Dysmelia

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Piglet with dipygus at Ukrainian National Chernobyl Museum in Kyiv

Dysmelia (from the Greek dys (δυσ-), "bad" + mélos (μέλος), "limb" + English suffix -ia) is a congenital disorder of a limb resulting from a disturbance in embryonic development.[1]

Types

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Syndactyly of the second and third toes

Dysmelia can refer to [citation needed]

  • missing (aplasia) limbs: amelia (including tetraamelia), oligodactyly, congenital amputation e.g. tibial or radial aplasia
  • malformation of limbs: shortening (micromelia, rhizomelia or mesomelia), ectrodactyly, phocomelia, meromelia, syndactyly, brachydactyly, club foot
  • extra limbs: polymelia, polydactyly, polysyndactyly
  • others: hemimelia, symbrachydactyly
Bilateral polydactyly with short fingers in Ellis–Van Creveld syndrome patient

Occurrence rate

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Birth defects involving limbs occur in 0.69 per 1000.[2]

Causes

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Dysmelia can be caused by[citation needed]

  • Inheritance of abnormal genes, e.g. polydactyly, ectrodactyly or brachydactyly, symptoms of deformed limbs then often occur in combination with other symptoms (syndromes)
  • external causes during pregnancy (thus not inherited), e.g. via amniotic band syndrome
  • teratogenic drugs (e.g. thalidomide, which causes phocomelia) or environmental chemicals
  • ionizing radiation (nuclear weapons, radioiodine, radiation therapy)
  • infections
  • metabolic imbalance

Syndromes with dysmelia

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  • 2p15-16.1 microdeletion syndrome
  • Achard syndrome
  • Ackerman syndrome
  • Acrocallosal syndrome
  • Acropectoral syndrome
  • Adams–Oliver syndrome
  • Aglossia adactylia
  • Amniotic band syndrome
  • Apert syndrome
  • Autosomal recessive Robinow syndrome
  • Basel–Vanagaite–Sirota syndrome (Microlissencephaly-Micromelia syndrome)
  • Campomelic dysplasia
  • Cardiofaciocutaneous syndrome
  • Catel–Manzke syndrome
  • Cenani–Lenz syndrome
  • Corneodermatoosseous syndrome
  • Diploid triploid mosaic
  • Ectrodactyly–ectodermal dysplasia–cleft syndrome
  • Edwards syndrome
  • Ellis–Van Creveld syndrome
  • Fibular dimelia diplopodia syndrome (Leg duplication mirror foot syndrome)
  • Greig cephalopolysyndactyly syndrome
  • Haas syndrome
  • Hanhart syndrome
  • Holt–Oram syndrome
  • Humeroradial synostosis
  • Johnson–Munson syndrome
  • Joubert syndrome
  • McKusick–Kaufman syndrome
  • Mermaid syndrome
  • Mesomelia-Synostoses syndrome (8q13 microdeletion syndrome)
  • Microgastria
  • Myhre syndrome
  • Nager acrofacial dysostosis
  • Neu–Laxova syndrome
  • Patau syndrome
  • Pfeiffer syndrome
  • Poland syndrome
  • Radial aplasia
  • Roberts SC-Phocomelia syndrome (Phocomelia syndrome)
  • Rubinstein–Taybi syndrome
  • Silver–Russell syndrome
  • Split-hand split-foot malformation (SHFM)
  • TAR syndrome (thrombocytopenia with absent radius)
  • Tetra-amelia syndrome
  • Ulbright–Hodes syndrome
  • VACTERL association
  • Wallis–Zieff–Goldblatt syndrome

References

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  1. ^ "Dysmelia (Limb Deficiency/Reduction)". Atlas of Genetic Diagnosis and Counseling. Humana Press. 2006. pp. 312–322.
  2. ^ McGuirk, Caroline K.; Westgate, Marie-Noel; Holmes, Lewis B. (2001-10-01). "Limb Deficiencies in Newborn Infants". Pediatrics. 108 (4). American Academy of Pediatrics (AAP): e64. doi:10.1542/peds.108.4.e64. ISSN 1098-4275. PMID 11581472. S2CID 1863175.
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