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Rieger syndrome

Autosomal dominant malformative disease.

Types

- Rieger syndrome type 1 (RIEG1)
- Rieger syndrome type 2 (RIEG2)

Synopsis

- maxillary hypoplasia
- short philtrum
- prominent supraorbital ridges
- iris dysplasia (goniodysgenesis)
- iris hypoplasia
- prominent Schwalbe line (posterior embryotoxon)
- glaucoma
- displaced pupils
- dyscoria
- polycoria
- aniridia
- microcornea
- megalocornea
- strabismus
- broad nasal bridge
- mouth
- thin upper lip
- hypodontia (maxillary incisors)
- umbilical defect (redundant periumbilical skin)
- Imperforate anus
- anal stenosis
- hypospadias
- growth hormone deficiency
- variable expressivity

Etiology

- germline mutations in the gene PITX2 coding for paired-like homeodomain transcription factor-2