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Treacher-Collins syndrome

Treacher-Collins syndrome


Definition:

Treacher-Collins syndrome is a hereditary condition that causes facial defects.

Alternative Names:
Mandibulofacial dysostosis
Causes, incidence, and risk factors:

Treacher-Collins syndrome is caused by a defective protein called treacle. The condition is inherited as an autosomal dominant trait. More than half of all cases are thought to be due to new mutations because there is no family history of the disease.

This condition may greatly vary in severity from generation to generation.

Symptoms:
  • External ears that are abnormal to almost completely missing
  • Hearing loss
  • Very small jaw (micrognathia)
  • Very large mouth
  • Defect in the lower eyelid called acoloboma
  • Scalp hair that extends onto cheeks
  • Cleft palate
Signs and tests:

The child usually will show normal intelligence. Examination of the infant may reveal a variety of problems, including:

  • Abnormal eye shape
  • Flat cheekbones
  • Facial clefts
  • Small jaw
  • Low-set ears
  • Malformed ears
  • Abnormal ear canal
  • Conductive hearing loss
  • Defects in the eye (coloboma that extends into the lower lid)
  • Decreased eyelashes on the lower eyelid

Genetic tests can be done to look for mutations on the TCS1 gene.


Review Date: 7/2/2007
Reviewed By: Brian Kirmse, MD, Mount Sinai School of Medicine, Department of HumanGenetics, New York, NY. Review provided by VeriMed Healthcare Network.

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