FG syndrome

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

FG syndrome
Synonyms	Opitz–Kaveggia syndrome
Pronounce
Specialty	Medical genetics
Symptoms	Intellectual disability, hypotonia, constipation, distinctive facial features
Complications	N/A
Onset	Congenital
Duration	Lifelong
Types	N/A
Causes	Genetic mutation
Risks	Family history
Diagnosis	Genetic testing, clinical evaluation
Differential diagnosis	Down syndrome, Prader-Willi syndrome, Angelman syndrome
Prevention	N/A
Treatment	Supportive care, physical therapy, occupational therapy
Medication
Prognosis	Varies
Frequency	Rare
Deaths

A genetic disorder affecting multiple systems

FG syndrome is a rare genetic disorder that primarily affects males. It is characterized by a combination of physical, intellectual, and behavioral features. The syndrome is named after the initials of the first family described with the condition.

Genetics

FG syndrome is typically inherited in an X-linked recessive pattern, which means the gene associated with the condition is located on the X chromosome. Males, having only one X chromosome, are more frequently affected by X-linked disorders. The specific gene mutations associated with FG syndrome have been identified in several genes, including MED12, which plays a role in transcriptional regulation and cell signaling.

Clinical Features

Individuals with FG syndrome often present with a distinctive set of clinical features, which may include:

• Hypotonia: Reduced muscle tone, which can lead to delayed motor skills.
• Intellectual disability: Ranging from mild to moderate, affecting cognitive development.
• Behavioral problems: Such as hyperactivity, impulsivity, and attention deficit disorder.
• Macrocephaly: An unusually large head size.
• Facial dysmorphism: Distinctive facial features, including a prominent forehead, down-slanting palpebral fissures, and a small chin.
• Constipation: Chronic digestive issues are common.

Diagnosis

The diagnosis of FG syndrome is based on clinical evaluation and the identification of characteristic features. Genetic testing can confirm the diagnosis by identifying mutations in the associated genes. A detailed family history is also important to assess the inheritance pattern.

Management

There is no cure for FG syndrome, and treatment is symptomatic and supportive. Management strategies may include:

• Physical therapy: To improve muscle tone and motor skills.
• Occupational therapy: To assist with daily living skills.
• Speech therapy: To address communication difficulties.
• Behavioral interventions: To manage hyperactivity and attention issues.
• Educational support: Tailored learning programs to accommodate intellectual disabilities.

Prognosis

The prognosis for individuals with FG syndrome varies depending on the severity of symptoms. With appropriate interventions and support, many individuals can lead fulfilling lives. Lifespan is typically not affected, although associated health issues may require ongoing management.

See also

• Genetic disorders
• X-linked recessive inheritance
• Intellectual disability
• Behavioral disorders