Kallmann, syndrome

MIM 147 950, 244 200308 700610 628612 370612 702614 837614 838614 840614 858614 880614 897615 266615 267615 269615 270615 271]*

(olfacto-genital dysplasia, Kallmann-Morsier syndrome, congenital hypogonadotropic hypogonadism with anosmia)

Not to be confused with De Morsier syndrome !

Rare: 1-10/100,000. Autosomal dominant, recessive, or X-linked transmission or de novo mutation, according to the type of mutation involved. Much more common among boys.

Association of:

-        hypogonadism due to gonadotropin-releasing hormone deficiency: micropenis, absence of spontaneous puberty

-        anosmia or hyposmia due to hypoplasia or aplasia of the olfactory bulbs

Occasionally: agenesis of one kidney, cleft lip or palate, dental agenesis, deafness, contralateral imitation synkinesis [mirror of upper limb movements]

Occasional heart disease: complex right ventricle anomaly like double outlet, RV dilated cardiomyopathy, or malformation of the aortic arch.

Identified genes:

-        KAL1 on Xp22.3

-        FGFR1 on 8p11.23

-        FGF8

-        PROKR2

-        PROK2

-        CHD7



KAL1

KAL2

KAL3

KAL4

KAL5

Gene

KAL1

FGFR1

PROK2

PROKR2

CHD7

Kidney agenesis

+

-

-

-

?

synkinesis

+

rare

-

-


cleft palate

?

+

?

?

LOAD?

tooth agenesis

?

+

?

?



Anesthetic implications:

echocardiography, check renal function


References : 


Updated: February 2019