Laterality defects dominant
Laterality Defects Dominant (LDD) refers to a group of rare congenital disorders characterized by the abnormal arrangement of the internal organs along the left-right axis of the body. This condition is part of a broader category of disorders known as Laterality Disorders, which also includes conditions such as Situs Inversus, Situs Ambiguus (or Heterotaxy), and Primary Ciliary Dyskinesia. LDD is inherited in an autosomal dominant manner, meaning that the presence of just one copy of the mutated gene in each cell is sufficient to cause the disorder.
Causes and Genetics
The genetic basis of Laterality Defects Dominant involves mutations in genes that are crucial for the development of left-right asymmetry in the body. While the specific genes implicated can vary, mutations affecting the function of cilia (microscopic hair-like structures on the surface of cells) play a significant role in many cases. These cilia are involved in generating a leftward flow of fluid in the embryo, which is critical for the proper orientation of organs.
Symptoms and Diagnosis
Symptoms of LDD can vary widely among affected individuals, ranging from mild to severe. Common manifestations include Congenital Heart Defects, malposition of the stomach, liver, and spleen, and sometimes issues with lung lobation. The diagnosis of LDD typically involves a combination of imaging studies, such as ultrasound or MRI, to visualize the arrangement of internal organs, and genetic testing to identify mutations associated with the condition.
Management and Treatment
Management of Laterality Defects Dominant is highly individualized, depending on the specific organs involved and the severity of the defects. Treatment may include surgical interventions to correct anatomical abnormalities, especially those related to congenital heart defects. Regular monitoring and supportive care are also important to address any complications arising from the disorder.
Prognosis
The prognosis for individuals with Laterality Defects Dominant varies widely. With appropriate management, many affected individuals can lead relatively normal lives. However, the presence of severe congenital heart defects or other significant organ malformations can impact overall life expectancy and quality of life.
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Contributors: Prab R. Tumpati, MD