Pai syndrome: Difference between revisions

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'''Pai Syndrome''' is a rare congenital condition characterized by the triad of midline [[cleft lip]], [[polyp]] of the face or nasal cavity, and [[lipoma]] of the central nervous system. First described in 1987 by Pai et al., this syndrome has since been identified in a small number of cases worldwide, making it a subject of interest in the fields of [[genetics]], [[pediatrics]], and [[craniofacial surgery]]. The etiology of Pai Syndrome remains largely unknown, though it is believed to involve genetic factors given its congenital nature.
{{SI}}
 
{{Infobox medical condition
==Symptoms and Diagnosis==
| name            = Pai syndrome
The hallmark features of Pai Syndrome include a midline cleft lip, which differs from the more common bilateral or unilateral cleft lips. This feature can range from a small notch in the vermilion border of the lip to a complete cleft extending into the nose. Facial or nasal polyps are another key characteristic, which are benign growths that can vary in size and may cause obstruction or disfigurement. Lastly, the presence of a lipoma within the central nervous system, typically in the brain, distinguishes this syndrome. These lipomas are noncancerous tumors composed of fat cells and can be associated with neurological symptoms depending on their location and size.
| image          = [[File:Cleftlipandpalate.JPG|250px]]
 
| image_size      = 250px
Diagnosis of Pai Syndrome is primarily clinical, based on the presence of its characteristic features. Imaging studies, such as [[MRI]] or [[CT scan]], can be utilized to detect central nervous system lipomas and to assess the extent of craniofacial anomalies. Genetic testing may also be conducted to search for mutations or genetic markers that could confirm the diagnosis or provide insight into the condition's etiology.
| alt            =
 
| caption        = Cleft lip and palate, a feature of Pai syndrome
==Treatment and Management==
| pronounce      =
Management of Pai Syndrome is multidisciplinary, involving a team of specialists including geneticists, pediatricians, craniofacial surgeons, and neurosurgeons, among others. Treatment is tailored to the individual's symptoms and may include surgical correction of the cleft lip and removal of polyps to improve breathing, feeding, and appearance. Neurosurgical intervention may be necessary if the central nervous system lipoma causes neurological symptoms. Ongoing monitoring is essential to address any developmental delays or complications arising from the syndrome.
| specialty      = [[Medical genetics]]
 
| symptoms        = [[Cleft lip and palate]], [[skin tags]], [[polydactyly]]
| onset          = Congenital
| duration        = Lifelong
| causes          = [[Genetic mutation]]
| risks          =
| diagnosis      = [[Clinical diagnosis]], [[genetic testing]]
| differential    = [[Orofacial clefting syndromes]]
| prevention      =
| treatment      = [[Surgical correction]], [[supportive care]]
| medication      =
| prognosis      = Variable
| frequency      = Rare
| deaths          =
}}
{{Short description|A rare genetic disorder}}
'''Pai syndrome''' is a rare congenital disorder characterized by a combination of [[midline facial defects]], [[polydactyly]], and [[lipomas]]. It is a genetic condition that is typically present at birth and can affect various parts of the body, primarily the face and limbs.
==Presentation==
The primary features of Pai syndrome include:
* '''Midline facial defects''': These can include [[cleft lip]] and [[cleft palate]], which are openings or splits in the upper lip and roof of the mouth, respectively. These defects occur when the facial structures do not fuse properly during fetal development.
* '''Polydactyly''': This refers to the presence of extra fingers or toes. In Pai syndrome, polydactyly is often seen in the hands and feet.
* '''Lipomas''': These are benign tumors composed of fatty tissue. In Pai syndrome, lipomas are typically found in the midline of the body, such as the scalp or back.
==Genetics==
Pai syndrome is believed to have a genetic basis, although the exact genetic mutation responsible for the condition has not been definitively identified. It is thought to be inherited in an [[autosomal dominant]] manner, meaning that only one copy of the altered gene is sufficient to cause the disorder.
==Diagnosis==
Diagnosis of Pai syndrome is primarily based on clinical examination and the identification of characteristic features. Genetic testing may be used to rule out other conditions with similar presentations.
==Management==
Management of Pai syndrome is typically supportive and symptomatic. Surgical intervention may be required to correct cleft lip and palate, and to remove lipomas if they cause discomfort or functional impairment. Polydactyly may also be surgically corrected if necessary.
==Prognosis==
==Prognosis==
The prognosis for individuals with Pai Syndrome varies depending on the severity of the symptoms and the presence of associated anomalies. With appropriate medical and surgical management, many individuals can lead a normal life. However, close follow-up is necessary to monitor for potential complications related to the syndrome.
The prognosis for individuals with Pai syndrome varies depending on the severity of the symptoms and the presence of any associated complications. With appropriate medical care and surgical interventions, many individuals can lead normal lives.
 
==See also==
==Epidemiology==
* [[Cleft lip and palate]]
Pai Syndrome is extremely rare, with only a handful of cases reported in the medical literature since its initial description. The exact prevalence is unknown. Both males and females can be affected.
* [[Polydactyly]]
 
* [[Lipoma]]
==Research Directions==
[[Category:Genetic disorders]]
Research on Pai Syndrome is focused on understanding its genetic basis and improving treatment and management strategies. Studies on the genetic alterations associated with the syndrome could provide insights into its pathogenesis and guide the development of targeted therapies.
 
[[Category:Rare diseases]]
[[Category:Congenital disorders]]
[[Category:Congenital disorders]]
[[Category:Syndromes]]
{{medicine-stub}}

Latest revision as of 05:31, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Pai syndrome
Synonyms N/A
Pronounce
Specialty Medical genetics
Symptoms Cleft lip and palate, skin tags, polydactyly
Complications N/A
Onset Congenital
Duration Lifelong
Types N/A
Causes Genetic mutation
Risks
Diagnosis Clinical diagnosis, genetic testing
Differential diagnosis Orofacial clefting syndromes
Prevention
Treatment Surgical correction, supportive care
Medication
Prognosis Variable
Frequency Rare
Deaths


A rare genetic disorder


Pai syndrome is a rare congenital disorder characterized by a combination of midline facial defects, polydactyly, and lipomas. It is a genetic condition that is typically present at birth and can affect various parts of the body, primarily the face and limbs.

Presentation[edit]

The primary features of Pai syndrome include:

  • Midline facial defects: These can include cleft lip and cleft palate, which are openings or splits in the upper lip and roof of the mouth, respectively. These defects occur when the facial structures do not fuse properly during fetal development.
  • Polydactyly: This refers to the presence of extra fingers or toes. In Pai syndrome, polydactyly is often seen in the hands and feet.
  • Lipomas: These are benign tumors composed of fatty tissue. In Pai syndrome, lipomas are typically found in the midline of the body, such as the scalp or back.

Genetics[edit]

Pai syndrome is believed to have a genetic basis, although the exact genetic mutation responsible for the condition has not been definitively identified. It is thought to be inherited in an autosomal dominant manner, meaning that only one copy of the altered gene is sufficient to cause the disorder.

Diagnosis[edit]

Diagnosis of Pai syndrome is primarily based on clinical examination and the identification of characteristic features. Genetic testing may be used to rule out other conditions with similar presentations.

Management[edit]

Management of Pai syndrome is typically supportive and symptomatic. Surgical intervention may be required to correct cleft lip and palate, and to remove lipomas if they cause discomfort or functional impairment. Polydactyly may also be surgically corrected if necessary.

Prognosis[edit]

The prognosis for individuals with Pai syndrome varies depending on the severity of the symptoms and the presence of any associated complications. With appropriate medical care and surgical interventions, many individuals can lead normal lives.

See also[edit]

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