Beckwith Wiedemann syndrome



A photograph
of Joseph Merrick (1862–1890), sometimes called the "Elephant Man". This photograph was taken in 1889 and published in the British Medical Journal with the announcement of Merrick"s death.
Beckwith-Wiedemann syndrome (BWS) is a congenital overgrowth disorder characterized by a unique set of features that can consist of:
- macroglossia: most common clinical finding
- otic dysplasia
- omphalocoele
- localized gigantism / macrosomia
- hemihypertrophy
- cardiac anomalies
- pancreatic islet cell hyperplasia
- organomegaly
- nephromegaly
- hepatosplenomegaly
Epidemiology
The incidence is reported at ~1:13,000-37,000 live births.
Pathology
The majority of cases are sporadic while a small proportion (~15%) is autosomal dominant with abnormality related to chromosome 11p15.5. The syndrome carries a well recognized increased risk for the development of neoplasia . Another 10-20 of cases show paternal disomy 11.
Associations
- Wilms tumor(s)
- polyhydramnios
- non-malignant renal diseases
- medullary renal cysts
- calyceal diverticula
- nephrolithiasis
- premalignant renal diseases
- perilobar nephroblastomatosis
- adrenocortical carcinoma
- gonadoblastoma
- rhabdomyosarcoma
- neuroblastoma
- pancreatoblastoma
- hepatoblastoma
- placental pathology
- postnatal hypoglycemia
- genitourinary anomalies
History and etymology
First described independently by JB Beckwith in 1963 and H-R Wiedemann in 1964 .
Siehe auch:
- Nierensteine
- macroglossia
- Ollier-Syndrom
- Exostose
- Neuroblastom
- Rhabdomyosarkom
- neurofibromatosis
- placentomegaly
- Klippel-Trénaunay-Weber-Syndrom
- Kryptorchismus
- Maffucci-Syndrom
- Omphalozele
- Polyhydramnion
- Wilms-Tumor
- Hypospadie
- Hepatoblastom
- Wirbelsäule
- Nebennierenrindenkarzinom
- encephalocraniocutaneous lipomatosis
- cardiac anomalies
- Übergangswirbel
- Pankreatoblastom
- molar degeneration of placenta
- macrosomia
- localised gigantism
- Brustwirbel
und weiter:
- Milzhämangiom
- macrodystrophia lipomatosa
- placental thickness
- angeborene renale Anomalien
- megalencephaly
- fetal hepatosplenomegaly
- fetal macrosomia
- fetal hepatomegaly
- Nephroblastomatose
- hydropic degeneration of the placenta
- ARPKD
- enlarged echogenic fetal kidneys
- Hemihypertrophie
- beschleunigte Skelettreifung
- Perlman-Syndrom
- Hemihyperplasie
- limb hypertrophy
- normal AP thoracic spine radiograph
