Breast carcinoma, and Stage 5 chronic kidney disease

Diseases related with Breast carcinoma and Stage 5 chronic kidney disease

In the following list you will find some of the most common rare diseases related to Breast carcinoma and Stage 5 chronic kidney disease that can help you solving undiagnosed cases.

Top matches:

Familial isolated primary hyperparathyroidism is an autosomal dominant hypercalcemic disorder caused by inappropriate oversecretion of parathyroid hormone (PTH) from parathyroid adenomas, hyperplasia, and carcinomas (summary by Shibata et al., 2015). Genetic Heterogeneity of Familial HyperparathyroidismHyperparathyroidism-2 with jaw tumors (HRPT2 ), also known as the hyperparathyroidism-jaw tumor syndrome (HPT-JT), is also caused by mutation in the CDC73 gene. A locus for HRPT (HRPT3 ) has been mapped to chromosome 2p14-p13.3. HRPT4 (OMIM ) is caused by mutation in the GCM2 gene (OMIM ) on chromosome 6p24. Neonatal severe hyperparathyroidism (NSHPT ) is caused by mutation in the CASR gene (OMIM ) on chromosome 3q.Familial isolated primary hyperparathyroidism occasionally results from incomplete expression of multiple endocrine neoplasia (see MEN1, {131100}).Familial hypocalciuric hypercalcemia (see {145980}) can be confused with familial primary hyperparathyroidism.

HYPERPARATHYROIDISM 1; HRPT1 Is also known as fihp|hyperparathyroidism, familial isolated primary

Related symptoms:

  • Neoplasm
  • Renal insufficiency
  • Osteopenia
  • Carcinoma
  • Abnormality of the kidney


SOURCES: OMIM ORPHANET MENDELIAN

More info about HYPERPARATHYROIDISM 1; HRPT1

Deafness-intellectual disability syndrome, Martin-Probst type is characterised by severe bilateral deafness, intellectual deficit, umbilical hernia and abnormal dermatoglyphics. It has been described in three males from three generations of one family. Mild facial dysmorphism (telangiectasias, hypertelorism, dental anomalies and a wide nasal root) was also present. Short stature, pancytopaenia, microcephaly, and renal and genitourinary anomalies were present in some of the patients. The mode of transmission is X-linked recessive and the causative gene has been localised to the q1-21 region of the X chromosome.

DEAFNESS-INTELLECTUAL DISABILITY SYNDROME, MARTIN-PROBST TYPE Is also known as martin-probst deafness-mental retardation syndrome|x-linked deafness-intellectual disability syndrome syndrome|martin-probst syndrome

Related symptoms:

  • Intellectual disability
  • Short stature
  • Hearing impairment
  • Microcephaly
  • Hypertelorism


SOURCES: MESH ORPHANET OMIM MENDELIAN

More info about DEAFNESS-INTELLECTUAL DISABILITY SYNDROME, MARTIN-PROBST TYPE

Medium match ALSTRÖM SYNDROME

Alström syndrome (AS) is a multisystemic disorder characterized by cone-rod dystrophy, hearing loss, obesity, insulin resistance and hyperinsulinemia, type 2 diabetes mellitus, dilated cardiomyopathy (DCM; see this term), and progressive hepatic and renal dysfunction.

ALSTRÖM SYNDROME Is also known as alss

Related symptoms:

  • Intellectual disability
  • Seizures
  • Global developmental delay
  • Short stature
  • Hearing impairment


SOURCES: OMIM ORPHANET MESH MENDELIAN

More info about ALSTRÖM SYNDROME

Other less relevant matches:

Hereditary leiomyomatosis and renal cell cancer is an autosomal dominant tumor predisposition syndrome characterized by the variable development of 3 tumors: cutaneous piloleiomyomata that develop in essentially all patients by age 40 years; leiomyomata (fibroids) of the uterus, and rarely leiomyosarcomas, at a mean age of 30 years (range, 18 to 52 years); and type 2 papillary renal cell carcinoma at a mean age of 46 years (range, 17 to 75 years), which occurs in about 20% of patients. Type 2 papillary renal cell carcinoma is a pathologic subtype characterized by large tumor cells with eosinophilic cytoplasm and pseudostratified nuclei; it shows an aggressive clinical course. Some patients with FH mutations may develop collecting duct renal cell carcinoma. The main focus of management in HLRCC is prevention of disease and death due to renal cancer (summary by Gardie et al., 2011; Smit et al., 2011; and Lehtonen, 2011).For a general discussion of papillary renal cell carcinoma, see RCCP1 (OMIM ).

HEREDITARY LEIOMYOMATOSIS AND RENAL CELL CANCER; HLRCC Is also known as mcl|multiple cutaneous and uterine leiomyomata 1, with or without renal cell carcinoma|mcul1|lrcc|leiomyoma, multiple cutaneous|leiomyomatosis and renal cell cancer, hereditary

Related symptoms:

  • Neoplasm
  • Pain
  • Cataract
  • Carcinoma
  • Skin rash


SOURCES: MESH OMIM MENDELIAN

More info about HEREDITARY LEIOMYOMATOSIS AND RENAL CELL CANCER; HLRCC

Low match WERNER SYNDROME

Werner syndrome (WS) is a rare inherited syndrome characterized by premature aging with onset in the third decade of life and with cardinal clinical features including bilateral cataracts, short stature, graying and thinning of scalp hair, characteristic skin disorders and premature onset of additional age-related disorders.

WERNER SYNDROME Is also known as ws|adult progeria

Related symptoms:

  • Short stature
  • Neoplasm
  • Pain
  • Cataract
  • Visual impairment


SOURCES: MESH ORPHANET OMIM MENDELIAN

More info about WERNER SYNDROME

Neurofibromatosis type I is an autosomal dominant disorder characterized by cafe-au-lait spots, Lisch nodules in the eye, and fibromatous tumors of the skin. Individuals with the disorder have increased susceptibility to the development of benign and malignant tumors. NF1 is sometimes referred to as 'peripheral neurofibromatosis.' The worldwide incidence of NF1 is 1 in 2,500 to 1 in 3,000 individuals (reviews by Shen et al., 1996 and Williams et al., 2009).Type II neurofibromatosis (NF2 ) is a genetically distinct disorder caused by mutation in the gene encoding merlin (NF2 ) on chromosome 22q12. NF2, sometimes known as 'central neurofibromatosis,' is characterized by bilateral acoustic neuroma and meningioma, but few skin lesions or neurofibromas (Rouleau et al., 1993).Some patients with homozygous or compound heterozygous mutations in mismatch repair genes (see, e.g., MLH1; {120436} and MSH2; {609309}) have a phenotype characterized by early onset malignancies and mild features of NF1, especially cafe-au-lait spots; this is known as the mismatch repair cancer syndrome (OMIM ), sometimes referred to as brain tumor-polyposis syndrome-1 or Turcot syndrome. These patients typically do not have germline mutations in the NF1 gene, although a study by Wang et al. (2003) suggested that biallelic mutations in mismatch repair genes may cause somatic mutations in the NF1 gene, perhaps resulting in isolated features resembling NF1.See also Legius syndrome (OMIM ), a genetically distinct disorder with a similar phenotype to NF1.

NEUROFIBROMATOSIS TYPE 1 DUE TO NF1 MUTATION OR INTRAGENIC DELETION Is also known as von recklinghausen disease due to nf1 mutation or intragenic deletion|neurofibromatosis, peripheral type|von recklinghausen disease

Related symptoms:

  • Intellectual disability
  • Seizures
  • Short stature
  • Scoliosis
  • Hypertelorism


SOURCES: ORPHANET OMIM MENDELIAN

More info about NEUROFIBROMATOSIS TYPE 1 DUE TO NF1 MUTATION OR INTRAGENIC DELETION

Congenital nephrotic syndrome-interstitial lung disease-epidermolysis bullosa syndrome is a life-threatening multiorgan disorder which develops in the first months of life, presenting with respiratory distress and proteinuria in the nephrotic range, and leading to severe interstitial lung disease and renal failure. Some patients additionally display cutaneous alterations, ranging from blistering and skin erosions to an epidermolysis bullosa-like phenotype, with toe nail dystrophy and sparse hair.

JUNCTIONAL EPIDERMOLYSIS BULLOSA WITH RESPIRATORY AND RENAL INVOLVEMENT Is also known as jeb-rr|jeb with respiratory and renal involvement|congenital interstitial lung disease-nephrotic syndrome-epidermolysis bullosa syndrome|congenital nephrotic syndrome-interstitial lung disease-epidermolysis bullosa syndrome|congenital ilneb syndrome|conge

Related symptoms:

  • Microcephaly
  • Hypertelorism
  • Muscular hypotonia
  • Fever
  • Respiratory distress


SOURCES: OMIM ORPHANET MENDELIAN

More info about JUNCTIONAL EPIDERMOLYSIS BULLOSA WITH RESPIRATORY AND RENAL INVOLVEMENT

Autosomal recessive renal tubular dysgenesis is a severe disorder of renal tubular development characterized by persistent fetal anuria and perinatal death, probably due to pulmonary hypoplasia from early-onset oligohydramnios (the Potter phenotype) (Gribouval et al., 2005). Absence or paucity of differentiated proximal tubules is the histopathologic hallmark of the disorder and may be associated with skull ossification defects.

RENAL TUBULAR DYSGENESIS; RTD Is also known as primitive renal tubule syndrome

Related symptoms:

  • Intellectual disability
  • Microcephaly
  • Hypertelorism
  • Ventricular septal defect
  • Respiratory insufficiency


SOURCES: OMIM ORPHANET MENDELIAN

More info about RENAL TUBULAR DYSGENESIS; RTD

Scalp-ear-nipple syndrome is characterised by the following triad: areas of hairless raw skin over the scalp (present at birth and healing during childhood), prominent, hypoplastic ears with almost absent pinnae, and bilateral amastia. Thirty cases have been described so far. Renal and urinary tract abnormalities, as well as cataract, have also been observed. Transmission is autosomal dominant.

SCALP-EAR-NIPPLE SYNDROME Is also known as finlay-marks syndrome|sen syndrome

Related symptoms:

  • Global developmental delay
  • Generalized hypotonia
  • Abnormal facial shape
  • Cataract
  • Low-set ears


SOURCES: OMIM MESH ORPHANET MENDELIAN

More info about SCALP-EAR-NIPPLE SYNDROME

Related symptoms:

  • Neoplasm
  • Osteopenia
  • Carcinoma
  • Nephrolithiasis
  • Breast carcinoma


SOURCES: OMIM MENDELIAN

More info about HYPERPARATHYROIDISM 4; HRPT4

Top 5 symptoms//phenotypes associated to Breast carcinoma and Stage 5 chronic kidney disease

Symptoms // Phenotype % cases
Renal insufficiency Common - Between 50% and 80% cases
Neoplasm Uncommon - Between 30% and 50% cases
Cataract Uncommon - Between 30% and 50% cases
Hypertelorism Uncommon - Between 30% and 50% cases
Pain Uncommon - Between 30% and 50% cases

Other less frequent symptoms

Patients with Breast carcinoma and Stage 5 chronic kidney disease. may also develop some of the following symptoms:

Uncommon Symptoms - Between 30% and 50% cases

Short stature Hypertension Abnormality of the dentition Intellectual disability Carcinoma Abnormality of the kidney Peripheral neuropathy Proteinuria Atherosclerosis Visual impairment Microcephaly Osteopenia Respiratory insufficiency Behavioral abnormality Abnormal facial shape Nephropathy Leukemia

Rare Symptoms - Less than 30% cases

Pulmonic stenosis Dry skin Type II diabetes mellitus Retinal degeneration Vesicoureteral reflux Recurrent urinary tract infections Gastrointestinal hemorrhage Decreased testicular size Specific learning disability Cyanosis Round face Kyphoscoliosis Retinopathy Hyperhidrosis Dilatation Depressivity Clinodactyly Visual loss Alopecia Pneumonia Recurrent respiratory infections Rod-cone dystrophy Hypogonadism Sparse hair Diabetes mellitus Respiratory failure Hyperkeratosis Weight loss Autism Insulin resistance Respiratory tract infection Autistic behavior Abnormality of retinal pigmentation Lipodystrophy Gynecomastia Sarcoma Renal neoplasm Leiomyosarcoma Gastrointestinal stroma tumor Osteoporosis Sparse scalp hair Abnormality of the hair Type I diabetes mellitus Abnormality of the thorax Back pain Meningioma Soft tissue sarcoma Tetralogy of Fallot Nail dystrophy Fine hair Abnormality of the pinna Abnormality of the urinary system Absent nipple Renal cell carcinoma Pruritus Hypergonadotropic hypogonadism Polyphagia Recurrent pneumonia Macular degeneration Precocious puberty Blindness Polydipsia Polyuria Pulmonary fibrosis Agenesis of permanent teeth Renovascular hypertension Subcapsular cataract Alopecia of scalp Posterior subcapsular cataract Tubular atrophy Myocardial fibrosis Arteriosclerosis Pyelonephritis Epigastric pain Congestive heart failure Decreased glomerular filtration rate Cardiomyopathy Micropenis Hypoplastic nipples Telangiectasia of the skin Recurrent fractures Renal hypoplasia Left ventricular hypertrophy Blepharophimosis Nephrolithiasis Telecanthus Nephrocalcinosis Hypothyroidism Primary hyperparathyroidism Seizures Myopia Epicanthus Low-set ears Sensorineural hearing impairment Hearing impairment Parathyroid carcinoma Hypercalcemia Hypophosphatemia Hyperparathyroidism Neoplasm of the endocrine system Carcinoid tumor Aplasia/Hypoplasia of the nipples Parathyroid adenoma Global developmental delay Cognitive impairment Delayed speech and language development Scoliosis Respiratory distress Anemia Paralysis Hypertrophic cardiomyopathy Hypoglycemia Glaucoma Hyperactivity Abnormal heart morphology Abnormality of cardiovascular system morphology Headache Intellectual disability, mild Hydrocephalus Abnormality of the skeletal system Macrocephaly Dysarthria Papillary renal cell carcinoma Malabsorption Ptosis Acral lentiginous melanoma Aplasia/Hypoplasia of the testes Neoplasm of the oral cavity Uterine leiomyoma Bilateral camptodactyly Premature arteriosclerosis Gastrointestinal carcinoma Neoplasm of the small intestine Subcutaneous calcification Poliosis Abnormal hair whorl Polycystic kidney dysplasia Attention deficit hyperactivity disorder Genu valgum Cutaneous melanoma Sensorimotor neuropathy Severe vision loss Osteomalacia Multiple cafe-au-lait spots Freckling Tibial bowing Neurofibromas Sensory axonal neuropathy Clitoral hypertrophy Incoordination Reduced bone mineral density Bilateral renal hypoplasia Venous thrombosis Spina bifida Bone pain Facial asymmetry Cafe-au-lait spot Aganglionic megacolon Hypsarrhythmia Coarctation of aorta Mitral valve prolapse Abnormality of the cardiovascular system Hypercalciuria Overgrowth Lymphoma Abnormality of skin pigmentation Hypoplastic helices Peripheral axonal neuropathy Paresthesia Chorioretinitis Narrow nasal ridge Barrett esophagus Chest pain Laryngomalacia Melanoma Abnormality of the scalp Spontaneous abortion Hoarse voice Increased bone mineral density Narrow face Hyperphosphaturia Skin ulcer Decreased body weight Elevated circulating parathyroid hormone level Myocardial infarction Convex nasal ridge Coma Dermal atrophy Hypopigmentation of the skin Small hand Joint stiffness Proptosis Generalized osteoporosis Skeletal muscle atrophy Cutaneous leiomyosarcoma Decreased fumarate hydratase activity Papillary renal cell carcinoma type 2 Multiple cutaneous leiomyomas Cutaneous leiomyoma Uterine leiomyosarcoma Vaginal neoplasm Underdeveloped antitragus Abnormality of the voice Enlarged joints Neoplasm of the lung Overweight White forelock Slender build Abnormality of the testis Pili torti Chondrocalcinosis Lack of skin elasticity Peripheral arterial stenosis Abnormality of the cerebral vasculature Osteosarcoma Underdeveloped tragus Progeroid facial appearance Pulmonary artery stenosis Premature loss of teeth Myelodysplasia Prematurely aged appearance Ovarian neoplasm Secondary amenorrhea Myeloid leukemia Scleroderma Aplasia/Hypoplasia of the skin Lipoatrophy Decreased fertility Premature graying of hair High pitched voice Squamous cell carcinoma Rocker bottom foot 3-4 finger cutaneous syndactyly Thyroid carcinoma Brain neoplasm Increased reactive oxygen species production Bilateral single transverse palmar creases Accessory spleen Right aortic arch Decreased circulating renin level Proximal tubulopathy Interrupted aortic arch Periventricular leukomalacia Multiple lipomas Renal tubular dysfunction Multiple renal cysts Adrenal insufficiency Preauricular pit Glomerulonephritis Ventricular hypertrophy Preauricular skin tag Absent gallbladder Narrow nasal bridge Choanal atresia Small nail Oligohydramnios Hypotension Premature birth Pulmonary hypoplasia Anal atresia Joint hyperflexibility Aplasia cutis congenita Polyhydramnios Ventricular septal defect Junctional split Widely patent fontanelles and sutures Anuria Crossed fused renal ectopia Cutaneous syndactyly Abnormality of the fingernails Narrow palpebral fissure Abnormality of the nail Hypohidrosis Hypotelorism Renal agenesis Abnormality of the skin Nail dysplasia Delayed eruption of teeth Iris coloboma Congenital cataract Finger syndactyly Microtia Coloboma Aplasia of the thymus Cupped ear Protruding ear 2-3 toe syndactyly Camptodactyly Mandibular prognathia Syndactyly Anteverted nares Depressed nasal bridge Generalized hypotonia Renotubular dysgenesis Renal magnesium wasting Vascular ring Infra-orbital crease Potter facies Respiratory acidosis Onycholysis Gangrene Renal phosphate wasting Neurofibrosarcoma Neuroma Vestibular Schwannoma Embryonal rhabdomyosarcoma Axillary freckling Renal artery stenosis Single ventricle Pseudoarthrosis Dural ectasia Fibular bowing Neoplasm of the central nervous system Lisch nodules Chronic myelogenous leukemia Ureteral duplication Subcutaneous neurofibromas Aplasia cutis congenita of scalp Glioma Nasolacrimal duct obstruction Rhabdomyosarcoma Paraganglioma Night sweats Anomalous pulmonary venous return Complete atrioventricular canal defect Pheochromocytoma Small earlobe Aqueductal stenosis Breast aplasia Astrocytoma Optic nerve glioma Acute promyelocytic leukemia Fragile skin Abnormal blistering of the skin Interstitial pulmonary abnormality Palpebral edema Ectopic kidney Focal segmental glomerulosclerosis Neonatal respiratory distress Short columella Glomerulosclerosis Hypoalbuminemia Sparse eyelashes Sparse and thin eyebrow Abnormal lung morphology Nephrotic syndrome Abnormality of the antihelix Narrow chest Plexiform neurofibroma Erythema Macrotia Narrow mouth Prominent forehead Eyelid coloboma Fever Abnormality of the endocrine system Muscular hypotonia Brow ptosis Tibial pseudoarthrosis Cerebral artery stenosis Arterial fibromuscular dysplasia Spinal neurofibromas Inguinal freckling Schwannoma Parathyroid hyperplasia Bladder neoplasm Recurrent otitis media Horizontal nystagmus Umbilical hernia Short toe Intellectual disability, moderate Sinusitis Hyperpigmentation of the skin Hepatic fibrosis Decreased liver function Wide mouth Anorexia Chronic diarrhea Thickened skin Involuntary movements Hypertriglyceridemia Generalized hirsutism Pulmonary arterial hypertension Epidermal acanthosis Everted lower lip vermilion Cardiomegaly Optic disc pallor Hepatitis Pigmentary retinopathy Dental malocclusion Wide intermamillary distance Progressive visual loss Hypoplasia of penis Otitis media Growth hormone deficiency Pancytopenia Increased body weight Hypogonadotrophic hypogonadism Thick lower lip vermilion Portal hypertension Emphysema Glucose intolerance Diabetes insipidus Hyperglycemia Hyperostosis Acne Impaired vibratory sensation Constriction of peripheral visual field Aplasia/Hypoplasia of the cerebellum Obsessive-compulsive behavior Chronic otitis media Nephritis Intellectual disability, severe Malar flattening Absence seizures Hyperinsulinemia Hernia Elevated alkaline phosphatase Cholelithiasis Abnormality of the hand Polycystic ovaries Goiter Cone/cone-rod dystrophy Tachypnea Hypercholesterolemia Pancreatitis Hyperlipidemia Acanthosis nigricans Accelerated skeletal maturation Urinary incontinence Asthma Hydroureter Myoclonus Photophobia Jaundice Hepatosplenomegaly Pes planus Chordee Gastroesophageal reflux Dyspnea Ataxia Polydactyly Abdominal pain Growth delay Nystagmus Failure to thrive Strabismus Elevated hepatic transaminase Feeding difficulties Constipation Hyporeflexia Patent ductus arteriosus Motor delay Hepatomegaly Encephalopathy Optic atrophy Obesity Fatigue Kyphosis Splenomegaly Dystonia Short neck Deeply set eye Conductive hearing impairment Abdominal distention Delayed puberty Ascites Sleep disturbance Renal dysplasia Hepatic steatosis Retinal dystrophy Hirsutism Hepatic failure Tachycardia Cirrhosis Nausea Lymphadenopathy Telangiectasia Abnormal dermatoglyphics Infertility Carious teeth Myalgia Bifid scrotum Ophthalmoplegia Hypermetropia Hypotrichosis Generalized tonic-clonic seizures Dilated cardiomyopathy Cough Nyctalopia Congenital sensorineural hearing impairment Scarring Abnormality of the liver Pallor Postnatal growth retardation Irritability Wide nasal bridge Urinary urgency Low back pain Female hypogonadism Childhood-onset truncal obesity Multifocal atrial tachycardia ST segment depression Facial hirsutism Chronic hepatic failure Hepatic necrosis Hypoplastic male external genitalia Abnormality of the pituitary gland Urethral obstruction Squared iliac bones Mitral valve calcification Albuminuria Abnormal muscle tone Impaired temperature sensation Increased circulating androgen level Urethral stricture Abnormal chorioretinal morphology Abnormality of the parathyroid gland Abnormality of dental color Lumbar scoliosis Abnormality of the urethra Chronic infection Abnormal spermatogenesis Calcium nephrolithiasis Abnormality of the optic disc First degree atrioventricular block Melena Hematemesis Frontal balding High-frequency sensorineural hearing impairment Exudative retinopathy Vertical nystagmus Abnormality of renal calyx morphology Peptic ulcer Abnormality of the musculature Basal cell carcinoma Nephroblastoma Retinoblastoma Neoplasm of the skin Hematuria Vomiting Papule Aortic valve calcification Skin rash Abnormality of the femoral head Vitreous haze Localized hirsutism Abnormality of prothrombin Nonproductive cough EEG with occipital slowing Precocious puberty in females Abnormal retinal artery morphology Widely-spaced incisors Recurrent cystitis Glue ear Unilateral breast hypoplasia Dilatation of the bladder Thickened ears Granular macular appearance Receptive language delay Hyperostosis frontalis interna Chronic active hepatitis Abnormal adipose tissue morphology Increased total bilirubin Bull's eye maculopathy Truncal obesity Hypoventilation Attenuation of retinal blood vessels Tubulointerstitial nephritis Pendular nystagmus Gingivitis Ketoacidosis Broad foot Micrognathia Oligomenorrhea Poor coordination Hyperventilation Peripheral visual field loss Retinal atrophy Insulin-resistant diabetes mellitus Severe sensorineural hearing impairment Elevated serum creatinine Autoimmune thrombocytopenia Thoracic scoliosis Pericarditis Cryptorchidism Increased number of teeth Hyperuricemia Bronchitis Glycosuria Glomerulopathy Progressive sensorineural hearing impairment Short finger Chorioretinal atrophy Pericardial effusion Abnormal retinal morphology Right ventricular hypertrophy Acute hepatic failure Multinodular goiter Disinhibition Abnormality of female external genitalia Hepatic encephalopathy Urethral stenosis Achromatopsia Acute pancreatitis Chills Poor fine motor coordination Urinary retention Elevated alkaline phosphatase of bone origin Elevated C-reactive protein level Tubulointerstitial fibrosis Testicular atrophy Abnormal left ventricle morphology Abnormal renal physiology Retinal pigment epithelial atrophy Recurrent bronchitis Endocardial fibroelastosis Abnormal renal morphology Menstrual irregularities Decreased HDL cholesterol concentration Ovarian cyst High-frequency hearing impairment Restrictive cardiomyopathy Esophageal varix Chronic obstructive pulmonary disease Chronic fatigue Polyarticular chondrocalcinosis Male hypogonadism Oligospermia Myocarditis Duplication of renal pelvis


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