Temple syndrome
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Prevalence < 1.106. Autosomal dominant transmission of a single-parent disomy of maternal origin, a deletion of paternal origin or a hypomethylation of some genes (14q32). The clinical presentation is similar to that of Prader-Willi syndrome (see this term) but a minority of patients have a phenotype similar to Silver-Russel syndrome in infancy (see this term).
Clinical presentation:
- neonatal hypotonia, feeding difficulties
- intrauterine and postnatal growth retardation, short stature
- motor retardation
- wide forehead, short nose with wide tip, high-arched palate, micrognathia
- small hands and feet
- central obesity beginning in childhood
- precocious puberty
- dolichospondyly: elongated vertebral body
Anesthetic implications:
short stature, overweight, mental retardation
References :
- Ioannides Y, Lokulo-Sodipe K, Mackay DJG, Davies JH, Temple IK.
Temple syndrome : improving the recognition of an underdiagnosed chromosome 14 imprinting disorder : an analysis of 51 published cases.
J Med Genet 2014 ; 51 : 495-501.
- Goto M, Kagami M, Nishimura G,Yamagata T.
A patient with Temple syndrome satisfying the clinical diagnostic criteria of Silver–Russell syndrome.
Am J Med Genet Part A, 2016 ; 170A:2483–5.
Updated: May 2020