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Suphatsathienkul P, Sakpichaisakul K, Wechapinan T, Trachoo O, Virawan S, Wanitphakdeedecha R. Successful Treatment of Schwartz-Jampel Syndrome with Botulinum Toxin Type A. Dermatol Ther (Heidelb) 2024; 14:545-556. [PMID: 38285320 PMCID: PMC10890988 DOI: 10.1007/s13555-023-01088-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 12/13/2023] [Indexed: 01/30/2024] Open
Abstract
Schwartz-Jampel syndrome (SJS) is a rare autosomal recessive disorder characterized by typical facial dysmorphism, generalized muscle stiffness, joint contracture, and skeletal abnormalities. This condition is caused by mutations in the heparan sulfate proteoglycan 2 (HSPG2) gene, which encodes perlecan, a component of the basement membrane. The management of patients with SJS primarily aims to alleviate symptoms related to muscle stiffness. In this report, we describe a male patient with SJS type 1A. Trio whole-exome sequencing identified a pathogenic mutation (NM_001291860.1: c.10897C>T; p.Arg3633Ter) and variants of unknown significance (NM_001291860.2: c.413+10G>T). The patient experienced difficulty in opening his eyes and mouth, which significantly limited his daily activities. Botulinum toxin A injection was administered and demonstrated significant clinical improvement after the treatment.
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Affiliation(s)
- Panittra Suphatsathienkul
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Kullasate Sakpichaisakul
- Division of Neurology, Department of Pediatrics, Ministry of Public Health, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
- College of Medicine, Rangsit University, Bangkok, Thailand
| | - Thanin Wechapinan
- Division of Neurology, Department of Pediatrics, Ministry of Public Health, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
- Ministry of Public Health, Neurological Institute of Thailand, Bangkok, Thailand
| | - Objoon Trachoo
- Centre for Medical Genomics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
- Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Sorawit Virawan
- Division of Neurology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Ding J, Xu Y, Yuan B, Li D. Management of blepharospasm and blepharophimosis associated with Schwartz-Jampel syndrome. J AAPOS 2021; 25:54-56. [PMID: 33601038 DOI: 10.1016/j.jaapos.2020.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/21/2020] [Accepted: 10/11/2020] [Indexed: 11/26/2022]
Abstract
We report the case of a 5-year-old boy with progressive bilateral blepharospasm and blepharophimosis secondary to Schwartz-Jampel syndrome type 1A. Molecular findings confirmed two novel heterozygous mutations in the HSPG2 gene. After the patient did not respond to a single injection of botulinum toxin, he underwent levator resection combined with orbicularis myectomy of bilateral upper and lower eyelids, with satisfactory aesthetic and functional outcomes.
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Affiliation(s)
- Jingwen Ding
- Department of Ophthalmology, Beijing Tongren Hospital, and Beijing Ophthalmology & Visual Science Key Lab, Capital Medical University, Beijing, China
| | - Yan Xu
- Department of Ophthalmology, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Bowei Yuan
- Department of Ophthalmology, Beijing Tongren Hospital, and Beijing Ophthalmology & Visual Science Key Lab, Capital Medical University, Beijing, China
| | - Dongmei Li
- Department of Ophthalmology, Beijing Tongren Hospital, and Beijing Ophthalmology & Visual Science Key Lab, Capital Medical University, Beijing, China.
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Paula de Moraes Jorge A, Monteiro ER, Hoogenboom BJ, Oliveira A, Palassi Quintela MV. Computer photogrammetry as a postural assessment in Schwartz-Jampel syndrome: A case report. J Bodyw Mov Ther 2020; 26:72-76. [PMID: 33992300 DOI: 10.1016/j.jbmt.2020.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 11/10/2020] [Accepted: 12/12/2020] [Indexed: 12/26/2022]
Abstract
The Schwartz-Jampel Syndrome (SJS) is a rare genetic disorder characterized by myotonia and bone dysplasia, which may change the posture. The subject of this case report was a seven-year-old boy diagnosed with SJS and presenting generalized muscle and joints contractures. The purpose of the present case report was to identify postural asymmetries in a patient with SJS through photogrammetry. Postural analysis was conducted using photogrammetry with the Postural Assessment Software (SAPO®). Photogrammetry is a postural assessment system performed through photographic images. These images are acquired by camera and transported to the computer. SAPO® software performs the assessment of this photograph throughout 3D analysis and compares with a predefined protocol. The results of the present case report document several recurrent postural imbalances seen in SJS including myotonia, facial dysmorphism, and skeletal deformities. Thus, even with little evidence in the literature, physical therapy treatment is indicated to increase the functionality of the individual.
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Affiliation(s)
| | - Estêvão Rios Monteiro
- Undergraduate Program in Physiotherapy, Augusto Motta University Center, Rio de Janeiro, Brazil; Postgraduate Program in Physical Education, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil; Undergraduate Program in Physical Education, Augusto Motta University Center, Rio de Janeiro, Brazil.
| | | | - Alexsandro Oliveira
- Undergraduate Program in Physiotherapy, Augusto Motta University Center, Rio de Janeiro, Brazil.
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Treatment of Blepharospasm in Schwartz-Jampel Syndrome: Botulinum Toxin A Injection or Surgery. Ophthalmic Plast Reconstr Surg 2017; 33:S47-S49. [DOI: 10.1097/iop.0000000000000503] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bandeira ID, Jagersbacher JG, Barretto TL, Santos CV, Lucena R. Botulinum toxin type A in the treatment of facial myotonia in Schwartz-Jampel syndrome. Muscle Nerve 2017; 56:E10-E11. [DOI: 10.1002/mus.25610] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Revised: 02/05/2017] [Accepted: 02/07/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Igor Dórea Bandeira
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - João Gabriel Jagersbacher
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - Thiago Lima Barretto
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - Camilo Vieira Santos
- Professor Edgard Santos University Hospital, Federal University of Bahia; Bahia Brazil
| | - Rita Lucena
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
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Ozge G, Uysal Y, Melih Ceylan O, Erdurman FC. Surgical management of 2 cases with Schwartz-Jampel syndrome. Can J Ophthalmol 2015; 50:e110-2. [PMID: 26651316 DOI: 10.1016/j.jcjo.2015.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2014] [Revised: 07/29/2015] [Accepted: 08/24/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Gokhan Ozge
- Gulhane Military Medical Academy and Faculty of Medicine, Ankara.
| | - Yusuf Uysal
- Gulhane Military Medical Academy and Faculty of Medicine, Ankara
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