Michelin tire baby syndrome
| Michelin tire baby syndrome | |
|---|---|
| Synonyms | Circumferential skin creases Kunze type, Kunze-Riehm syndrome |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Multiple circumferential skin creases, growth retardation, developmental delay |
| Complications | N/A |
| Onset | Congenital |
| Duration | Lifelong |
| Types | N/A |
| Causes | Genetic mutation |
| Risks | Family history |
| Diagnosis | Clinical examination, genetic testing |
| Differential diagnosis | Cutis laxa, Ehlers-Danlos syndrome |
| Prevention | N/A |
| Treatment | Supportive care, physical therapy |
| Medication | N/A |
| Prognosis | Variable, generally good |
| Frequency | Rare |
| Deaths | N/A |
Michelin Tire Baby Syndrome (MTBS) is a rare genetic disorder characterized by multiple, symmetric, ring-shaped skin creases, or folds, present at birth. The name of the condition is derived from the Michelin Tire mascot, who is depicted as a figure made of many tire-like rings.
Symptoms and Signs
The primary symptom of MTBS is the presence of multiple ring-like skin creases. These are most commonly found on the limbs, but can also be present on the palms of the hands, soles of the feet, back, and other parts of the body. Other symptoms can include facial abnormalities, growth retardation, intellectual disability, and other physical abnormalities.
Causes
MTBS is caused by mutations in the TUBB gene. This gene provides instructions for making a protein that is a key component of microtubules, which are rigid, hollow fibers that make up the cell's structural framework (cytoskeleton). Mutations in the TUBB gene disrupt the normal function of microtubules, leading to the characteristic features of MTBS.
Diagnosis
Diagnosis of MTBS is based on the characteristic physical features. Genetic testing can confirm the diagnosis by identifying a mutation in the TUBB gene.
Treatment
There is currently no cure for MTBS. Treatment is symptomatic and supportive, and may include physical therapy to improve mobility and occupational therapy to improve daily living skills.
Prognosis
The prognosis for individuals with MTBS varies. Some individuals have mild symptoms and live normal lives, while others may have severe physical and intellectual disabilities.
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Contributors: Prab R. Tumpati, MD