The most serious complications involve the heart and aorta, with an increased risk of mitral valve prolapse and Those with the condition tend to be tall and thin, with long arms, legs, fingers, and toes. 2012 Nov;14(11):1199-207. doi: 10.1093/eurjhf/hfs119. In this study, we have sequenced the genomes of T. dohrnii and T. rubra, a closely related species without reported evidence of postreproductive rejuvenation (), and used comparative genomic analyses to identify differential gene variants and amplifications between both species, as well as between them and the cnidarians Hydra vulgaris, Clytia hemisphaerica, and Aurelia aurita. Three variants are known to exist, FAP and attenuated FAP (originally called SYNE1 (Spectrin Repeat Containing Nuclear Envelope Protein 1) is a Protein Coding gene. Background: BMP-4. Dilated Cardiomyopathy (DCM) is a disease of the heart muscle characterized by enlargement and dilation of one or both of the ventricles along with impaired contractility defined as left ventricular ejection fraction (LVEF) less than 40%. Each chapter in GeneReviews is written by one or more experts on the specific Complications can include heart failure, heart valve disease, or an irregular heartbeat.. Nuevocors lead program is an adeno-associated virus (AAV)based gene therapy for patients suffering from dilated cardiomyopathy (DCM) due to mutations in the lamin A/C (LMNA) gene.We plan to address additional currently untreatable autosomal dominant cardiomyopathies using our novel target discovery platform. The extracolonic tumors may include osteomas It may also result in chest pain or fainting. Distal hereditary motor neuropathy (dHMN) and distal spinal muscular atrophy (DSMA) = CMT. TTN, LMNA, MYH7, TNNT2, BAG3, RBM20, With respect to specific genes that should be tested in patients with cardiomyopathy, the 2019 gene curation report from ClinGen on hypertrophic cardiomyopathy 10 evaluated 57 candidate genes and judged 8 genes to have definitive evidence and an additional 3 genes as having moderate evidence . It plays an important role in mesenchyme formation, epidermal determination, suppression of neural induction, the development of multiple organs, and tissue repair (1-5). LMNA-related dilated cardiomyopathy (DCM) is characterized by left ventricular enlargement and/or reduced systolic function preceded (sometimes by many years) by or accompanied by conduction system disease and/or arrhythmias. Arrhythmogenic cardiomyopathy (ACM), arrhythmogenic right ventricular dysplasia the main causatives for the development of this disease. Dilated cardiomyopathy : MedGen: FLNC (MIM 102565) ClinVar: Dilated cardiomyopathy (truncating variants only) MedGen: TTN (MIM 188840) ClinVar: Dilated cardiomyopathy 1A : MedGen: LMNA (MIM 150330) ClinVar: Dilated cardiomyopathy 1A : MedGen: MYBPC3 (MIM 600958) ClinVar: Ehlers-Danlos syndrome, type 4 : MedGen From the Editor. Stepping Down When I became editor-in-chief of The American Journal of Cardiology in June 1982, I certainly did not expect to still be in that position in June 2022, forty years later.More. Context: Mutations in the lamin A/C (LMNA) gene have been reported in a wide variety of disorders, including lipodystrophies, cardiomyopathy, muscular dystrophies, neuropathy, mandibuloacral dysplasia, restrictive dermopathy, and progeria. They also typically have exceptionally flexible joints and abnormally curved spines. LMNA-gene-mutated patients devoid of any clinically detectable skeletal muscle involvement have the same pattern of leg muscle involvement as patients with overt skeletal muscle compromise. Atrial fibrillation (AF) is the most common cardiac arrhythmia and is increasing in prevalence as populations age. The circulatory system is further divided into two major circuits a pulmonary circulation, and a systemic circulation. Nonischemic dilated cardiomyopathy (heart condition) Clinical Information. Complications can include heart failure, heart valve disease, or an irregular heartbeat.. The cardiovascular system in all vertebrates, consists of the heart and blood vessels. Distal hereditary motor neuropathy (dHMN) and distal spinal muscular atrophy (DSMA) = CMT. This results in the heart being less able to pump blood effectively and also may cause electrical conduction problems. Chromosome 1 is the designation for the largest human chromosome.Humans have two copies of chromosome 1, as they do with all of the autosomes, which are the non-sex chromosomes.Chromosome 1 spans about 249 million nucleotide base pairs, which are the basic units of information for DNA. Dilated Cardiomyopathy (DCM) is a disease of the heart muscle characterized by enlargement and dilation of one or both of the ventricles along with impaired contractility defined as left ventricular ejection fraction (LVEF) less than 40%. A form of cardiac muscle disease that is characterized by ventricular dilation, ventricular dysfunction, and heart failure. Diseases associated with SYNE1 include Spinocerebellar Ataxia, Autosomal Recessive 8 and Arthrogryposis Multiplex Congenita 3, Myogenic Type.Among its related pathways are Cell Cycle, Mitotic and Meiosis.Gene Ontology (GO) annotations related to this Larsen syndrome (LS) is a congenital disorder discovered in 1950 by Larsen and associates when they observed dislocation of the large joints and face anomalies in six of their patients. 2012 Nov;14(11):1199-207. doi: 10.1093/eurjhf/hfs119. Atrial fibrillation (AF) is the most common cardiac arrhythmia and is increasing in prevalence as populations age. Nonischemic dilated cardiomyopathy (heart condition) Clinical Information. FG syndrome was named after the first letters of the surnames of the first patients noted with the disease. Dilated Cardiomyopathy (DCM) is a disease of the heart muscle characterized by enlargement and dilation of one or both of the ventricles along with impaired contractility defined as left ventricular ejection fraction (LVEF) less than 40%. Recently it has been shown, that mutations in the desmin DES gene could cause ACM. BMP-4 is a TGF-beta superfamily ligand that is widely expressed from early embryogenesis through adulthood. Analysis of LMNA expression in cardiomyocytes. Nonischemic dilated cardiomyopathy (heart condition) Clinical Information. Nuevocors lead program aims to treat DCM caused by mutations in the lamin A/C (LMNA) gene. In their study of distal hereditary motor neuropathies (the clinically and genetically heterogeneous group of disorders characterized by lower motor neuron dysfunction), Bansagi et al [2017] reported that pathogenic variants in the same genes can The circulatory system includes the heart, blood vessels, and blood. Neonatal rat ventricular myocytes (NRVMs) were isolated and enriched (> 90% purity) over non-myocytes as previously reported 11,12,13,14 and subjected to infection with an adenoviral construct carrying either the wild type or the mutant D192G LMNA A cDNA as well as the Enhanced Green Fluorescent SDHA (Succinate Dehydrogenase Complex Flavoprotein Subunit A) is a Protein Coding gene. They also typically have exceptionally flexible joints and abnormally curved spines. Patients with Larsen syndrome normally present with a variety of symptoms, including congenital anterior dislocation of the knees, dislocation of the hips and elbows, flattened facial appearance, TTN, LMNA, MYH7, TNNT2, BAG3, RBM20, With respect to specific genes that should be tested in patients with cardiomyopathy, the 2019 gene curation report from ClinGen on hypertrophic cardiomyopathy 10 evaluated 57 candidate genes and judged 8 genes to have definitive evidence and an additional 3 genes as having moderate evidence . A form of cardiac muscle disease that is characterized by ventricular dilation, ventricular dysfunction, and heart failure. First reported by American geneticists John M. Opitz and Elisabeth G. Kaveggia in 1974, its major It plays an important role in mesenchyme formation, epidermal determination, suppression of neural induction, the development of multiple organs, and tissue repair (1-5). At least 15 mutations in the LMNA gene have been reported to cause LMNA-related congenital muscular dystrophy (L-CMD), a rare condition characterized by skeletal muscle weakness and atrophy beginning very early in life.Most of the mutations associated with this disorder change single amino acids in lamin A and lamin C, First reported by American geneticists John M. Opitz and Elisabeth G. Kaveggia in 1974, its major The clinical manifestations of LAMA2 muscular dystrophy (LAMA2-MD) comprise a continuous spectrum ranging from severe congenital muscular dystrophy type 1A (MDC1A) to milder late-onset LAMA2-MD. FG syndrome (FGS) is a rare genetic syndrome caused by one or more recessive genes located on the X chromosome and causing physical anomalies and developmental delays. Eur J Heart Fail. The circulatory system is further divided into two major circuits a pulmonary circulation, and a systemic circulation. FG syndrome (FGS) is a rare genetic syndrome caused by one or more recessive genes located on the X chromosome and causing physical anomalies and developmental delays. This disease process Three variants are known to exist, FAP and attenuated FAP (originally called Most EMD mutations prevent the production of any functional emerin. LMNA-related congenital muscular dystrophy. SDHA (Succinate Dehydrogenase Complex Flavoprotein Subunit A) is a Protein Coding gene. Gardner's syndrome (also known as Gardner syndrome, familial polyposis of the colon, or familial colorectal polyposis) is a subtype of familial adenomatous polyposis (FAP). CMD with brain-eye, also called muscle-eye-brain disease, is a rare form of congenital muscular dystrophy (autosomal recessive disorder) causing a lack of normal muscle tone which can delay walking due to being weak, also paralysis of eye muscles and intellectual disability which affects an individuals way of processing information It is caused by a mutation in the POMGNT1 gene. Dilated cardiomyopathy (DCM) is a condition in which the heart becomes enlarged and cannot pump blood effectively. Dilated cardiomyopathy (DCM) is a condition in which the heart becomes enlarged and cannot pump blood effectively. These mutations cause a spectrum of heart disease ranging from no apparent effect to severe dilated cardiomyopathy leading to heart failure. The cardiovascular system in all vertebrates, consists of the heart and blood vessels. GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. Gardner syndrome is an autosomal dominant form of polyposis characterized by the presence of multiple polyps in the colon together with tumors outside the colon. From the Editor. SYNE1 (Spectrin Repeat Containing Nuclear Envelope Protein 1) is a Protein Coding gene. Hypertrophic cardiomyopathy (HCM, or HOCM when obstructive) is a condition in which the heart becomes thickened without an obvious cause. By definition, patients have systolic dysfunction and may or may not have overt symptoms of heart failure. Diseases associated with SDHA include Cardiomyopathy, Dilated, 1Gg and Mitochondrial Complex Ii Deficiency, Nuclear Type 1.Among its related pathways are Glucose / Energy Metabolism and TCA cycle III (animals).Gene Ontology (GO) annotations related to this In their study of distal hereditary motor neuropathies (the clinically and genetically heterogeneous group of disorders characterized by lower motor neuron dysfunction), Bansagi et al [2017] reported that pathogenic variants in the same genes can Gardner syndrome is an autosomal dominant form of polyposis characterized by the presence of multiple polyps in the colon together with tumors outside the colon. Mutations in the LMNA gene are associated with several diseases, including EmeryDreifuss muscular dystrophy, familial partial lipodystrophy, limb girdle muscular dystrophy, dilated cardiomyopathy, CharcotMarieTooth disease, and restrictive dermopathy.A truncated version of lamin A, commonly known as progerin, causes Hutchinson-Gilford-Progeria syndrome. At least 15 mutations in the LMNA gene have been reported to cause LMNA-related congenital muscular dystrophy (L-CMD), a rare condition characterized by skeletal muscle weakness and atrophy beginning very early in life.Most of the mutations associated with this disorder change single amino acids in lamin A and lamin C, Gardner syndrome is an autosomal dominant form of polyposis characterized by the presence of multiple polyps in the colon together with tumors outside the colon. FG syndrome was named after the first letters of the surnames of the first patients noted with the disease. Larsen syndrome (LS) is a congenital disorder discovered in 1950 by Larsen and associates when they observed dislocation of the large joints and face anomalies in six of their patients. MDC1A is typically characterized by neonatal profound hypotonia, poor spontaneous movements, and respiratory failure. FG syndrome (FGS) is a rare genetic syndrome caused by one or more recessive genes located on the X chromosome and causing physical anomalies and developmental delays. Context: Mutations in the lamin A/C (LMNA) gene have been reported in a wide variety of disorders, including lipodystrophies, cardiomyopathy, muscular dystrophies, neuropathy, mandibuloacral dysplasia, restrictive dermopathy, and progeria. Those with the condition tend to be tall and thin, with long arms, legs, fingers, and toes. LMNA-gene-mutated patients devoid of any clinically detectable skeletal muscle involvement have the same pattern of leg muscle involvement as patients with overt skeletal muscle compromise. R25G mutation in exon 1 of LMNA gene is associated with dilated cardiomyopathy and limb-girdle muscular dystrophy 1B. Nuevocors lead program is an adeno-associated virus (AAV)based gene therapy for patients suffering from dilated cardiomyopathy (DCM) due to mutations in the lamin A/C (LMNA) gene.We plan to address additional currently untreatable autosomal dominant cardiomyopathies using our novel target discovery platform. Hypertrophic cardiomyopathy (HCM, or HOCM when obstructive) is a condition in which the heart becomes thickened without an obvious cause. Distal hereditary motor neuropathy (dHMN) and distal spinal muscular atrophy (DSMA) = CMT. This results in the heart being less able to pump blood effectively and also may cause electrical conduction problems. Objective: The objective of this study was to carry out mutational analysis of LMNA in a patient with a novel syndrome of Diseases associated with SYNE1 include Spinocerebellar Ataxia, Autosomal Recessive 8 and Arthrogryposis Multiplex Congenita 3, Myogenic Type.Among its related pathways are Cell Cycle, Mitotic and Meiosis.Gene Ontology (GO) annotations related to this LMNA-related congenital muscular dystrophy. These mutations cause a spectrum of heart disease ranging from no apparent effect to severe dilated cardiomyopathy leading to heart failure. Diseases associated with SDHA include Cardiomyopathy, Dilated, 1Gg and Mitochondrial Complex Ii Deficiency, Nuclear Type 1.Among its related pathways are Glucose / Energy Metabolism and TCA cycle III (animals).Gene Ontology (GO) annotations related to this Failure to thrive, gastroesophageal The clinical manifestations of LAMA2 muscular dystrophy (LAMA2-MD) comprise a continuous spectrum ranging from severe congenital muscular dystrophy type 1A (MDC1A) to milder late-onset LAMA2-MD. They also typically have exceptionally flexible joints and abnormally curved spines. 2012 Nov;14(11):1199-207. doi: 10.1093/eurjhf/hfs119. Stepping Down When I became editor-in-chief of The American Journal of Cardiology in June 1982, I certainly did not expect to still be in that position in June 2022, forty years later.More. LMNA (Lamin A/C) is a Protein Coding gene. Diseases associated with LMNA include Hutchinson-Gilford Progeria Syndrome and Cardiomyopathy, Dilated, 1A.Among its related pathways are Apoptosis and Autophagy and Cell Cycle, Mitotic.Gene Ontology (GO) annotations related to this gene include structural molecule activity. GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. Nomenclature. BMP-4 is a TGF-beta superfamily ligand that is widely expressed from early embryogenesis through adulthood. Usher syndrome, also known as Hallgren syndrome, UsherHallgren syndrome, retinitis pigmentosadysacusis syndrome or dystrophia retinae dysacusis syndrome, is a rare genetic disorder caused by a mutation in any one of at least 11 genes resulting in a combination of hearing loss and visual impairment.It is a major cause of deafblindness and is at present MDC1A is typically characterized by neonatal profound hypotonia, poor spontaneous movements, and respiratory failure. Usher syndrome, also known as Hallgren syndrome, UsherHallgren syndrome, retinitis pigmentosadysacusis syndrome or dystrophia retinae dysacusis syndrome, is a rare genetic disorder caused by a mutation in any one of at least 11 genes resulting in a combination of hearing loss and visual impairment.It is a major cause of deafblindness and is at present Familial adenomatous polyposis (FAP) is an autosomal dominant inherited condition in which numerous adenomatous polyps form mainly in the epithelium of the large intestine.While these polyps start out benign, malignant transformation into colon cancer occurs when they are left untreated. Atrial fibrillation (AF) is the most common cardiac arrhythmia and is increasing in prevalence as populations age. BMP-4 is a TGF-beta superfamily ligand that is widely expressed from early embryogenesis through adulthood. FG syndrome was named after the first letters of the surnames of the first patients noted with the disease. At least 15 mutations in the LMNA gene have been reported to cause LMNA-related congenital muscular dystrophy (L-CMD), a rare condition characterized by skeletal muscle weakness and atrophy beginning very early in life.Most of the mutations associated with this disorder change single amino acids in lamin A and lamin C, Chromosome 1 is the designation for the largest human chromosome.Humans have two copies of chromosome 1, as they do with all of the autosomes, which are the non-sex chromosomes.Chromosome 1 spans about 249 million nucleotide base pairs, which are the basic units of information for DNA. Desmin is an intermediate filament protein, LMNA: Exercise-induced ARVC It represents about 8% of the total DNA in human cells. Desmin is an intermediate filament protein, LMNA: Exercise-induced ARVC CMD with brain-eye, also called muscle-eye-brain disease, is a rare form of congenital muscular dystrophy (autosomal recessive disorder) causing a lack of normal muscle tone which can delay walking due to being weak, also paralysis of eye muscles and intellectual disability which affects an individuals way of processing information It is caused by a mutation in the POMGNT1 gene. Phospholamban R14del mutation in patients diagnosed with dilated cardiomyopathy or arrhythmogenic right ventricular cardiomyopathy: evidence supporting the concept of arrhythmogenic cardiomyopathy. Patients with Larsen syndrome normally present with a variety of symptoms, including congenital anterior dislocation of the knees, dislocation of the hips and elbows, flattened facial appearance, Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. Failure to thrive, gastroesophageal LMNA-related dilated cardiomyopathy (DCM) is characterized by left ventricular enlargement and/or reduced systolic function preceded (sometimes by many years) by or accompanied by conduction system disease and/or arrhythmias. CMD with brain-eye, also called muscle-eye-brain disease, is a rare form of congenital muscular dystrophy (autosomal recessive disorder) causing a lack of normal muscle tone which can delay walking due to being weak, also paralysis of eye muscles and intellectual disability which affects an individuals way of processing information It is caused by a mutation in the POMGNT1 gene. Chromosome 1 is the designation for the largest human chromosome.Humans have two copies of chromosome 1, as they do with all of the autosomes, which are the non-sex chromosomes.Chromosome 1 spans about 249 million nucleotide base pairs, which are the basic units of information for DNA. Nomenclature. From the Editor. Nomenclature. This disease process Most EMD mutations prevent the production of any functional emerin. Desmin is an intermediate filament protein, LMNA: Exercise-induced ARVC Stepping Down When I became editor-in-chief of The American Journal of Cardiology in June 1982, I certainly did not expect to still be in that position in June 2022, forty years later.More. Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. The most serious complications involve the heart and aorta, with an increased risk of mitral valve prolapse and By definition, patients have systolic dysfunction and may or may not have overt symptoms of heart failure. R25G mutation in exon 1 of LMNA gene is associated with dilated cardiomyopathy and limb-girdle muscular dystrophy 1B. Neonatal rat ventricular myocytes (NRVMs) were isolated and enriched (> 90% purity) over non-myocytes as previously reported 11,12,13,14 and subjected to infection with an adenoviral construct carrying either the wild type or the mutant D192G LMNA A cDNA as well as the Enhanced Green Fluorescent Each chapter in GeneReviews is written by one or more experts on the specific Recently it has been shown, that mutations in the desmin DES gene could cause ACM. LMNA (Lamin A/C) is a Protein Coding gene. Diseases associated with SDHA include Cardiomyopathy, Dilated, 1Gg and Mitochondrial Complex Ii Deficiency, Nuclear Type 1.Among its related pathways are Glucose / Energy Metabolism and TCA cycle III (animals).Gene Ontology (GO) annotations related to this Gardner's syndrome (also known as Gardner syndrome, familial polyposis of the colon, or familial colorectal polyposis) is a subtype of familial adenomatous polyposis (FAP). Mutations in the LMNA gene are associated with several diseases, including EmeryDreifuss muscular dystrophy, familial partial lipodystrophy, limb girdle muscular dystrophy, dilated cardiomyopathy, CharcotMarieTooth disease, and restrictive dermopathy.A truncated version of lamin A, commonly known as progerin, causes Hutchinson-Gilford-Progeria syndrome. LMNA-related DCM usually presents in early to mid-adulthood with symptomatic conduction system disease or Type OMIM Gene Protein Inheritance Description EDMD1 310300: EMD: emerin: XLR Emerin is a transmembrane protein of the inner nuclear membrane which appears to be essential for the normal function of skeletal and cardiac muscle. Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. Dear Readers, Contributors, Editorial Board, Editorial staff and Publishing team members, In their study of distal hereditary motor neuropathies (the clinically and genetically heterogeneous group of disorders characterized by lower motor neuron dysfunction), Bansagi et al [2017] reported that pathogenic variants in the same genes can From the Editor in Chief (interim), Subhash Banerjee, MD. The extracolonic tumors may include osteomas Nuevocors lead program aims to treat DCM caused by mutations in the lamin A/C (LMNA) gene. Phospholamban R14del mutation in patients diagnosed with dilated cardiomyopathy or arrhythmogenic right ventricular cardiomyopathy: evidence supporting the concept of arrhythmogenic cardiomyopathy. LMNA (Lamin A/C) is a Protein Coding gene. Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. Dilated cardiomyopathy (DCM) is a condition in which the heart becomes enlarged and cannot pump blood effectively. The circulatory system is further divided into two major circuits a pulmonary circulation, and a systemic circulation. R25G mutation in exon 1 of LMNA gene is associated with dilated cardiomyopathy and limb-girdle muscular dystrophy 1B. Usher syndrome, also known as Hallgren syndrome, UsherHallgren syndrome, retinitis pigmentosadysacusis syndrome or dystrophia retinae dysacusis syndrome, is a rare genetic disorder caused by a mutation in any one of at least 11 genes resulting in a combination of hearing loss and visual impairment.It is a major cause of deafblindness and is at present The circulatory system includes the heart, blood vessels, and blood. The pulmonary circulation is a circuit loop from the right heart taking deoxygenated blood to the lungs where it Dear Readers, Contributors, Editorial Board, Editorial staff and Publishing team members, Causes include genetics, alcohol, cocaine, certain GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. Three variants are known to exist, FAP and attenuated FAP (originally called The extracolonic tumors may include osteomas Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. These mutations cause a spectrum of heart disease ranging from no apparent effect to severe dilated cardiomyopathy leading to heart failure. Eur J Heart Fail. Diseases associated with SYNE1 include Spinocerebellar Ataxia, Autosomal Recessive 8 and Arthrogryposis Multiplex Congenita 3, Myogenic Type.Among its related pathways are Cell Cycle, Mitotic and Meiosis.Gene Ontology (GO) annotations related to this Each chapter in GeneReviews is written by one or more experts on the specific Failure to thrive, gastroesophageal Gardner's syndrome (also known as Gardner syndrome, familial polyposis of the colon, or familial colorectal polyposis) is a subtype of familial adenomatous polyposis (FAP). Type OMIM Gene Protein Inheritance Description EDMD1 310300: EMD: emerin: XLR Emerin is a transmembrane protein of the inner nuclear membrane which appears to be essential for the normal function of skeletal and cardiac muscle. : EDMD2 181350: LMNA: lamin A and lamin C : AD EDMD-causing Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. Arrhythmogenic cardiomyopathy (ACM), arrhythmogenic right ventricular dysplasia the main causatives for the development of this disease. Hypertrophic cardiomyopathy (HCM, or HOCM when obstructive) is a condition in which the heart becomes thickened without an obvious cause. In this study, we have sequenced the genomes of T. dohrnii and T. rubra, a closely related species without reported evidence of postreproductive rejuvenation (), and used comparative genomic analyses to identify differential gene variants and amplifications between both species, as well as between them and the cnidarians Hydra vulgaris, Clytia hemisphaerica, and Aurelia aurita. Background: BMP-4. Larsen syndrome (LS) is a congenital disorder discovered in 1950 by Larsen and associates when they observed dislocation of the large joints and face anomalies in six of their patients.
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