Salti–Salem syndrome
Salti–Salem syndrome is a rare genetic disorder characterized by a combination of symptoms, including growth retardation, endocrine abnormalities, and skeletal dysplasia. The syndrome was first identified and described by I. Salti and G. Salem in the late 20th century, marking a significant contribution to the field of genetic disorders. This condition is inherited in an autosomal recessive manner, meaning that an individual must inherit two copies of the mutated gene, one from each parent, to be affected by the syndrome.
Symptoms and Diagnosis
The clinical presentation of Salti–Salem syndrome can vary significantly among affected individuals. However, common symptoms include:
- Growth retardation: Affected individuals may exhibit a significantly slower growth rate compared to their peers, leading to short stature.
- Endocrine abnormalities: These can range from thyroid dysfunctions to adrenal insufficiency, affecting the body's hormone levels and metabolic processes.
- Skeletal dysplasia: This refers to abnormalities in bone growth and skeletal development, which can lead to a variety of skeletal issues.
Diagnosis of Salti–Salem syndrome is primarily based on clinical evaluation and the identification of characteristic symptoms. Genetic testing can confirm the diagnosis by identifying mutations in the gene associated with the syndrome.
Treatment and Management
There is no cure for Salti–Salem syndrome, and treatment is symptomatic and supportive. Management strategies may include:
- Hormone replacement therapy to address endocrine abnormalities.
- Physical therapy and orthopedic interventions to manage skeletal dysplasia and improve mobility.
- Regular monitoring and supportive care to address growth retardation and other potential complications.
Genetic Aspects
Salti–Salem syndrome is caused by mutations in a specific gene, which is inherited in an autosomal recessive pattern. This means that both parents must carry one copy of the mutated gene to pass the condition onto their children. Genetic counseling is recommended for families with a history of the syndrome to understand their risks and options.
Epidemiology
Due to its rarity, the exact prevalence of Salti–Salem syndrome is not well-documented. It has been reported in a limited number of cases worldwide, making it a focus of ongoing research to better understand its genetic basis and improve treatment options.
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Contributors: Prab R. Tumpati, MD