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nail patella syndrome

Causes of Nail Patella Syndrome

A genetic disorder called Nail Patella Syndrome (NPS) is caused by mutations in the LMX1B gene. This gene is important for the development of many body parts, including the nails, bones, kidneys, and eyes. Autosomal dominant inheritance means that a single copy of a mutated gene is sufficient to cause the disorder.

Symptoms of Nail Patella Syndrome

NPS symptoms vary widely, but commonly include:

  • Thumbs and index fingers are often affected by abnormal nails, such as underdeveloped, split, or missing nails.

  • Atypical skeletal characteristics include hypoplastic or absent kneecaps (patellae), elbow dysplasia, and iliac horns (bony projections on the pelvis).

  • A higher risk of kidney disease and proteinuria (protein in the urine).

  • Symptoms of eye problems include glaucoma and other ocular abnormalities.

  • In addition, hypermobile joints and developmental delays may occur.

Diagnosis of Nail Patella Syndrome

A thorough clinical examination focusing on nail and skeletal abnormalities is required for diagnosis. Genetic testing can confirm LMX1B gene mutations. Imaging studies, such as X-rays, may reveal skeletal abnormalities as well.

Treatment of Nail Patella Syndrome

Treatment for NPS focuses on managing symptoms rather than finding a cure:

  • Skeletal issues can be treated with bracing, physical therapy, or surgery.

  • Monitoring and treatment of kidney function are part of nephrology.

  • A physician who specializes in ophthalmology performs routine eye exams and treats any ocular problems.

  • Joint pain can be managed with medications and physical therapy.

Prevention of Nail Patella Syndrome

Genetic counseling is recommended for affected individuals and their families to better understand inheritance patterns and risks. Early diagnosis and appropriate management can improve quality of life and outcomes.

In this clear and concise overview of Nail Patella Syndrome, you will learn about its genetic causes, primary symptoms, diagnostic methods, treatment options, and prevention tips.

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