KABUKI SYNDROME

Kabuki syndrome is a disorder that affects many parts of the body. It is characterized by distinctive facial features including Arched eyebrows, long eyelashes, long openings of the eyelids (long palpebral fissures) with the lower lids turned out (everted) at the outside edges, flat, broadened tip of the nose, large protruding earlobes. The name of this disorder comes from the resemblance of its characteristic facial appearance to stage makeup used in traditional Japanese Kabuki theater.

Signs and symptoms

Mild to severe developmental delay and intellectual disability.
Affected individuals may also have seizures.
An unusually small head size (microcephaly)or weak muscle tone (hypotonia).
Some have eye problems such as rapid, involuntary eye movements (nystagmus) or eyes that do not look in the same direction (strabismus).
Other characteristic features of Kabuki syndrome include short stature and skeletal abnormalities such as:
·      abnormal side-to-side curvature of the spine (scoliosis)
·      short fifth (pinky) fingers, or problems with the hip and knee joints.
·      The roof of the mouth may have an abnormal opening (cleft palate) or be high and arched,
·      dental problems are common in affected individuals.
·      People with Kabuki syndrome may also have fingerprints with unusual features and fleshy pads at the tips of the fingers.
·      These prominent finger pads are called fetal finger pads because they normally occur in human fetuses
·      In most people they disappear before birth.
·      A wide variety of other health problems occur in some people with Kabuki syndrome.
·      Among the most commonly reported are heart abnormalities
·      frequent ear infections (otitis media)
·      hearing loss, and early puberty.

Cause

Kabuki syndrome is caused by mutations in the KMT2D gene (also known as MLL2) or the KDM6A gene.

Treatment

There’s no cure for Kabuki syndrome. But health professionals can treat the medical issues that come with the syndrome. Early intervention can make a difference. Through early intervention services health professionals  be able to help improve his quality of life. These professionals include paediatricians, speech pathologists, occupational therapists and physiotherapists.



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