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GTR Home > Tests > Silver-Russell mat UPD7

Indication

This is a clinical test intended for Help: Diagnosis

Clinical summary

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Imported from GeneReviews

Silver-Russell Syndrome (SRS) is typically characterized by asymmetric gestational growth restriction resulting in affected individuals being born small for gestational age, with relative macrocephaly at birth (head circumference ≥1.5 SD above birth weight and/or length), prominent forehead usually with frontal bossing, and frequently body asymmetry. This is followed by postnatal growth failure, and in some cases progressive limb length discrepancy and feeding difficulties. Additional clinical features include triangular facies, fifth-finger clinodactyly, and micrognathia with narrow chin. Except for the limb length asymmetry, the growth failure is proportionate and head growth normal. The average adult height in untreated individuals is ~3.1±1.4 SD below the mean. The Netchine-Harbison Clinical Scoring System (NH-CSS) is a sensitive diagnostic scoring system. Clinical diagnosis can be established in an individual who meets at least four of the NH-CSS clinical criteria – prominent forehead/frontal bossing and relative macrocephaly at birth plus two additional findings – and in whom other disorders have been ruled out.

Clinical features

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Imported from Human Phenotype Ontology (HPO)

  • Craniopharyngioma
  • Fetal growth restriction
  • Micrognathia
  • Nephroblastoma
  • Syndactyly
  • Cafe-au-lait spot
  • Frontal bossing
  • Small for gestational age
  • Congenital posterior urethral valve
  • Abnormality of the cardiovascular system
  • Urethral valve
  • Fasting hypoglycemia
  • Delayed cranial suture closure
  • Delayed skeletal maturation
  • Blue sclerae
  • Global developmental delay
  • Hypospadias
  • Short middle phalanx of the 5th finger
  • Triangular face
  • Short distal phalanx of the 5th finger
  • Abnormality of the ureter
  • Clinodactyly of the 5th finger
  • Downturned corners of mouth
  • Craniofacial disproportion
  • Hepatocellular carcinoma
  • Decreased response to growth hormone stimulation test
  • Testicular seminoma
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Conditions tested

Target population

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Not provided

Clinical validity

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Not provided

Clinical utility

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Not provided

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