HomeHealth articlesmicrocephalyWhat Is Giuffrè–Tsukahara Syndrome?

Giuffrè-Tsukahara Syndrome: Rare Craniofacial Disorder

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It is a genetic disorder characterized by distinctive facial features, intellectual disability, and other anomalies affecting various parts of the body.

Medically reviewed by

Dr. Sugreev Singh

Published At August 18, 2023
Reviewed AtAugust 18, 2023

Introduction

Guiffré-Tsukahara syndrome, also known as Tsukahara syndrome and radioulnar synostosis-microcephaly-scoliosis syndrome, is a very rare syndrome characterized by a group of signs like radioulnar synostosis with microcephaly, scoliosis, short stature, and intellectual deficit. The age of onset for the disease is antenatal and neonatal.

The Prevalence of the disease is <1 / 1000000.

At What Point Do the Indications of Giuffrè-Tsukahara Syndrome Start to Appear?

The most common age for symptoms of a disease to begin is the age of onset. The age can vary for different diseases and may be used by a healthcare provider to determine the diagnosis. For instance, in some diseases, symptoms may begin in a single or several age ranges. For some diseases, symptoms may begin at any time during a person's life. The onset of symptoms for Giuffrè-Tsukahara syndrome occurs from birth.

What Is the Cause of Giuffrè-Tsukahara Syndrome?

The exact cause of Giuffrè-Tsukahara syndrome is not well understood, but it is believed to be caused by genetic mutations. Giuffrè-Tsukahara syndrome is inherited in an autosomal dominant pattern, which means that an individual with the condition has a 50 percent chance of transferring it onto each of their offspring. In autosomal dominant inheritance, a single gene copy is sufficient to cause the disorder. This means an affected individual may have inherited the gene from one parent with the condition or acquired the gene mutation in a new (sporadic) event.

What Is the Pattern of Inheritance of Giuffrè-Tsukahara Syndrome?

This disease follows X-linked dominant Inheritance.

  • X-linked Dominant is genetic inheritance by which a Dominant Gene is taken along on the X chromosome.

  • As a Pattern, it is less common than the X-linked Recessive Type.

  • X-linked dominant traits do not generally affect males more than females.

What Is the Pattern of X-Linked Dominant Inheritance?

Patterns of X-linked dominant inheritance include-

  • If the mother alone is the carrier of the mutated gene with a disease, her children will inherit the disorder as follows:

    • > of Her Daughters and Sons: 50 percent will have the disorder, and 50 percent will be unaffected.

  • If the father alone is the carrier of a defective gene with a disorder, his children will inherit the disorder as follows:

    • > Of His Daughters: 100 percent will have the disorder.

    • > Of His Sons: 0 percent (none) will have the disorder.

  • If the couple were carriers of a defective gene associated with a disease, their children would inherit the disorder as follows:

    • Of Their Daughters: 100 percent will have the disorder.

    • A daughter's chances of receiving two copies of the X chromosome with the defective gene is 50 percent.

    • Of the Sons: 50 percent will have the disorder, and 50 percent will be unaffected.

What Are the Facial Features Seen in Giuffrè-Tsukahara Syndrome?

The facial features associated with Giuffrè-Tsukahara syndrome are among the condition's most distinctive and recognizable aspects. These may include a small head (microcephaly), widely spaced eyes (hypertelorism), a small jaw (micrognathia), a downward-slanting mouth (oblique facies), and widely spaced or absent teeth. These features and others can contribute to a distinct facial appearance that can help make a diagnosis.

What Are the Other Anomalies Seen in Giuffrè-Tsukahara Syndrome?

In addition to these facial anomalies, Giuffrè-Tsukahara syndrome is also associated with intellectual disability and developmental delays. Individuals with the condition may face hardships while doing tasks that require fine motor skills, such as writing and verbal communication. They may also have difficulty with daily activities and require support with self-care and other basic needs. Another feature of Giuffrè-Tsukahara syndrome is the presence of anomalies affecting other body parts. This can include abnormalities of the hands and feet, such as missing or fused fingers or toes, as well as problems with the musculoskeletal system. In some cases, Giuffrè-Tsukahara syndrome may also have heart defects, vision or hearing problems, or other medical issues.

How Can We Diagnose Giuffrè-Tsukahara Syndrome?

Diagnosis of Giuffrè-Tsukahara syndrome can be challenging, as the condition is rare, and its symptoms can overlap with those of other conditions. In many cases, a diagnosis is made based on a physical examination and the presence of characteristic facial features, as well as on a review of the individual's medical and family history. Additional diagnostic tests, such as genetic testing, may also be performed to confirm the diagnosis.

Is There Any Cure for the Individual Suffering From Giuffrè-Tsukahara Syndrome?

There is no cure for Giuffrè-Tsukahara syndrome, and treatment is focused on addressing its symptoms and associated issues. This can include physical therapy, speech therapy, and other forms of rehabilitation to help individuals with the condition improve their motor skills and communication abilities. In addition, surgery may sometimes be recommended to correct physical abnormalities or treat associated medical conditions. Living with Giuffrè-Tsukahara syndrome can be challenging for individuals and their families. The condition can impact daily life, including education, employment, and relationships. Therefore, individuals with Giuffrè-Tsukahara syndrome and their families need access to support, resources, and educational programs to help them cope with the challenges of the condition.

What Is the Prognosis For Giuffrè-Tsukahara Syndrome?

The prognosis for individuals with Giuffrè-Tsukahara syndrome can vary, but most will experience some degree of physical and intellectual disability. However, with proper medical care and support, individuals with this disorder can lead fulfilling lives. Raising awareness about Giuffrè-Tsukahara syndrome is important, as early diagnosis and intervention can greatly improve the individual's quality of life. Nevertheless, further research is needed to understand this condition's fundamental causes and develop effective treatments and therapies.

Conclusion

Giuffrè-Tsukahara syndrome is a rare genetic disorder affecting multiple body systems, including the bones, heart, and blood vessels. Craniofacial abnormalities, intellectual disability, and congenital heart defects characterize it. Currently, there is no cure for this disorder, and treatment is primarily supportive and aimed at managing symptoms. Individuals with Giuffrè-Tsukahara syndrome may require surgery to correct heart defects and physical and occupational therapy to help with mobility and daily activities. Regular medical check-ups are also important to monitor the individual's health and manage any complications that may arise. Giuffrè-Tsukahara syndrome is a complex disorder that requires a multidisciplinary approach to manage its symptoms. However, with the right support and care, individuals with this condition can live fulfilling lives and reach their full potential.

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Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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