- Joined
- Feb 24, 2019
Cornelia de Lange Syndrome
(About 1 in 10,000 live births)
Cornelia de Lange Syndrome (CdLS) is a congenital disorder where all people with it share distinctive facial features. This includes small short heads with prominent groves between the upper lip and nose, as well as depressed nasal bridge with upturned nostrils and a small chin. The most prominent feature though is that they all have well defined eyebrows that grow together across the nose and unusually long eyelashes. Other features are thin down-turned lips, low set ears, and low hairline. They also have delays in physical development both during development in the womb and after birth and mild to severe intellectual disability and psychomotor development. There are also malformations of the hands and arms, most commonly they are missing forearm bones and fingers. Other issues may include feeding (projectile vomiting and regurgitation) and breathing difficulties with increased rate of respiratory illnesses, a low-pitched “growling” cry, heart defects, delayed skeletal maturation, hearing loss and/or seizures. They also may have episodes of self harm, screaming and biting. The upper limb abnormalities if occurring on both arms may be completely different anomalies on each side. Affected children may have decreased facial expression based on emotion, but they appear to respond positively to certain stimuli especially fast moving stimuli. There is a chance that children will have hernias including a fatal if not treatment immediately version that includes an issue where the organs do not separate from the lungs during development.(About 1 in 10,000 live births)
The differences in growth is such that there are specific growth charts used to assess CdLS children because otherwise most would be diagnosed as failure to thrive via the normal growth charts. There are also separate milestone charts as well.
Resources:
https://www.cdlsusa.org/