what is the icd 10 code for adams-oliver syndrome

by Ariel Dickens DDS 10 min read

Other specified congenital malformations of integument
The 2022 edition of ICD-10-CM Q84. 8 became effective on October 1, 2021. This is the American ICD-10-CM version of Q84.

What is a synonym for Adams Oliver syndrome?

Synonyms of Adams Oliver Syndrome 1 Absence Defect of Limbs, Scalp and Skull 2 Aplasia Cutis Congenita with Terminal Transverse Limb Defects 3 Congenital Scalp Defects with Distal Limb Reduction Anomalies

What is Adams-Oliver syndrome (AOS)?

(December 2015) Adams–Oliver syndrome (AOS) is a rare congenital disorder characterized by defects of the scalp and cranium (cutis aplasia congenita), transverse defects of the limbs, and mottling of the skin.

What is the PMID for Adams–Oliver syndrome (AOS)?

PMID 1951437. Zapata HH, Sletten LJ, Pierpont ME (1995). "Congenital cardiac malformations in Adams–Oliver syndrome". Clin Genet. 47 (2): 80–84. doi: 10.1111/j.1399-0004.1995.tb03928.x.

What is the life expectancy of someone with Adams–Oliver syndrome?

Most children with Adams–Oliver syndrome can likely expect to have a normal life span. However, individuals with more severe scalp and cranial defects may experience complications such as hemorrhage and meningitis, leading to long-term disability.

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What is Adams-Oliver Syndrome?

General Discussion. Adams-Oliver syndrome (AOS) is a rare inherited condition present at birth that involves changes to the limbs and scalp. Symptoms may include areas of missing skin on the scalp, limb abnormalities, heart defects, neurological concerns, and issues with the eyes.

Why is it called Adams-Oliver Syndrome?

Adams–Oliver syndrome (AOS) is a rare congenital disorder characterized by defects of the scalp and cranium (cutis aplasia congenita), transverse defects of the limbs, and mottling of the skin....Diagnosis.Major featuresMinor featuresAplasia cutis congenitaCongenital heart defectFamily history of AOSVascular anomaly1 more row

How do you get Adams-Oliver Syndrome?

Adams-Oliver syndrome can have different inheritance patterns. When caused by mutations in the ARHGAP31, DLL4, NOTCH1, or RBPJ gene, the condition is inherited in an autosomal dominant pattern. Autosomal dominant inheritance means that one copy of the altered gene in each cell is sufficient to cause the disorder.

Is there a treatment for Adams-Oliver Syndrome?

There is no cure for Adams–Oliver syndrome; treatment focuses in on symptom management and can include: Skin grafting and cranial or other surgery to repair skin lesions/skull abnormalities. Physical therapy, surgery and use of prostheses for limb malformations.

Who discovered Adams Oliver Syndrome?

Adams-Oliver syndrome (AOS) was first reported by the American pediatric cardiologist Forrest H. Adams and the clinical geneticist Clarence Paul Oliver in a family with eight affected members [1]. AOS is characterized by the combination of congenital scalp defects (aplasia cutis congenita) (Fig.

What is Bart's syndrome?

Barth syndrome is a rare condition characterized by an enlarged and weakened heart (dilated cardiomyopathy ), weakness in muscles used for movement (skeletal myopathy), recurrent infections due to small numbers of white blood cells (neutropenia), and short stature.

What are the characteristics of Williams syndrome?

Newborns with Williams syndrome have characteristic “elfin-like” facial features including an unusually small head (microcephaly), full cheeks, an abnormally broad forehead, puffiness around the eyes and lips, a depressed nasal bridge, broad nose, and/or an unusually wide and prominent open mouth.

What is Wolf Hirschhorn Syndrome?

Description. Collapse Section. Wolf-Hirschhorn syndrome is a condition that affects many parts of the body. The major features of this disorder include a characteristic facial appearance, delayed growth and development, intellectual disability, and seizures.

What causes Cornelia de Lange syndrome?

Causes. Cornelia de Lange syndrome can result from variants (also called mutations) in one of several genes. Variants in the NIPBL gene have been identified in more than half of all people with this condition. Variants in other genes, including SMC1A, HDAC8, RAD21, SMC3, and others, are much less common.

What makes something autosomal dominant?

One of the ways a genetic trait or a genetic condition can be inherited. In autosomal dominant inheritance, a genetic condition occurs when a variant is present in only one allele (copy) of a given gene.

What does charge Syndrome stand for?

CHARGE is an abbreviation for several of the features common in the disorder: coloboma, heart defects, atresia choanae (also known as choanal atresia), growth retardation, genital abnormalities, and ear abnormalities.

Is Aicardi syndrome hereditary?

Inheritance. Nearly all known cases of Aicardi syndrome are sporadic, which means that they are not passed down through generations and occur in people with no history of the disorder in their family. The disorder is believed to result from new gene mutations.

What is Adams-Oliver syndrome?

Adams-Oliver syndrome (AOS) is a rare disease characterized by an abnormality of skin development (areas of missing skin on the scalp called aplasia cutis congenita) and malformations of the hands and feet (terminal transverse limbs defects). The aplasia cutis may involve only the skin or include the skull under the skin. The terminal transverse limb defects may include webbed fingers or toes ( syndactyly) and short or missing fingers or toes ( brachydactyly or oligodactyly, respectively). Other signs and symptoms may include additional skeletal abnormalities of the limbs; cutis marmorata telangiectatica congenita (a blood vessel disorder); pulmonary hypertension; heart defects; and neurological problems. [1] Severity can vary greatly among people with the syndrome and may be lethal in some cases. [2] AOS is caused by mutations in any of six known genes. It may be inherited in an autosomal dominant or autosomal recessive manner, depending on the genetic cause. In some cases, the genetic cause is unknown. [1] Treatment depends on the severity and specific features in each person, and often involves a team of specialists. [3]

What is the long term outlook for Adams-Oliver syndrome?

The long-term outlook ( prognosis) for people with Adams-Oliver syndrome (AOS) varies depending on the specific signs and symptoms present in each person and the degree of severity of these signs and symptoms.

What is the chance of inheriting AOS?

When a person with an autosomal dominant form of AOS has children, each child has a 50% (1 in 2) chance to inherit the disease-causing mutation. When AOS is caused by mutations in the DOCK6 or EOGT gene, the syndrome is inherited in an autosomal recessive manner. [1] .

Is Adams-Oliver syndrome inherited?

Adams-Oliver syndrome (AOS) may be inherited in an autosomal dominant or autosomal recessive manner, depending on the gene mutation . [1] When AOS is caused by a mutation in the ARHGAP31, DLL4, NOTCH1, or RBPJ gene, the syndrome is inherited in an autosomal dominant manner. [1] . This means that having a mutation in only one copy ...

Is AOS inherited?

AOS is caused by mutations in any of six known genes. It may be inherited in an autosomal dominant or autosomal recessive manner, depending on the genetic cause. In some cases, the genetic cause is unknown. [1] .

What is Adams-Oliver syndrome?

Adams-Oliver syndrome (AOS) is an extremely rare inherited disorder characterized by defects of the scalp and abnormalities of the fingers, toes, arms, and/or legs. The physical abnormalities associated with this disorder vary greatly among affected individuals. Some cases may be very mild while others may be severe. In infants with Adams-Oliver syndrome, scalp defects are present at birth (congenital) and may include one or multiple hairless scarred areas that may have abnormally wide (dilated) blood vessels directly under the affected skin. In severe cases, an underlying defect of the bones of the skull may also be present. In addition, infants with this disorder typically have malformations of the hands, arms, feet, and/or legs. These range from abnormally short (hypoplastic) fingers and toes to absent hands and/or lower legs. In some cases, additional abnormalities may also be present. Most cases of AOS appear to follow autosomal dominant inheritance but autosomal recessive inheritance has also been reported.

What are the scalp defects associated with Adams-Oliver syndrome?

The scalp defects associated with Adams-Oliver syndrome resemble aplasia cutis congenita. (For more information on meningitis and aplasia cutis congenita, see the Related Disorders section of this report.)

What are the physical findings of Adams-Oliver syndrome?

The physical findings associated with Adams-Oliver syndrome (e.g, scalp defects and abnormalities of the fingers, toes, arms, and/or legs) may vary greatly in severity from case to case (variable expressivity). In addition, all of the characteristics associated with this disorder may not be manifested in all those who inherit the gene (incomplete penetrance).

What is the risk of AOS?

The abnormal gene can be inherited from either parent or can be the result of a new mutation (gene change) in the affected individual. The risk of passing the abnormal gene from affected parent to offspring is 50% for each pregnancy. The risk is the same for males and females.

Is genetic counseling good for Adams-Oliver syndrome?

Genetic counseling will be of benefit for affected individuals and their families. Family members of affected individuals should also receive regular clinical evaluations to detect any symptoms and physical characteristics that may be potentially associated with Adams-Oliver syndrome. Other treatment for this disorder is symptomatic and supportive.

Can Adams-Oliver syndrome cause short fingers?

Infants with Adams-Oliver syndrome also exhibit malformations of the fingers, toes, hands, and/or feet. Some affected infants may have abnormally short fingers and/or toes (digits) due to underdevelopment (hypoplasia) or absence of certain bones in the hands and/or feet (metacarpals and/or phalanges [terminal]). In severe cases, the fingers, toes, hands, feet, and/or lower legs may be partially or completely absent. Affected individuals may also have webbing of toes (syndactyly) and underdeveloped (hypoplastic) toenails. In general, the lower extremities (i.e., lower legs, feet, and toes) are more severely affected.

Can Adams-Oliver syndrome be treated?

Infants with Adams-Oliver syndrome may exhibit one or multiple hairless scarred areas of skin on the scalp . The depth and size (diameter) of the lesions vary greatly from case to case. In some affected individuals, the scalp lesions may become ulcerated or infected. However, in most cases, these skin lesions heal without treatment (spontaneously) within the first few months of life. In some infants with Adams-Oliver syndrome, abnormally wide (dilated) blood vessels may be apparent under the skin lesions. In severe cases, these fragile dilated blood vessels may bleed (hemorrhage).

Clinical description

The severity of the disorder varies greatly among affected individuals. Aplasia cutis congenita, transverse limb defects and cutis marmorata telangiectica are characteristic of this condition.

Genetic counseling

Most cases are transmitted as an autosomal dominant trait, but some show autosomal recessive transmission with familial or sporadic occurrence.

Management and treatment

Limb and scalp defects require orthopedic treatment. Management requires a comprehensive multidisciplinary approach.

What is the autosomal recessive form of Adams-Oliver syndrome?

Autosomal recessive forms of Adams-Oliver syndrome include AOS2, caused by mutations in the DOCK6 gene and AOS4, caused by mutations in the EOGT gene. Differential diagnosis of aplasia cutis congenita may include Scalp-ear-nipple (SEN) syndrome caused mutations in the KCTD1 gene and Johanson-Blizzard syndrome caused by mutations in the UBR1 gene.

What is Adams-Oliver syndrome?

Adams-Oliver Syndrome (AOS) is a rare disorder characterized by the combination of congenital limb abnormalities and scalp defects, often accompanied by skull ossification defects. Most patients have aplasia cutis congenita, a condition characterized by localized areas of missing skin typically occurring on the top of the head (the skull vertex). There is great variability in the severity of the disease among affected individuals. Typical findings are malformations of the hands, arms, feet and/or legs that range from hypoplastic fingers and toes to absent hands and/or lower legs, and occasionally intellectual disability. Aplasia cutis congenita, transverse limb defects and cutis marmorata telangiectica are characteristic of this condition. AOS may also be associated with a variety of physical anomalies including congenital cataract, strabismus and microphthalmia, congenital heart malformations, and hepatoportal sclerosis. Congenital heart defects have been estimated to be present in 20% of AOS patients; reported malformations include ventricular septal defects, anomalies of the great arteries and their valves, and tetralogy of Fallot. Autosomal dominant forms of Adams-Oliver syndrome include AOS1, which is caused by heterozygous mutations in the ARHGAP31 gene, AOS3, caused by mutations in the RBPJ gene, AOS5, caused by mutations in the NOTCH1 gene and AOS6, caused by mutations in the DLL4 gene. Autosomal recessive forms of Adams-Oliver syndrome include AOS2, caused by mutations in the DOCK6 gene and AOS4, caused by mutations in the EOGT gene. Differential diagnosis of aplasia cutis congenita may include Scalp-ear-nipple (SEN) syndrome caused mutations in the KCTD1 gene and Johanson-Blizzard syndrome caused by mutations in the UBR1 gene.

What is Adams–Oliver syndrome?

Adams–Oliver syndrome is a rare condition characterised by various malformations of the limbs and abnormal skin development, particularly on the scalp.

What are the clinical features of Adams–Oliver syndrome?

Aplasia cutis congenita. This describes localised areas of missing skin on the scalp which are scarred and hairless; these lesions can become infected and there can be underlying deformity of the bone.

How many genes are involved in Adams-Oliver syndrome?

Adams–Oliver syndrome is caused by genetic mutations in at least 6 genes:

Is Adams Oliver syndrome long term?

Long-term prognosis for Adams–Oliver syndrome is difficult to predict: it is not adequately described in medical literature due to a dearth of cases. It should be noted that, in absence of major abnormalities, those with this condition should have a normal lifespan. See smartphone apps to check your skin.

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Symptoms

  • The physical abnormalities associated with Adams-Oliver syndrome vary greatly among affected individuals. While some cases may be very mild, others may be severe. Limb and scalp defects are the most common findings. Infants with Adams-Oliver syndrome also exhibit malformations of the fingers, toes, hands, and/or feet. Some affected infants may have...
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Signs and symptoms

  • Infants with Adams-Oliver syndrome may exhibit one or multiple hairless scarred areas of skin on the scalp. The depth and size (diameter) of the lesions vary greatly from case to case. In some affected individuals, the scalp lesions may become ulcerated or infected. However, in most cases, these skin lesions heal without treatment (spontaneously) within the first few months of life. In so…
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Clinical significance

  • In severe cases, the scalp and vascular defects described above may be associated with an underlying bone defect, including absence of bone in certain areas of the skull. In very severe cases, certain tissues beneath the skull may become exposed, resulting in increased susceptibility to excessive bleeding (hemorrhage) and/or bacterial infections such as meningitis. The scalp def…
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Genetics

  • Most cases of AOS appear to follow autosomal dominant inheritance. Dominant genetic disorders occur when only a single copy of an abnormal gene is necessary to cause a particular disease. The abnormal gene can be inherited from either parent or can be the result of a new mutation (gene change) in the affected individual. The risk of passing the abnormal gene from affected pa…
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Cause

  • Autosomal recessive inheritance has also been reported. Recessive genetic disorders occur when an individual inherits two copies of an abnormal gene for the same trait, one from each parent. If an individual receives one normal gene and one gene for the disease, the person will be a carrier for the disease but usually will not show symptoms. The risk for two carrier parents to both pass …
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Epidemiology

  • Adams-Oliver syndrome is an extremely rare disorder that appears to affect males and females in equal numbers. More than 125 affected individuals have been reported in the medical literature. The major physical features of Adams-Oliver syndrome (i.e., scalp defects and limb abnormalities) are apparent at birth (congenital).
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Diagnosis

  • Symptoms of the following disorders can be similar to those of Adams-Oliver syndrome. Comparisons may be useful for a differential diagnosis: The following disorders may be associated with Adams-Oliver syndrome as secondary characteristics. They are not necessary for a differential diagnosis: The diagnosis of Adams-Oliver syndrome may be suspected at birth bas…
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Overview

  • Bart type epidermolysis bullosa dystrophica (Bart syndrome) is a rare skin disorder in which congenital absence of the skin in certain areas (localized) may be a major feature. In most cases, affected individuals may also have fragile skin that blisters upon exposure to minor trauma and/or absence or malformation (dystrophy) of the fingernails and toenails. Epidermolysis bullosa dystr…
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Others

  • There are other congenital disorders (e.g., focal dermal hypoplasia, trisomy 13 syndrome, amniotic bands, Johanson-Blizzard syndrome, etc.) that may be characterized by scalp and skull defects that occur in association with abnormalities of the hands and feet. These disorders usually have other physical features that may differentiate them from Adams-Oliver syndrome. (For mor…
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Treatment

  • Treatment The treatment of Adams-Oliver syndrome is directed toward the specific symptoms that are apparent in each individual. Treatment may require the coordinated efforts of a team of specialists. Pediatricians, orthopedic and plastic surgeons, cardiologists, physical therapists, and other health care professionals may need to systematically, and comprehensively plan an affect…
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Resources

  • Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. All studies receiving U.S. government funding, and some supported by private industry, are posted on this government website.
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Works

  • Jones KL, ed. Smiths Recognizable Patterns of Human Malformation. 5th ed. Philadelphia, PA: W. B. Saunders Co: 1997:314.
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Bibliography

  • Champion RH, Burton JL, Ebling FJG, eds. Textbook of Dermatology. 5th ed. Cambridge, MA: Blackwell Scientific Publications; 1992:519-22.
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Literature

  • Unay B, Sarici SU, Gül D, Akin R, Gökçay E. Adams-Oliver syndrome: further evidence for autosomal recessive inheritance. Clin Dysmorphol. 2001;10:223-5.
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Selected publications

  • Dyall-Smith D, Ramsden A, Laurie S. Adams-Oliver syndrome: aplastia cutis congenita, terminal transverse limb defects and cutis marmorata telangiectatica congenita. Australas J Dermatol. 1994;35:19-22. Frank RA, Frosch PJ. Adams-Oliver syndrome: cutis marmorata teleangiectatica congenita with multiple anomalies. Dermatology. 1993;187:205-8.
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Contraindications

  • Bork K, Pfeifle J. Multifocal aplasia cutis congenita, distal limb hemimelia, and cutis marmorata telangiectatica in a patient with Adams-Oliver syndrome. Br J Dermatol. 1992;127:160-3.
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Other sources

  • Arand AG, Ball WS, Crone KR. Congenital scalp defects: Adams-Oliver syndrome. A case report and review of the literature. Pediatr Neurosurg. 1991-92;17:203-7.
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