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Raine syndrome: An overview

Abstract Raine syndrome (RS) is a bone dysplasia characterised by generalised osteosclerosis with periosteal bone formation, characteristic face, and brain abnormalities [MIM # 259775]. Its prevalence is estimated to be 

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Published in:European journal of medical genetics 2014-09, Vol.57 (9), p.536-542
Main Authors: Faundes, Víctor, Castillo-Taucher, Silvia, Gonzalez-Hormazabal, Patricio, Chandler, Kate, Crosby, Andrew, Chioza, Barry
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container_title European journal of medical genetics
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creator Faundes, Víctor
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Chioza, Barry
description Abstract Raine syndrome (RS) is a bone dysplasia characterised by generalised osteosclerosis with periosteal bone formation, characteristic face, and brain abnormalities [MIM # 259775]. Its prevalence is estimated to be 
doi_str_mv 10.1016/j.ejmg.2014.07.001
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Its prevalence is estimated to be &lt; 1/1,000,000. Although it was originally thought always to be lethal, there have now been six reports of patients surviving into childhood and this phenotype is still being defined. The skeletal dysplasia predominantly affects craniofacial development explaining the severe proptosis, underdeveloped midface, depressed nasal bridge and short nose. The main radiological manifestation is a diffuse, marked osteosclerosis of the base of skull and long bones. Raine syndrome is caused by biallelic mutations in FAM20C , located on chromosome 7p22.3. This gene encodes a Golgi casein kinase, which phosphorylates serine residues of extracellular proteins involved in biomineralisation. Facial appearance and radiological findings allow the clinical diagnosis, and molecular testing of FAM20C can confirm this. Desmosterolosis and congenital cytomegalovirus infection may resemble Raine syndrome. If Raine syndrome is suspected prenatally the newborn should be admitted at a neonatal intensive care unit as significant respiratory distress is often present immediately after birth. We present here a review of the pertinent literature in clinical manifestations, molecular background, diagnosis and management.</description><identifier>ISSN: 1769-7212</identifier><identifier>EISSN: 1878-0849</identifier><identifier>DOI: 10.1016/j.ejmg.2014.07.001</identifier><identifier>PMID: 25019372</identifier><language>eng</language><publisher>Netherlands: Elsevier Masson SAS</publisher><subject>Abnormalities, Multiple - diagnosis ; Abnormalities, Multiple - epidemiology ; Abnormalities, Multiple - etiology ; Abnormalities, Multiple - therapy ; Cleft Palate - diagnosis ; Cleft Palate - epidemiology ; Cleft Palate - etiology ; Cleft Palate - therapy ; Diagnosis, Differential ; Exophthalmos - diagnosis ; Exophthalmos - epidemiology ; Exophthalmos - etiology ; Exophthalmos - therapy ; FAM20C ; Humans ; Medical Education ; Microcephaly - diagnosis ; Microcephaly - epidemiology ; Microcephaly - etiology ; Microcephaly - therapy ; Osteosclerosis ; Osteosclerosis - diagnosis ; Osteosclerosis - epidemiology ; Osteosclerosis - etiology ; Osteosclerosis - therapy ; Prenatal Diagnosis ; Prognosis ; Respiratory distress ; Skeletal dysplasia</subject><ispartof>European journal of medical genetics, 2014-09, Vol.57 (9), p.536-542</ispartof><rights>Elsevier Masson SAS</rights><rights>2014 Elsevier Masson SAS</rights><rights>Copyright © 2014 Elsevier Masson SAS. 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Its prevalence is estimated to be &lt; 1/1,000,000. Although it was originally thought always to be lethal, there have now been six reports of patients surviving into childhood and this phenotype is still being defined. The skeletal dysplasia predominantly affects craniofacial development explaining the severe proptosis, underdeveloped midface, depressed nasal bridge and short nose. The main radiological manifestation is a diffuse, marked osteosclerosis of the base of skull and long bones. Raine syndrome is caused by biallelic mutations in FAM20C , located on chromosome 7p22.3. This gene encodes a Golgi casein kinase, which phosphorylates serine residues of extracellular proteins involved in biomineralisation. Facial appearance and radiological findings allow the clinical diagnosis, and molecular testing of FAM20C can confirm this. Desmosterolosis and congenital cytomegalovirus infection may resemble Raine syndrome. If Raine syndrome is suspected prenatally the newborn should be admitted at a neonatal intensive care unit as significant respiratory distress is often present immediately after birth. 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Its prevalence is estimated to be &lt; 1/1,000,000. Although it was originally thought always to be lethal, there have now been six reports of patients surviving into childhood and this phenotype is still being defined. The skeletal dysplasia predominantly affects craniofacial development explaining the severe proptosis, underdeveloped midface, depressed nasal bridge and short nose. The main radiological manifestation is a diffuse, marked osteosclerosis of the base of skull and long bones. Raine syndrome is caused by biallelic mutations in FAM20C , located on chromosome 7p22.3. This gene encodes a Golgi casein kinase, which phosphorylates serine residues of extracellular proteins involved in biomineralisation. Facial appearance and radiological findings allow the clinical diagnosis, and molecular testing of FAM20C can confirm this. Desmosterolosis and congenital cytomegalovirus infection may resemble Raine syndrome. 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subjects Abnormalities, Multiple - diagnosis
Abnormalities, Multiple - epidemiology
Abnormalities, Multiple - etiology
Abnormalities, Multiple - therapy
Cleft Palate - diagnosis
Cleft Palate - epidemiology
Cleft Palate - etiology
Cleft Palate - therapy
Diagnosis, Differential
Exophthalmos - diagnosis
Exophthalmos - epidemiology
Exophthalmos - etiology
Exophthalmos - therapy
FAM20C
Humans
Medical Education
Microcephaly - diagnosis
Microcephaly - epidemiology
Microcephaly - etiology
Microcephaly - therapy
Osteosclerosis
Osteosclerosis - diagnosis
Osteosclerosis - epidemiology
Osteosclerosis - etiology
Osteosclerosis - therapy
Prenatal Diagnosis
Prognosis
Respiratory distress
Skeletal dysplasia
title Raine syndrome: An overview
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