IMAGe syndrome

IMAGe syndrome

  • This rare genetic disorder is marked by intrauterine growth restriction, metaphyseal dysplasia, congenital adrenal hypoplasia, and genital anomalies such as cryptorchidism, posterior hypospadias, and micropenis.
  • Affected individuals often present in the neonatal period with signs of severe adrenal insufficiency.
  • Other features include postnatal growth failure, delayed bone age, mild developmental delay, macrocephaly, and subtle facial dysmorphism—typically featuring frontal bossing, a broad nasal bridge, and small, low-set ears. Additional findings may include epiphyseal dysplasia, hypercalcemia, and hypercalciuria, among other variable manifestations.

Synonyms

  • Intrauterine growth retardation-metaphyseal dysplasia-adrenal hypoplasia congenita-genital anomalies syndrome

Prevalence: <1 / 1 000 000

Inheritance: Autosomal dominant, Autosomal recessive

Age of onset: Infancy, Neonatal

What are the symptoms of IMAGe syndrome?

Very Frequent Symptoms

  • Abnormality of the genital system
  • Adrenal hypoplasia 
  • Cryptorchidism
  • Depressed nasal bridge
  • Frontal bossing
  • Hydronephrosis
  • Hypogonadism
  • Hypospadias
  • Hypotonia
  • Intrauterine growth retardation
  • Low-set ears
  • Metaphyseal dysplasia
  • Micromelia 
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