Pseudoleprechaunism syndrome, Patterson type
General Information (adopted from Orphanet):
Synonyms, Signs:
Number of Symptoms
60
OrphanetNr:
2976
OMIM Id:
169170
ICD-10:
E34.8
UMLs:
C1868546
MeSH:
C536310
MedDRA:
Snomed:
Prevalence, inheritance and age of onset:
Prevalence:
No data available.
Inheritance:
Autosomal dominant inheritance
Sporadic
[Omim]
Age of onset:
Disease classification (adopted from Orphanet):
Parent Diseases:
Rare disease with Cushing syndrome as a major feature
-Rare endocrine disease
Rare genetic adrenal disease
-Rare genetic disease
Symptom Information
Symptom
Abundance
Frequency
Pubmed
Source
DB Freq
1
(HPO:0004437)
Cranial hyperostosis
Frequent [Orphanet]
55 / 7739
2
(HPO:0002684)
Thickened calvaria
32 / 7739
3
(HPO:0000448)
Prominent nose
56 / 7739
4
(HPO:0000400)
Macrotia
108 / 7739
5
(HPO:0001250)
Seizures
Frequent [Orphanet]
1245 / 7739
6
(HPO:0010864)
Intellectual disability, severe
120 / 7739
7
(HPO:0006887)
Intellectual disability, progressive
68 / 7739
8
(HPO:0000864)
Abnormality of the hypothalamus-pituitary axis
Very frequent [Orphanet]
23 / 7739
9
(HPO:0001578)
Hypercortisolism
17 / 7739
10
(HPO:0012412)
Premature adrenarche
1 / 7739
11
(HPO:0008221)
Adrenal hyperplasia
Frequent [Orphanet]
24 / 7739
12
(HPO:0005978)
Type II diabetes mellitus
Frequent [Orphanet]
68 / 7739
13
(HPO:0000826)
Precocious puberty
Frequent [Orphanet]
42 / 7739
14
(HPO:0000819)
Diabetes mellitus
131 / 7739
15
(HPO:0001833)
Long foot
33 / 7739
16
(HPO:0011867)
Abnormality of the wing of the ilium
Frequent [Orphanet]
123 / 7739
17
(HPO:0007517)
Palmoplantar cutis laxa
9 / 7739
18
(HPO:0005833)
Joint swelling onset late infancy
2 / 7739
19
(HPO:0003180)
Flat acetabular roof
25 / 7739
20
(HPO:0008476)
Irregular sclerotic endplates
3 / 7739
21
(HPO:0003103)
Abnormal cortical bone morphology
Very frequent [Orphanet]
38 / 7739
22
(HPO:0003309)
Ovoid thoracolumbar vertebrae
6 / 7739
23
(HPO:0006660)
Aplastic clavicles
Frequent [Orphanet]
70 / 7739
24
(HPO:0002750)
Delayed skeletal maturation
Very frequent [Orphanet]
250 / 7739
25
(HPO:0004558)
Cervical platyspondyly
3 / 7739
26
(HPO:0002751)
Kyphoscoliosis
131 / 7739
27
(HPO:0002857)
Genu valgum
144 / 7739
28
(HPO:0008833)
Irregular acetabular roof
3 / 7739
29
(HPO:0003311)
Hypoplasia of the odontoid process
34 / 7739
30
(HPO:0002808)
Kyphosis
Very frequent [Orphanet]
289 / 7739
31
(HPO:0004684)
Talipes valgus
28 / 7739
32
(HPO:0000944)
Abnormality of the metaphyses
Very frequent [Orphanet]
141 / 7739
33
(HPO:0001176)
Large hands
43 / 7739
34
(HPO:0003799)
Marked delay in bone age
5 / 7739
35
(HPO:0000772)
Abnormality of the ribs
Frequent [Orphanet]
146 / 7739
36
(HPO:0003026)
Short long bone
51 / 7739
37
(HPO:0001507)
Growth abnormality
36 / 7739
38
(HPO:0007574)
Generalized bronze hyperpigmentation
1 / 7739
39
(HPO:0000953)
Hyperpigmentation of the skin
Very frequent [Orphanet]
75 / 7739
40
(HPO:0011362)
Abnormal hair quantity
Very frequent [Orphanet]
92 / 7739
41
(HPO:0001007)
Hirsutism
91 / 7739
42
(HPO:0000974)
Hyperextensible skin
Frequent [Orphanet]
59 / 7739
43
(OMIM)
Birth weight normal
14 / 7739
44
(OMIM)
Normal hearing
9 / 7739
45
(OMIM)
Irregular metaphyseal ossification
1 / 7739
46
(HPO:0004629)
Small cervical vertebral bodies
2 / 7739
47
(OMIM)
Ankle valgus deformity
2 / 7739
48
(HPO:0400004)
Long ear
Very frequent [Orphanet]
94 / 7739
49
(OMIM)
Short, deformed tubular bones
1 / 7739
50
(OMIM)
Thick maxilla
1 / 7739
51
(HPO:0012758)
Neurodevelopmental delay
Very frequent [Orphanet]
949 / 7739
52
(OMIM)
Thick ethmoid bones
1 / 7739
53
(OMIM)
Disproportionately large ears
1 / 7739
54
(OMIM)
Failure of ossification of pubic bones, ischii, triradiate cartilages
1 / 7739
55
(OMIM)
Thick mandibular condyles
1 / 7739
56
(OMIM)
Sclerotic metaphyseal changes
1 / 7739
57
(OMIM)
Cutis laxa, hands and feet (present at birth)
1 / 7739
58
(HPO:0003745)
Sporadic
131 / 7739
59
(OMIM)
Small, flat cervical vertebrae
1 / 7739
60
(OMIM)
Flat, irregular acetabular roofs
1 / 7739
ClinVar (via SNiPA)
Gene symbol
Variation
Clinical significance
Reference
Additional Information:
Clinical Description
OMIM
Patterson and Watkins (1962) described a 10-month-old boy who they thought had leprechaunism (Donohue syndrome; 246200). Discordant features, however, were normal birth weight (rather than the usual severe intrauterine growth retardation) and marked cutis gyrata of hands and ... Patterson and Watkins (1962) described a 10-month-old boy who they thought had leprechaunism (Donohue syndrome; 246200). Discordant features, however, were normal birth weight (rather than the usual severe intrauterine growth retardation) and marked cutis gyrata of hands and feet as well as a generalized skeletal disorder. Follow-up of this patient at age 7 years by Patterson (1969) made it clear that the disorder is distinct from leprechaunism. The boy had dwarfism, mental retardation, hyperadrenocorticism, and diabetes mellitus. He developed bladder diverticula and died at age 7.5 years from gram-negative sepsis. A main finding at autopsy was marked enlargement of the adrenals, especially of the zona fasciculata (McKusick, 1972). The distinctness of this disorder is further supported by discovery of an identical case in a female whose parents were young and unrelated (David et al., 1981). Findings at age 12 years were premature adrenarche with raised dehydroepiandrosterone and androstenedione levels. There was no clue to the genetics or other etiology of the disorder.