nonlethal type multiple pterygium syndrome; Escobar syndrome; Escobar variant multiple pterygium syndrome
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Etiology
see pathology
Pathology
- nonlethal form of arthrogryposis multiplex congenita
- congenital contractures may be caused by reduced fetal movements at sensitive times of development
- possible causes of decreased fetal mobility include space constraints such as oligohydramnion, drugs, metabolic conditions or neuromuscular disorders including myasthenia gravis
Genetics
- autosomal recessive
- associated with defects in CHRNG
Clinical manifestations
- excessive webbing (pterygia)
- congenital contractures (arthrogryposis) are common
- scoliosis
- variable other features include
- intrauterine death
- congenital respiratory distress
- short stature
- faciocranial dysmorphism
- ptosis
- low-set ears
- arachnodactyly & cryptorchism in males