Human pathology

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MURCS association

MIM.601076

MURCS (Mullerian abnormalities, renal agenesis/ectopy and cervicothoracic somite dysplasia)

MURCS is an acronym for the association of Mullerian duct aplasia, Unilateral Renal agenesis and Cervicothoracic Somite dysplasia. Cases are sporadic.

Synopsis

- short stature (adult height <152cm)
- facial asymmetry
- micrognathia
- conductive hearing loss
- external ear defects
- cleft lip and/or cleft palate
- rib anomalies
- Sprengel deformity

- genital anomalies

  • azoospermia
  • bicornuate uterus
  • unicornuate uterus
  • mullerian duct aplasia
  • absent-hypoplastic uterus
  • absent proximal 2/3 of vagina

- renal anomalies

- cervicothoracic somite dysplasia (vertebral anomalies)

  • cervicothoracic vertebral defects (especially C5-T1)

- Klippel-Feil anomaly
- upper limb malformations
- cerebellar cysts
- thenar muscle hypoplasia (thenar hypoplasia) (17786122)
- radial ray anomalies

Differential diagnosis

- overlap between the MURCS association and VATER association (vertebral, anal, tracheo-esophageal, radial)

See also

- mesodermal morphogenesis

References

- Tan TY, Whitelaw C, Savarirayan R. A patient with Mullerian abnormalities, renal dysplasia, cervical spine fusion, cataracts and intellectual disability: MURCS-plus? Clin Dysmorphol. 2007 Oct;16(4):271-3. PMID: 17786121

- Greene RA, Bloch MJ, Huff DS, Iozzo RV. MURCS association with additional congenital anomalies. Hum Pathol. 1986 Jan;17(1):88-91. PMID: 3510965