Entry - 602562 - MANDIBULOFACIAL DYSOSTOSIS WITH MACROBLEPHARON AND MACROSTOMIA - OMIM
602562

MANDIBULOFACIAL DYSOSTOSIS WITH MACROBLEPHARON AND MACROSTOMIA


Alternative titles; symbols

VERLOES-LESENFANTS SYNDROME
MACROBLEPHARON, ECTROPION, HYPERTELORISM, AND MACROSTOMIA; MEHM


Clinical Synopsis
 

INHERITANCE
- Isolated cases
HEAD & NECK
Head
- Brachycephalic
Face
- Round face
- Flat face
- Micrognathia
- Retrognathism
- Long philtrum
- Smooth philtrum
Ears
- Otitis media, recurrent
- Small ears
- Posteriorly rotated ears
Eyes
- Hypertelorism
- Long palpebral fissures
- Ectropion of the lower lid
- Conjunctivitis, recurrent
- Downslanting palpebral fissures
- Macroblepharon
- Synophrys, mild
- Hypertrichosis of the eyebrows
- Increased density of the upper eyelid eyelashes
- Lagophthalmos
- Corneal drying
- Keratitis
- Corneal clouding
Nose
- Broad nasal bridge
- Raised nasal bridge
- Wide nasal tip
- Anteverted nares
Mouth
- Thin, hypoplastic vermilion border
- Macrostomia
Teeth
- Irregularly placed teeth
- Oligodontia
CARDIOVASCULAR
Vascular
- Capillary hemangioma on face
SKELETAL
Skull
- Large fontanels
- Broad metopic suture
SKIN, NAILS, & HAIR
Hair
- Synophrys, mild
- Hypertrichosis of the eyebrows
- Increased density of the upper eyelid eyelashes
MISCELLANEOUS
- Two patients reported (last curated May 2013)

TEXT

Clinical Features

Verloes and Lesenfants (1997) described a 7-year-old girl with severe hypertelorism, huge palpebral fissures, ectropion of the lower lid, broad raised nasal base, a wide nasal tip, long smooth philtrum, macrostomia, irregularly placed teeth, and micrognathia. Her intellectual development was normal; no internal abnormalities were reported. Her parents were young, healthy, and nonconsanguineous. Verloes and Lesenfants (1997) proposed that this child had a hitherto unreported form of mandibulofacial dysostosis.

Corona-Rivera et al. (2013) described a girl, born to nonconsanguineous parents, with macroblepharon, ectropion, macrostomia, large fontanels, broad metopic suture, capillary hemangioma, mild synophrys, hypertrichosis of the eyebrows with lateral thickening, increased density of the upper eyelid eyelashes more marked laterally, downslanting palpebral fissures, a broad nasal bridge, hypertelorism, posteriorly rotated ears, long and smooth philtrum, and a thin vermilion border to the upper lip. She initially showed mild motor delay, but mental development was normal at the age of 4 years. Lagophthalmos resulting from macroblepharon and ectropion produced corneal drying, chronic conjunctivitis, keratitis, and corneal clouding, which was apparent from the age of 2 months. Three-dimensional computed tomography scan of the craniofacial region showed large fontanels, broad metopic suture, and osseous hypertelorism. Corona-Rivera et al. (2013) suggested that the phenotype in this patient was the same as that in the patient of Verloes and Lesenfants (1997).


REFERENCES

  1. Corona-Rivera, J. R., Bobadilla-Morales, L., Corona-Rivera, A., Aguirre-Guillen, R. L., Lopez-Marure, E., Mellin-Sanchez, E. L. Confirmation of the macroblepharon, ectropion, hypertelorism, and macrostomia syndrome. Clin. Dysmorph. 22: 81-83, 2013. [PubMed: 23448909, related citations] [Full Text]

  2. Verloes, A., Lesenfants, S. A new form of mandibulofacial dysostosis with macroblepharon and macrostomia. Clin. Dysmorph. 6: 21-24, 1997. [PubMed: 9018413, related citations]


Contributors:
Nara Sobreira - updated : 5/14/2013
Creation Date:
Iosif W. Lurie : 4/24/1998
joanna : 05/14/2013
carol : 5/14/2013
dholmes : 5/7/1998
dholmes : 5/6/1998

602562

MANDIBULOFACIAL DYSOSTOSIS WITH MACROBLEPHARON AND MACROSTOMIA


Alternative titles; symbols

VERLOES-LESENFANTS SYNDROME
MACROBLEPHARON, ECTROPION, HYPERTELORISM, AND MACROSTOMIA; MEHM


ORPHA: 357158;  



TEXT

Clinical Features

Verloes and Lesenfants (1997) described a 7-year-old girl with severe hypertelorism, huge palpebral fissures, ectropion of the lower lid, broad raised nasal base, a wide nasal tip, long smooth philtrum, macrostomia, irregularly placed teeth, and micrognathia. Her intellectual development was normal; no internal abnormalities were reported. Her parents were young, healthy, and nonconsanguineous. Verloes and Lesenfants (1997) proposed that this child had a hitherto unreported form of mandibulofacial dysostosis.

Corona-Rivera et al. (2013) described a girl, born to nonconsanguineous parents, with macroblepharon, ectropion, macrostomia, large fontanels, broad metopic suture, capillary hemangioma, mild synophrys, hypertrichosis of the eyebrows with lateral thickening, increased density of the upper eyelid eyelashes more marked laterally, downslanting palpebral fissures, a broad nasal bridge, hypertelorism, posteriorly rotated ears, long and smooth philtrum, and a thin vermilion border to the upper lip. She initially showed mild motor delay, but mental development was normal at the age of 4 years. Lagophthalmos resulting from macroblepharon and ectropion produced corneal drying, chronic conjunctivitis, keratitis, and corneal clouding, which was apparent from the age of 2 months. Three-dimensional computed tomography scan of the craniofacial region showed large fontanels, broad metopic suture, and osseous hypertelorism. Corona-Rivera et al. (2013) suggested that the phenotype in this patient was the same as that in the patient of Verloes and Lesenfants (1997).


REFERENCES

  1. Corona-Rivera, J. R., Bobadilla-Morales, L., Corona-Rivera, A., Aguirre-Guillen, R. L., Lopez-Marure, E., Mellin-Sanchez, E. L. Confirmation of the macroblepharon, ectropion, hypertelorism, and macrostomia syndrome. Clin. Dysmorph. 22: 81-83, 2013. [PubMed: 23448909] [Full Text: https://doi.org/10.1097/MCD.0b013e3283602830]

  2. Verloes, A., Lesenfants, S. A new form of mandibulofacial dysostosis with macroblepharon and macrostomia. Clin. Dysmorph. 6: 21-24, 1997. [PubMed: 9018413]


Contributors:
Nara Sobreira - updated : 5/14/2013

Creation Date:
Iosif W. Lurie : 4/24/1998

Edit History:
joanna : 05/14/2013
carol : 5/14/2013
dholmes : 5/7/1998
dholmes : 5/6/1998