome and noted that X-linked recessive inheritance was repeatedly suggested. However, their family had father-to-son transmission, and a family reported by Welch (1974) had affected males in 3 consecutive generations. Grier et al. (1983) suggested autosomal dominant inheritance with strong sex-influence and possibly ascertainment bias resulting from use of the shawl scrotum as a main criterion.

Van de Vooren et al. (1983) studied a large family in which Aarskog syndrome was segregating with variable expression in 3 generations and with male-to-male transmission. Because 3 daughters of affected males had no features of Aarskog syndrome and 2 sons of an affected male had several features of the syndrome, van de Vooren et al. (1983) suggested sex-influenced autosomal dominant inheritance.


REFERENCES

  1. Grier, R. E., Farrington, F. H., Kendig, R., Mamunes, P. Autosomal dominant inheritance of the Aarskog syndrome. Am. J. Med. Genet. 15: 39-46, 1983. [PubMed: 6344635] [Full Text: https://doi.org/10.1002/ajmg.1320150105]

  2. van de Vooren, M. J., Niermeijer, M. F., Hoogeboom, A. J. M. The Aarskog syndrome in a large family, suggestive for autosomal dominant inheritance. Clin. Genet. 24: 439-445, 1983. [PubMed: 6652957] [Full Text: https://doi.org/10.1111/j.1399-0004.1983.tb00100.x]

  3. Welch, J. P. Elucidation of a 'new' pleiotropic connective tissue disorder. Birth Defects Orig. Art. Ser. X(10): 138-146, 1974.


Contributors:
Nara Sobreira - updated : 4/22/2013

Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
carol : 04/24/2013
carol : 4/22/2013
carol : 2/16/2011
alopez : 6/3/1997
mimadm : 3/11/1994
carol : 7/7/1993
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/26/1989
marie : 3/25/1988