Crouzon Syndrome

Alternative Names

  • Craniofacial Dysostosis, Type I
  • CFD1
  • Crouzon Craniofacial Dysostosis
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Congenital malformations and deformations of the musculoskeletal system

OMIM Number

123500

Mode of Inheritance

Autosomal dominant

Gene Map Locus

10q26.13

Description

Crouzon syndrome is a rare genetic disorder estimated to occur in 1.6 per 100,000 people, characterized by craniosynostosis (premature fusion of certain skull bones). This early fusion prevents the skull from growing normally and affects the shape of the head and face. Babies with Crouzon syndrome are born with unusual features. As they grow, the shape of the head may distort further causing various problems, such as: partial hearing loss, dry eyes, strabismus and underdevelopment of the upper jaw with facial deformities and malocclusion. These facial deformities greatly affect the social and emotional development of the affected child.

Crouzon syndrome cannot be cured; long-term supportive treatments such as speech therapy, psychological and educational help, and genetic counseling for the family are important to help the child. Surgery early in life to unlock and move the bones of the skull may be vital to prevent or treat increased pressure on the growing brain. It may also be used to reconstruct the appearance of the face and relieve protrusion of the eyes.

Crouzon syndrome is an autosomal dominant disorder, caused by a mutation in fibroblast growth factor receptor 2 (FGFR2) gene located on chromosome 10q26.13. FGFR2 is involved in the formation of bones, skin, and connective tissues. Mutations in the FGFR2 gene cause upregulation of the signalling pathway involved in bone maturation during embryonic development, which causes the bones of the skull to fuse prematurely.

Few mutations have been identified in the FGFR2 gene linked to Crouzon syndrome; the p.ser347cys mutation of the third cysteine in the immunoglobulin domain which cause perturbation of the normal secondary loop structure that is created by the normal disulphide bond, the T/C transition mutation at nucleotide 1036 predicted to result in a p.C342R, and G/A transition mutation at nucleotide 1044.

Epidemiology in the Arab World

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Other Reports

Egypt

Abdallah and Nelson (1998) reported a severe form of Crouzon syndrome with a fatal outcome in a female newborn. No further details could be obtained.

Kuwait

Madi et al. (2005) investigated 7,739 live and still-born babies during the period from January 2000 to December 2001 in Al-Jahara hospital in Kuwait. Of these, 97 babies suffered from major congenital abnormalities, suggesting an incidence of about 12.5 per 1000 birth. One of the babies was affected with Crouzon syndrome [CTGA Database Editor's note: Computed incidence rate is 12.9/100,000].

Saudi Arabia

Aziza et al. (2011) conducted a hospital-based descriptive study during 2002 to 2009 in the Cleft Lip/Palate and Craniofacial Anomalies Registry at King Faisal Specialist Hospital and Research Center (Riyadh). Of the 447 craniofacial patients (male, 242; female, 205), 109 (24%) had only cranial anomalies, 261 (58%) had only facial anomalies and 77 (17%) had both of these conditions. Craniosynostosis was seen in 33% of the total patients (81 males and 68 females). Of the 65 craniosynostosis syndromic patients, 18 (28%) had Crouzon syndrome.

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