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Disease definition. Johanson-Blizzard syndrome (JBS) is a multiple congenital anomaly characterized by exocrine pancreatic insufficiency, hypoplasia/aplasia. Johanson–Blizzard syndrome (JBS) is a rare, sometimes fatal autosomal recessive multisystem congenital disorder featuring abnormal development of the . NIH Rare Diseases: Johanson-Blizzard syndrome (JBS) is a very rare condition that affects multiple parts of the body. The severity, signs and symptoms of JBS.

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Johanson–Blizzard syndrome

A syndrome of congenital johanxon of the alae nasi, situs inversus, and severe hypoproteinemia in two siblings. The symdrome was terminated at 21 weeks’ gestation. Ubiquitin-mediated degradation of proteins occurs through the N-end rule pathway. Accessed December 31, In affected individuals from 12 of 13 families included in the study, the variations likely to be causal mutations were identified in both alleles of UBR1, whereas in 1 family, only the paternally inherited mutation was found.

Parental consanguinity is frequently observed. The genetic defect causing the disease was unknown untilwhen it was shown to result from mutations of the UBR1 gene located on chromosome 15q Some infants and children with JBS may have additional abnormalities including the persistence of the anal membrane, causing full or partial closure of the anus imperforate anus or anal stenosiswhich, in turn, prevents the normal passage jobanson bowel contents.

Recessive genetic disorders occur when an individual inherits the same abnormal gene for the same trait from each parent. This section is empty. Special education, specialized counseling methods and occupational therapy designed for those with mental retardation have proven to be effective, for both the patient and johanwon families.

They further analyzed this region by typing additional microsatellite markers from the draft human genome sequence and refined the candidate region to a 7. Retrieved from ” https: Findings with the inner ear in JBS give explanation to the presence of bilateral sensorineural hearing loss in most patients affected by the disorder. A diagnosis of JBS can be confirmed through molecular genetic testing, which can identify characteristic mutations of the UBR1 gene that cause the disorder.


In cases of malnutrition and decreased protein binding an increased clinical effect of protein-bound medications must be expected; therefore, doses must be reduced.

JBS affects males and females in equal numbers. Elsevier Saunders, Philadelphia, PA; Autosomal recessive disease of exocrine glands, involving many organs resulting in meconium ileus, chronic respiratory infections, pancreatic enzyme insufficiency with digestive malabsorption, and end-stage lung disease.

Morphologic changes suggested dysplasia leading to developmental failure, although early acinar destruction could not be ruled out.

Endocrine cells are cells in the pancreas that secrete several hormones that have specialized functions within the body. Neutropenia is the most common blood abnormality associated with Shwachman syndrome. Shwachman syndrome is believed to be inherited as an autosomal recessive trait. Mainly unknown; clinically, the Johanson-Blizzard syndrome is a cluster of anomalies of preferentially midline structures formed during weeks 6 to 8 of gestation.

Syndromes of the Head and Neck. As a result, there is a deficiency in the amount of digestive enzymes required to break down food exocrine pancreatic insufficiencywhich, in turn, prevents fats and other essential nutrients from being absorbed properly malabsorption in the intestines.

The primary deciduous teeth may be abnormally small microdontiacone-shaped, and widely spaced, with short, malformed, irregular roots. The precise pathophysiological link between altered protein degradation and the clinical anomalies observed in JBS remains to be determined.

Orphanet: Johanson Blizzard syndrome

For information about clinical trials sponsored by private sources, in the main, contact: Molecular testing of UBR1 confirms the diagnosis. Cholestatic liver disease one case [ 15 ]. Check blood glucose at regular intervals during and after intervention. A syndrome of congenital aplasia of the alae nasi, deafness, hypothyroidism, dwarfism, absent permanent teeth, and malabsorption.

Open-Access Policy of This Article.

Many infants with JBS may also have characteristic abnormalities of the hair and scalp. January 22, Revised: Without treatment infants usually fail to gain weight and grow at the expected rate failure to thrive. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. A presumably high risk for diabetes mellitus development during adolescence or adulthood has been reported.


The severity of JBS can vary as well and some infants may develop life-threatening complications during infancy. Remarkably, our patient presented with an additional phenotypic feature, namely significant anemia, and required frequent blood transfusions johajson the age of 2 mo. A complex dysplasia syndrome with aplasia of the nasal alae and inner ear deafness”.

Investigational Therapies Information on current clinical trials is posted on the Internet at www. The primary malformation apparent with JBS is hypoplasia underdevelopment of the nasal alae, or ” wing of the nose “.

Genetic and Metabolic Deafness. Differential diagnosis includes cystic fibrosis, Shwachman-Diamond syndrome, Pearson Marrow-Pancreas syndrome, partial pancreatic agenesis for congenital exocrine pancreatic insufficiencyoculodentodigital dysplasia for hypoplasia of the alae nasi and Adams-Oliver syndrome for aplasia cutis congenita see these terms.

One of the 2 sibs reported in detail surprisingly, the sex was not given died 3 days after birth, colostomy having johason performed at age 36 hours for imperforate anus.

Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted. Epub Jun Mental retardation ranging from mild to severe is present in the majority of JBS patients, and is related to the deleterious jonanson of the known mutagen responsible for the disorder and its effects on the developing central nervous system.

X-linked spinal muscular atrophy 2 E3: Check this box if you wish to receive a copy of your message. Together, these malformations give the nose and nostrils an odd shape and appearance.

By using this site, you agree to the Terms of Use and Privacy Policy. He also had hypothyroidism, 2 cafe-au-lait spots, sensorineural hearing loss, and hepatomegaly with hyperbilirubinemia and elevated liver enzymes.