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Larsen Syndrome, Recessive Type - Causes, Symptoms, Diagnosis, and Treatment

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Larsen syndrome is a rare genetic condition that affects bone and connective tissue development.

Written by

Dr. Durga. A. V

Medically reviewed by

Dr. Kaushal Bhavsar

Published At September 21, 2023
Reviewed AtSeptember 21, 2023

Introduction:

Larsen syndrome is a rare genetic condition that affects bone and connective tissue development. Many joint dislocations, unusual facial traits, and other skeletal anomalies distinguish it. Larsen syndrome is classified into two types: an autosomal dominant form, which is the most prevalent, and a recessive variant, which is less common.

Affected individuals inherit one copy of the defective gene from each parent in the recessive type. Larsen syndrome of this sort is associated with developmental delay and intellectual disability, and the severity of the illness varies greatly between affected people. A physical exam, imaging scans, and genetic testing can be utilized to manage diagnoses, often involving a team of healthcare specialists. It may include surgery, physical therapy, and genetic testing.

What Is Larsen Syndrome, Recessive Type?

Larsen syndrome, in its recessive form, is a rare genetic condition that affects bone and connective tissue development. It is caused by FLNB gene mutations that encode a protein known as filamin B. This protein aids in the structural stability of all cells and tissues in the body, including bone and cartilage.

The mutant FLNB gene causes defective bone and connective tissue development in people with recessive Larsen syndrome. This can cause many joint dislocations, especially in the knees, hips, and elbows, as well as other skeletal anomalies, including scoliosis (spinal curvature), flattened vertebrae, and undeveloped collarbones. The syndrome can also result in distinguishing facial characteristics such as a high forehead, a tiny chin, and widely spaced teeth.

Larsen syndrome, in addition to skeletal abnormalities, can be associated with developmental delay and intellectual disabilities. The severity of the illness, however, can vary greatly across affected individuals, even within the same family. Larsen syndrome is inherited in an autosomal recessive form, which means that affected people inherit one copy of the defective gene from each parent. People who only receive one copy of the defective gene are known as carriers and normally do not exhibit signs of the illness.

What Are the Causes of Larsen Syndrome, Recessive Type?

  • Larsen syndrome, the recessive form, is caused by FLNB gene mutations.

  • This gene codes for a protein called filamin B, which aids in constructing cells and tissues throughout the body, including bone and cartilage.

  • Mutations in the FLNB gene cause aberrant bone and connective tissue development, resulting in the skeletal deformities and joint dislocations seen in Larsen Syndrome.

  • The precise methods by which FLNB mutations induce these alterations are unknown. Still, they are thought to affect the normal function of the filamin B protein and interfere with its role in sustaining bone and other tissue structures of bone and other tissues.

  • Larsen syndrome is inherited in an autosomal recessive form, which means that affected people inherit one copy of the defective gene from each parent.

  • People who only receive one copy of the defective gene are known as carriers and normally do not exhibit signs of the illness.

  • When two carriers have children together, their child has a 25% chance of receiving two copies of a defective gene and developing Larsen syndrome, a recessive type.

What Are the Symptoms of Larsen Syndrome, Recessive Type?

The recessive variant of Larsen syndrome is distinguished by multiple joint dislocations, unusual facial traits, and other skeletal anomalies. The severity of the illness varies significantly across affected people, even within the same family.

Some of the most common are as follows:

  • Many joint dislocations, most notably in the knees, hips, and elbows.

  • Scoliosis or other vertebral abnormalities are caused by an abnormal curvature of the spine.

  • Vertebrae that have been flattened.

  • Collarbones that are underdeveloped.

  • Characteristic facial traits include a high forehead, a tiny chin, and widely separated eyes.

  • Petite stature.

  • Clubfoot (congenital talipes equinovarus) (congenital talipes equinovarus).

  • Cleft palate or other palate anomalies.

  • Some people have developmental delays or intellectual disabilities.

Larsen syndrome, recessive type, symptoms might be present at birth or emerge in early childhood. Even among members of the same family, the severity of the illness can vary greatly, and some affected individuals may have very modest skeletal abnormalities or no symptoms at all.

How to Diagnose Larsen Syndrome, Recessive Type?

  • Larsen Syndrome, recessive type, is normally diagnosed using a combination of clinical evaluation, imaging investigations, and genetic testing.

  • A healthcare provider's physical examination can detect the distinctive skeletal deformities and joint dislocations associated with Larsen syndrome.

  • X-rays and other imaging examinations can help determine the extent and severity of skeletal anomalies.

  • By finding mutations in the FLNB gene, genetic testing can confirm a diagnosis of Larsen syndrome, a recessive type.

  • This testing, which can be done with a blood or saliva sample, can assist in determining whether a person acquired two copies of the defective gene.

  • If Larsen syndrome, recessive form, is suspected, extra testing to screen for developmental delay or intellectual disability, particularly in children, may be indicated.

  • Those with Larsen syndrome, recessive form, should get genetic counseling to understand the risks of passing the disorder on to their offspring and to learn about available family planning choices.

What Is the Treatment Plan for Larsen Syndrome, Recessive Type?

  • The treatment plan for Larsen syndrome, recessive type, primarily focuses on managing symptoms and effects.

  • Orthopedic treatments are frequently required to treat joint dislocations and skeletal anomalies.

  • Braces or splints to support afflicted joints, Physical therapy to improve muscle strength and mobility, and surgical procedures to repair or reconstruct joints are all possibilities in some circumstances.

  • Educational and therapeutic therapies may be beneficial in cases of major developmental delay or intellectual disability to support the affected individual's learning and development.

  • Larsen syndrome, a recessive form, has no cure because it is caused by genetic mutations. Yet, continued management of symptoms and problems can help affected persons improve their quality of life.

  • People with recessive Larsen syndrome should be monitored frequently by a healthcare provider for any changes or complications connected to the condition.

  • Genetic counseling is also necessary to understand the dangers of passing the disorder to future children and explore family planning alternatives.

Conclusion:

Larsen syndrome, recessive type, is a rare genetic disorder marked by multiple joint dislocations, unusual facial traits, and other skeletal anomalies. It is caused by FLNB gene abnormalities, which result in improper bone and connective tissue development. Larsen syndrome, recessive type, is normally diagnosed using a combination of clinical evaluation, imaging investigations, and genetic testing.

Therapy focuses on managing the condition's symptoms and sequelae, such as joint dislocations and skeletal anomalies. While there is no treatment for Larsen syndrome, continuing management and support can assist afflicted people in improving their quality of life. Genetic counseling is also necessary to understand the dangers of passing the disorder on to future children and explore family planning alternatives.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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