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kabuki_syndrome [2025/07/17 00:24] – created Scott Larsonkabuki_syndrome [2025/07/17 00:47] (current) Scott Larson
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 ====== Kabuki Syndrome ====== ====== Kabuki Syndrome ======
 +====Main Features====
 +  * Distinctive facial features
 +    * long palpebral fissures with eversion of the lateral 1/3 of lower eyelid
 +    * arched and broad eyebrows often with sparsness laterally 
 +    * short columella with depressed nasal tip 
 +    * large prominent cupped ears
  
 +<WRAP round box>
 +{{::faces-of-mll2-mutation-positive-patients-with-kabuki-syndrome-facial-appearance-of-12.png |}}
 + From reference [4] 
 +</WRAP>
 +  * developmental delay and intellectual disability
 +  * Post natal growth deficiency
 +  * Skeletal anomalies 
 +  * Persistent fetal fingertip pads
 +
 +====Eye Findings====
 +  * Everted lower eyelids
 +  * Found in about 1/3
 +    * Strabismus
 +    * Ptosis
 +    * Blue sclerae
 +    * Coloboma
 +    * Marcus Gunn jaw wink
 +    * Peters anomaly
 +  * More Rare
 +    * Optic nerve hypoplasia
 +    * colobomatous microphthalmia
 +    * anophthalmia
 +====Other Findings====
 +  * Congenital heart defects
 +  * GU anomalies
 +  * Cleft palate
 +  * Increased susceptibility to infections and autoimmune disorders
 +  * Immune thrombocytopenia 
 +====Etiology====
 +  * 75% from KMT2D gene mutations (autosomal dominant)
 +  * 8% from KDM6A gene mutations (X-linked dominant) 
 +  * rest unknown
 +====Resources====
 +  - [[https://pubmed.ncbi.nlm.nih.gov/30514738| Adam MP et al. Kabuki Syndrome: International Consensus Diagnostic Criteria. Journal of Medical Genetics. 2019;56(2):89-95.]]
 +  - [[https://www.ncbi.nlm.nih.gov/books/n/gene/kabuki/ |Adam MP et al. Kubuki Syndrome. GeneReviews]]
 +  - [[https://1drv.ms/b/c/31d83ae8e55e0542/EScVEzibkH9DmuwC53L8axkBSwScQtNUpf0BfXLLhLh_5A?e=BRWE4e | Panneerselvam S. et al. Oculoplastic Operative Considerations for Kabuki Syndrome: A Case Report and Review of the Literature. Ophthalmic Plast Reconstr Surg. 2025;41(3):e104-e106.]]
 +  - [[https://link.springer.com/article/10.1007/s00439-011-1004-y| Li, Yun et al (2011). A mutation screen in patients with Kabuki syndrome. Human Genetics. 2011;130:715-24.]]
 +{{tag>syndrome}}