Larsen Syndrome

Reference work entry

In 1950, Larsen et al. described a condition characterized by multiple large joint dislocations and flat face (Larsen et al. 1950). The condition occurs in approximately 1 in 100,000 births.

Synonyms and Related Disorders

Lethal Larsen-like syndrome; Multiple joint dislocations, short stature, craniofacial dysmorphism, and congenital heart defects

Genetics/Basic Defects

  1. 1.
    Subtypes
    1. a.

      Sporadic form

       
    2. b.

      Autosomal dominant form

       
    3. c.

      Autosomal recessive form: clinical phenotype more debilitating with higher mortality than the autosomal dominant form

       
    4. d.

      Possible lethal form

       
     
  2. 2.

    The first known gene mutated in Larsen syndrome, LAR1, for autosomal dominant form: mapped to 3p21.1-14.1 in the proximity of, but distinct from, the COL7A1 locus.

     
  3. 3.
    Clinical similarities between Larsen syndrome and a group of lethal osteochondrodysplasias including atelosteogenesis types I (AOI) and III (AOIII) and boomerang dysplasia suggested that they represent an allelic series of conditions (Hunter...

Keywords

Cervical Spine Cleft Palate Ossification Center Mitral Valve Prolapse Joint Dislocation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Al-Kaissi, A., & Ammar, C. (2003). Ben Ghachem M. B., et al: Facial features and skeletal abnormalities in Larsen syndrome–a study of three generations of a Tunisian family. Swiss Medical Weekly, 133, 625–628.PubMedGoogle Scholar
  2. Banks, J. T., Wellons, J. C., Tubbs, R. S., et al. (2003). Cervical spine involvement in Larsen’s syndrome: A case illustration. Pediatrics, 111, 199–201.PubMedCrossRefGoogle Scholar
  3. Becker, R., Wegner, R.-D., Kunze, J., et al. (2000). Clinical variability of Larsen syndrome: diagnosis in a father after sonographic detection of a severely affected fetus. Clinical Genetics, 57, 148–150.PubMedCrossRefGoogle Scholar
  4. Bicknell, L. S., Farrington-Rock, C., Shafeghati, et al. (2007). Molecular and clinical study of Larsen syndrome caused by mutations in FLNB. Journal of Medical Genetics, 44, 89–98.Google Scholar
  5. Bicknell, L. S., Morgan, T., Bonafe, L., et al. (2005). Mutations in FLNB cause boomerang dysplasia. Journal of Medical Genetics, 42, e43.PubMedCrossRefGoogle Scholar
  6. Bowen, R., Ortega, K., Ray, S., et al. (1985). Spinal deformities in Larsen’s syndrome. Clinical Orthopaedics, 197, 159–163.Google Scholar
  7. Chen, H., Chang, C., Perrin, E., et al. (1982). A lethal. Larsen-like multiple joint dislocation syndrome. Am J Med Genet, 13, 149–161.Google Scholar
  8. Clayton-Smith, J., & Donnai, D. (1988). A further patient with the lethal type of Larsen syndrome. Journal of Medical Genetics, 25, 499–450.PubMedCrossRefGoogle Scholar
  9. De Nazar, N. M. (1980). Larsen syndrome: Clinical and genetic aspects. Journal de Génétique Humaine, 28, 83–88.Google Scholar
  10. De Smet, L., Legius, E., Fabry, G., et al. (1993). The Larsen syndrome. The diagnostic contribution of the analysis of the metacarpophalangeal pattern profile. Genet Couns, 4, 157–164.Google Scholar
  11. Debeer, P., De Borre, L., De Smet, L., et al. (2003). Asymmetrical Larsen syndrome in a young girl: a second example of somatic mosaicism in this syndrome. Genetic Counseling, 14, 95–100.PubMedGoogle Scholar
  12. Farrington-Rock, C., Firestein, M. H., Bicknell, L. S., et al. (2006). Mutations in Two Regions of FLNB Result in the Atelosteogenesis I and III. Human Mutation, 27, 705–710.PubMedCrossRefGoogle Scholar
  13. Fryns, J. P., Lenaerts, J., & Van den Berghe, H. (1993). Larsen syndrome presenting as a familial syndrome of dwarfism, distinct oldish facial appearance and bilateral clubfeet in mother and daughter. Genetic Counseling, 4, 43–46.PubMedGoogle Scholar
  14. Habermann, E. T., Sterling, A., & Dennis, R. I. (1976). Larsen's syndrome: a heritable disorder. J Bone Joint Surg Am, 58, 558–561.PubMedGoogle Scholar
  15. Harris, R., & Cullen, C. H. (1971). Autosomal dominant inheritance in Larsen’s syndrome. Clinical Genetics, 2, 87–90.PubMedCrossRefGoogle Scholar
  16. Hermanns, P., Unger, S., Rossi, A., et al. (2008). Congenital joint dislocations caused by carbohydrate sulfotransferase 3 deficiency in recessive Larsen syndrome and humero-spinal dysostosis. American Journal of Human Genetics, 82, 1368–1374.PubMedCrossRefGoogle Scholar
  17. Hunter, A. G., & Carpenter, B. F. (1991). Atelosteogenesis I and boomerang dysplasia: a question of nosology. Clinical Genetics, 39, 471–480.PubMedCrossRefGoogle Scholar
  18. Kiel, E. A., Frias, J. L., & Victorica, B. E. (1983). Cardiovascular manifestations in the Larsen syndrome. Pediatrics, 71, 942–946.PubMedGoogle Scholar
  19. Knoblauch, H., Urban, M., & Tinschert, S. (1999). Autosomal recessive versus autosomal dominant inheritance in Larsen syndrome: report of two affected sisters. Genetic Counseling, 10, 315–320.PubMedGoogle Scholar
  20. Kozlowski, K., Robertson, F., & Middleton, R. (1974). Radiographic findings in Larsen’s syndrome. Australasian Radiology, 18, 336–344.PubMedCrossRefGoogle Scholar
  21. Krakow, D., Robertson, S. P., King, L. M., et al. (2004). Mutations in the gene encoding filamin B disrupt vertebral segmentation, joint formation and skeletogenesis. Nature Genetics, 36, 405–410.PubMedCrossRefGoogle Scholar
  22. Larsen, L. J., Schottstaedt, E. F., & Bost, F. C. (1950). Multiple congenital dislocations associated with characteristic facial abnormality. Journal of Pediatrics, 37, 574–581.PubMedCrossRefGoogle Scholar
  23. Latta, R. J., Graham, C. B., Aase, J., et al. (1971). Larsen’s syndrome: a skeletal dysplasia with multiple joint dislocations and unusual facies. Journal of Pediatrics, 78, 291–298.PubMedCrossRefGoogle Scholar
  24. Le Marec, B., Chapuis, M., Treguier, C., et al. (1994). A case of Larsen syndrome with severe cervical malformations. Genetic Counseling, 5, 179–181.PubMedGoogle Scholar
  25. Lewit, N., Batino, S., Groisman, G. M., et al. (1995). Early prenatal diagnosis of Larsen’s syndrome by transvaginal sonography. Journal of Ultrasound in Medicine, 14, 627–629.PubMedGoogle Scholar
  26. Liang, C.-D., & Hang, C. L. (2001). Elongation of the aorta and multiple cardiovascular abnormalities associated with Larsen syndrome. Pediatric Cardiology, 22, 245–246.PubMedCrossRefGoogle Scholar
  27. Lutter, L. D. (1990). Larsen syndrome: clinical features and treatment-A report of two cases. Journal of Pediatric Orthopedics, 10, 270–274.PubMedGoogle Scholar
  28. Malik, P., & Choudhry, D. K. (2002). Larsen syndrome and its anaesthetic considerations. Paediatric Anaesthesia, 12, 632–636.PubMedCrossRefGoogle Scholar
  29. Marques, M. D. N. T. (1980). Larsen's syndrome: Clinical and genetic aspects. Journal de Génétique Humaine, 28, 83–88.Google Scholar
  30. Mostello, D., Hoechstetter, L., Bendon, R. W., et al. (1991). Prenatal diagnosis of recurrent Larsen syndrome: further definition of a lethal variant. Prenatal Diagnosis, 11, 215–225.PubMedCrossRefGoogle Scholar
  31. Petrella, R., Rabinowitz, J. G., Steinmann, B., et al. (1993). Long-term follow-up of two sibs with Larsen syndrome possibly due to parental germ-line mosaicism. American Journal of Medical Genetics, 47, 187–197.PubMedCrossRefGoogle Scholar
  32. Robertson, S. (2008). FLNB-related disorders. GeneReviews. Initial posting October 10, 2008. Available at: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=flnb-dis
  33. Robertson, F. W., Kozlowski, K., & Middleton, R. W. (1975). Larsen's syndrome: Three cases with multiple congenital joint dislocations and distinctive facies. Clinical Genetics, 14, 53–60.Google Scholar
  34. Robertson, S. P., Twigg, S. R., Sutherland-Smith, A. J., et al. (2003). Localized mutations in the gene encoding the cytoskeletal protein filamin A cause diverse malformations in humans. Nature Genetics, 33, 487–491.PubMedCrossRefGoogle Scholar
  35. Rochelson, B., Petrikovsky, B., & Shmoys, S. (1993). Prenatal diagnosis and obstetric management of Larsen syndrome. Obstetrics and Gynecology, 81, 845–847.PubMedGoogle Scholar
  36. Rock, M. J., Green C. G., Pauli R. M., et al. (1998). Tracheomalacia and bronchomalacia associated with Larsen syndrome. Pediatric Pulmonology, 5, 55–59.PubMedCrossRefGoogle Scholar
  37. Sillence, D., Worthington, S., Dixon, J., et al. (1997). Atelosteogenesis syndromes: a review, with comments on their pathogenesis. Pediatr Radiol, 27, 388–396.PubMedCrossRefGoogle Scholar
  38. Silverman, F. N. (1972). Larsen’s syndrome: Congenital dislocation of the knees and other joints, distinctive facies, and frequently, cleft palate. Annales de Radiologie, 15, 297–328.PubMedGoogle Scholar
  39. Stanley, D., & Seymour, N. (1985). The Larsen syndrome occurring in four generations of one family. International Orthopaedics, 8, 267–272.PubMedCrossRefGoogle Scholar
  40. Steel, H. H., & Kohl, J. (1972). Multiple congenital dislocations associated with other skeletal anomalies (Larsen’s syndrome) in three siblings. J Bone Joint Surg, 54A, 75–82.Google Scholar
  41. Strisciuglio, P., Sebastio, G., Andria, G., et al. (1983). Severe cardiac anomalies in sibs with Larsen syndrome. Journal of Medical Genetics, 20, 422–424.PubMedCrossRefGoogle Scholar
  42. Tongson, T., Wanapirak, C., Pongsatha, S., et al. (2000). Prenatal sonographic diagnosis of Larsen syndrome. Journal of Ultrasound in Medicine, 19, 419–421.Google Scholar
  43. Topley, J. M., Varady, E., & Lestringant, G. G. (1994). Larsen syndrome in siblings with consanguineous parents. Clinical Dysmorphology, 3, 263–265.PubMedCrossRefGoogle Scholar
  44. Vujic, M., Hallstensson, K., Wahiström, J., et al. (1995). Localization of a gene for autosomal dominant Larsen syndrome to chromosome region 3p21.1-14.1 in the proximity of, but distinct from, the COL7A1 locus. Am J Hum Genet, 57, 1104–1113.PubMedGoogle Scholar
  45. Wieisenbach, J., Melegh, B., et al. (1996). Vertebral anomalies in Larsen’s syndrome. Pediatric Radiology, 26, 682–683.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Personalised recommendations