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Definition:

Russell-Silver syndrome is a disorder present at birth that involves poor growth, low birth weight, short height, and differences in the size of the two sides of the body.



Alternative Names:

Silver-Russell syndrome; Silver syndrome



Causes, incidence, and risk factors:

An estimated 7 - 10% of patients with this syndrome have a defect in a gene called the maternal uniparental disomy (UPD) for chromosome 7. However, a cause cannot be identified in most patients. Most cases occur in people with no family history of the disease.

The estimated number of people who develop this condition varies greatly. Some say it affects about 1 in 3,000 people. Other reports say it affects 1 in 100,000 people. Males and females are equally affected.



Symptoms:

Signs and tests:

The condition is usually diagnosed by early childhood. The doctor will perform a physical exam. Signs include:

  • Small, pointed chin
  • Thin, wide mouth
  • Triangle-shaped face with broad forehead

There are no specific laboratory tests to diagnose Russell-Silver syndrome. However, the following tests may be done:



Treatment:

Growth hormone replacement may help if this hormone is lacking. Other treatments include:

  • Making sure the person gets enough calories
  • Physical therapy
  • Special education

Many specialists may be involved in treating this condition:

  • A doctor specializing in genetics can help diagnose Russell-Silver syndrome.
  • A gastroenterologist or nutritionist can help develop the proper diet to enhance growth.
  • An endocrinologist may prescribe growth hormone, if it is needed.
  • Genetic counselors and psychologists may also be involved.


Support Groups:



Expectations (prognosis):

Older children and adults do not show typical features as clearly as infants or younger children. Intelligence may be normal, although the patient may have a learning disability.



Complications:
  • Self esteem and emotional problems related to appearance
  • Chewing or speaking difficulty if jaw is very small
  • Learning disabilities


Calling your health care provider:

Call your health care provider if signs of Russell-Silver syndrome develop. The doctor may refer you to a genetic professional for a full evaluation and chromosome studies.



Prevention:




Review Date: 10/15/2008
Reviewed By: Diana Chambers, MS, EdD, Certified Genetics Counselor (ABMG), Charter Member of the ABGC, University of Tennessee, Memphis, TN. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100