Preferred Label : Stromme syndrome;
Symbol : STROMS;
CISMeF acronym : CILD31; STROMS;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Apple peel syndrome with microcephaly and ocular anomalies; CILD31; Jejunal atresia with microcephaly and ocular anomalies; Ciliary dyskinesia, primary, 31;
Description : Stromme et al. (1993) reported 2 sisters, the offspring of healthy, unrelated parents,
who had apple peel jejunal atresia (see 243600), severe microcephaly, and ocular abnormalities.
Both had normal karyotypes, and neither had evidence of mental retardation. Bellini
et al. (2002) reported a case with this association and cited 2 others from the literature
(Slee and Goldblatt, 1996; Stromme and Andersen, 1997). Their patient, a male infant
born at term to unrelated parents, was noted at birth to have microcephaly and micrognathia.
High jejunal atresia with apple peel deformity and colonic malrotation was surgically
identified. Bilateral corneal leukomas were present, but ultrasound examination showed
normal retina and optic nerves. An MRI of the brain at 2 months of age showed a microcephalic
brain with normal myelination and without malformations or hydrocephalus. Head CT
did not show cranial calcifications. High resolution karyotype and renal and cardiac
ultrasound examinations were normal. TORCH studies were negative. At 4 months of age,
his neurologic exam was normal except for slightly increased tone. Keegan et al. (2004)
described a patient with microcephaly, jejunal atresia, aberrant right tracheobronchial
tree, mild left blepharoptosis, and corectopia, left sectoral iris stromal hypoplasia
and peripheral anterior synechia, and 46,XY sex reversal. The patient represented
a multiple anomaly disorder similar to intestinal atresia/ocular anomalies/microcephaly
syndrome but incorporating 46,XY sex reversal with testicular tissue as an additional
feature. Van Bever et al. (2008) reported a 1-year-old girl, born to nonconsanguineous
parents, who had apple peel jejunal atresia, microcephaly, microphthalmia, and anterior
eye chamber abnormalities. Her parents were unaffected and she had a healthy younger
sister. Chromosome analysis showed a 46,XX karyotype; no mutations were found in the
candidate genes PITX2 (601542), FOXC1 (601090), PAX6 (607108), and;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the centromeric protein F gene (CENPF, 600236.0001);
Prefixed ID : #243605;
Origin ID : 243605;
UMLS CUI : C1855705;
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)