{"id":8138,"date":"2020-04-27T07:53:31","date_gmt":"2020-04-27T10:53:31","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/sindrome-de-noonan\/"},"modified":"2020-04-27T14:38:59","modified_gmt":"2020-04-27T17:38:59","slug":"noonan-syndrome-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/","title":{"rendered":"Noonan syndrome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#%C2%BFQue-es-Noonan-sindrome\" >What is Noonan? syndrome?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#Una-nina-de-12-anos-con-sindrome-de-Noonan\" >A 12-year-old girl with Noonan syndrome.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#%C2%BFQue-causa-el-sindrome-de-Noonan\" >What Causes Noonan Syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Noonan\" >What are the clinical features of Noonan syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#%C2%BFCuales-son-las-complicaciones-del-sindrome-de-Noonan\" >What are the complications of Noonan syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-noonan\/#%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Noonan\" >What is the treatment for Noonan syndrome?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h1><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Noonan-sindrome\"><\/span>What is Noonan? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>Noonan syndrome is common <span class=\"term\" data-term-id=\"828\">autosomal<\/span> dominant disorder associated with <span class=\"term\" data-term-id=\"871\">mutations<\/span> in the Ras \/ mitogen-activated protein kinase (MAPK) pathway and is one of a group of conditions that are collectively known as <span class=\"term\" data-term-id=\"1220\">RASopathies<\/span>.<\/p>\n<p>Noonan syndrome is characterized by:<\/p>\n<ul>\n<li>A distinctive facial appearance<\/li>\n<li>Short stature<\/li>\n<li>Chest deformity<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1036\">Congenital<\/span> heart disease.<\/li>\n<\/ul>\n<p>Noonan syndrome is also known as:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"849\">Family<\/span> Turner syndrome\n<\/li>\n<li>Female pseudo-Turner syndrome<\/li>\n<li>Male Turner syndrome<\/li>\n<li>Noonan-Ehmke syndrome<\/li>\n<li>Pseudo-Ullrich-Turner syndrome<\/li>\n<li>Turner syndrome<\/li>\n<li>Turner <span class=\"term\" data-term-id=\"781\">phenotype<\/span> with normal <span class=\"term\" data-term-id=\"1489\">karyotype<\/span>\n<\/li>\n<li>Ullrich-Noonan syndrome.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Una-nina-de-12-anos-con-sindrome-de-Noonan\"><\/span>A 12-year-old girl with Noonan syndrome.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='noonan-syndrome__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkilde0xq-2520317-1601617' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/Noonan-syndrome__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDE0XQ-2520317.png'>\n<\/div>\n<p class=\"p-small\">Noonan syndrome<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p><span style=\"font-size: 10px;\">Source: Wikipedia<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-sindrome-de-Noonan\"><\/span>What Causes Noonan Syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Noonan syndrome is caused by mutations in the <span class=\"term\" data-term-id=\"775\">genes<\/span> associated with the Ras \/ MAPK cell signaling pathway, which is required for normal cell division, <span class=\"term\" data-term-id=\"893\">proliferation<\/span>, <span class=\"term\" data-term-id=\"1307\">differentiation<\/span> and migration. These mutations lead to loss of regulation of cell growth and division.<\/p>\n<p>Mutations in <em>PTPN11<\/em> <span class=\"term\" data-term-id=\"774\">gene<\/span> are involved in more than 50% of Noonan syndrome cases. Genetic mutations in <em>SOS1<\/em> are involved in the 10-15% of cases and mutations in the <em>RAF1<\/em> gen and the <em>RIT1<\/em> The genes represent approximately 5% each. Several other genes make up the rest.<\/p>\n<p class=\"2ndpar\">the <span class=\"term\" data-term-id=\"558\">genetic<\/span> The cause of Noonan syndrome is unknown in up to 20% of cases.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Noonan\"><\/span>What are the clinical features of Noonan syndrome? <span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Noonan syndrome both sexes and all races; 50-70% of people with Noonan syndrome are short. Birth weight and length are usually normal, but growth slows over time. This is believed to be associated with abnormal levels of growth hormone.<\/p>\n<p>Noonan syndrome presents with distinctive facial features, such as:<\/p>\n<ul>\n<li>Deep filter (groove between nose and mouth)<\/li>\n<li>Hypertelorism (eyes wide apart)<\/li>\n<li>Low ears turned back<\/li>\n<li>High arched palate<\/li>\n<li>Poor alignment of teeth<\/li>\n<li>Micrognathia (small lower jaw).<\/li>\n<\/ul>\n<p class=\"2ndpar\">Other clinical manifestations of Noonan syndrome include:<\/p>\n<ul>\n<li>A webbed neck<\/li>\n<li>A short \/ low neck <span class=\"term\" data-term-id=\"239\">later<\/span> hairline<\/li>\n<li>Pectus excavatum (sunken sternum) or pectus carinatum (protruding sternum)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1224\">Scoliosis<\/span> (abnormal <span class=\"term\" data-term-id=\"163\">side<\/span> curvature of the spine)<\/li>\n<li>Lymphedema<\/li>\n<li>Bleeding disorders<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1840\">Hypogonadism<\/span> (defective function of the gonads that can lead to insufficient production of <span class=\"term\" data-term-id=\"1167\">sex<\/span> hormones).<\/li>\n<\/ul>\n<p class=\"2ndpar\">Congenital heart disease is common in most cases of Noonan syndrome, being the most common defect <span class=\"term\" data-term-id=\"1009\">pulmonary<\/span> valve <span class=\"term\" data-term-id=\"1215\">stenosis<\/span>.<\/p>\n<p class=\"2ndpar\"><span class=\"term\" data-term-id=\"47\">Cutaneous<\/span> The symptoms of Noonan syndrome are varied and the literature on the subject is limited. The documented skin effects of Noonan syndrome include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1520\">Pigmented<\/span> <span class=\"term\" data-term-id=\"785\">melanocytic<\/span> <span class=\"term\" data-term-id=\"354\">naevi<\/span> (moles)<\/li>\n<li>Abnormal dermatoglyphs (fingerprints), with a greater number of spirals appearing on the fingertips, secondary to <span class=\"term\" data-term-id=\"1374\">peripheral<\/span> lymphedema\n<\/li>\n<li>\n<p>Stasis <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> (a common <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> <span class=\"term\" data-term-id=\"60\">skin disease<\/span>, because <span class=\"term\" data-term-id=\"1178\">venous<\/span> grouping in the lower extremities).<\/li>\n<li>\n<span class=\"term\" data-term-id=\"588\">Plant<\/span> <span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span> or <span class=\"term\" data-term-id=\"591\">keratoderma<\/span> (thickening of the skin on the soles of the feet).<\/li>\n<\/ul>\n<p class=\"2ndpar\">Noonan syndrome with multiples <span class=\"term\" data-term-id=\"1394\">lentigines<\/span>, formerly known as LEOPARD syndrome, is similar to Noonan syndrome. It has characteristic skin characteristics, including:<\/p>\n<ul>\n<li>\n<p>Coffee with milk <span class=\"term\" data-term-id=\"343\">macules<\/span> (flat, light brown macules) caused by a collection of <span class=\"term\" data-term-id=\"231\">pigment<\/span>-producer <span class=\"term\" data-term-id=\"181\">melanocytes<\/span> at <span class=\"term\" data-term-id=\"85\">epidermis<\/span>\n<\/li>\n<li>\n<p>Lentigos (flat or slightly raised pigmented lesions with <span class=\"term\" data-term-id=\"303\">well defined<\/span> edges): Unlike freckles, these spots are not affected by sun exposure.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-complicaciones-del-sindrome-de-Noonan\"><\/span>What are the complications of Noonan syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1409\">Hypertrophic<\/span> <span class=\"term\" data-term-id=\"605\">cardiomyopathy<\/span> it is common in individuals with critical congenital pulmonary valve stenosis.<\/p>\n<p>People with Noonan syndrome have an eight times greater risk of developing <span class=\"term\" data-term-id=\"1522\">hematological<\/span> malignant tumors, the most common being <span class=\"term\" data-term-id=\"613\">leukemia<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Noonan\"><\/span>What is the treatment for Noonan syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There is no specific treatment for the syndrome. Any complications such as heart disease should be monitored and treated according to symptoms, signs, and the results of investigations.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es Noonan? s\u00edndrome? El s\u00edndrome de Noonan es com\u00fan autos\u00f3mico trastorno dominante asociado con mutaciones en la ruta Ras \/ mit\u00f3geno activado por la prote\u00edna quinasa (MAPK) y es&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8138","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8138"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8138\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}