U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Lambert syndrome

MedGen UID:
343381
Concept ID:
C1855551
Disease or Syndrome
Synonym: Branchial dysplasia clubfoot inguinal hernia and biliary atresia
SNOMED CT: Lambert syndrome (732961003); Branchial dysplasia, intellectual disability, inguinal hernia syndrome (732961003)
Modes of inheritance:
Unknown inheritance
MedGen UID:
989040
Concept ID:
CN307042
Finding
Source: Orphanet
Hereditary clinical entity whose mode of inheritance is unknown.
 
Monarch Initiative: MONDO:0009507
OMIM®: 245550
Orphanet: ORPHA1296

Definition

A very rare syndrome described in four siblings of one French family and with characteristics of branchial dysplasia (malar hypoplasia, macrostomia, preauricular tags and meatal atresia), club feet, inguinal hernia and cholestasis due to paucity of interlobular bile ducts and intellectual deficit. [from SNOMEDCT_US]

Clinical features

From HPO
Hypospadias
MedGen UID:
163083
Concept ID:
C0848558
Congenital Abnormality
Abnormal position of urethral meatus on the ventral penile shaft (underside) characterized by displacement of the urethral meatus from the tip of the glans penis to the ventral surface of the penis, scrotum, or perineum.
Clubfoot
MedGen UID:
3130
Concept ID:
C0009081
Congenital Abnormality
Clubfoot is a congenital limb deformity defined as fixation of the foot in cavus, adductus, varus, and equinus (i.e., inclined inwards, axially rotated outwards, and pointing downwards) with concomitant soft tissue abnormalities (Cardy et al., 2007). Clubfoot may occur in isolation or as part of a syndrome (e.g., diastrophic dysplasia, 222600). Clubfoot has been reported with deficiency of long bones and mirror-image polydactyly (Gurnett et al., 2008; Klopocki et al., 2012).
Jaundice
MedGen UID:
43987
Concept ID:
C0022346
Sign or Symptom
Yellow pigmentation of the skin due to bilirubin, which in turn is the result of increased bilirubin concentration in the bloodstream.
Intrahepatic biliary atresia
MedGen UID:
343308
Concept ID:
C1855284
Disease or Syndrome
Atresia in the intrahepatic bile duct.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Inguinal hernia
MedGen UID:
6817
Concept ID:
C0019294
Finding
Protrusion of the contents of the abdominal cavity through the inguinal canal.
Malar flattening
MedGen UID:
347616
Concept ID:
C1858085
Finding
Underdevelopment of the malar prominence of the jugal bone (zygomatic bone in mammals), appreciated in profile, frontal view, and/or by palpation.
Wide mouth
MedGen UID:
44238
Concept ID:
C0024433
Congenital Abnormality
Distance between the oral commissures more than 2 SD above the mean. Alternatively, an apparently increased width of the oral aperture (subjective).
Preauricular skin tag
MedGen UID:
395989
Concept ID:
C1860816
Finding
A rudimentary tag of skin often containing ear tissue including a core of cartilage and located just anterior to the auricle (outer part of the ear).

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLambert syndrome
Follow this link to review classifications for Lambert syndrome in Orphanet.

Professional guidelines

PubMed

Lonati D, Schicchi A, Crevani M, Buscaglia E, Scaravaggi G, Maida F, Cirronis M, Petrolini VM, Locatelli CA
Toxins (Basel) 2020 Aug 7;12(8) doi: 10.3390/toxins12080509. PMID: 32784744Free PMC Article
Feasby T, Banwell B, Benstead T, Bril V, Brouwers M, Freedman M, Hahn A, Hume H, Freedman J, Pi D, Wadsworth L
Transfus Med Rev 2007 Apr;21(2 Suppl 1):S57-107. doi: 10.1016/j.tmrv.2007.01.002. PMID: 17397768
Sakuragi T, Oshita F, Nagashima S, Kasai T, Kurata T, Fukuda M, Yamamoto N, Ohe Y, Tamura T, Eguchi K, Shinkai T, Saijo N
Jpn J Clin Oncol 1996 Jun;26(3):128-33. doi: 10.1093/oxfordjournals.jjco.a023195. PMID: 8656551

Recent clinical studies

Etiology

Sanders DB, Juel VC, Harati Y, Smith AG, Peltier AC, Marburger T, Lou JS, Pascuzzi RM, Richman DP, Xie T, Demmel V, Jacobus LR, Aleš KL, Jacobus DP; Dapper Study Team
Muscle Nerve 2018 Apr;57(4):561-568. Epub 2018 Feb 2 doi: 10.1002/mus.26052. PMID: 29280483Free PMC Article
Sakuragi T, Oshita F, Nagashima S, Kasai T, Kurata T, Fukuda M, Yamamoto N, Ohe Y, Tamura T, Eguchi K, Shinkai T, Saijo N
Jpn J Clin Oncol 1996 Jun;26(3):128-33. doi: 10.1093/oxfordjournals.jjco.a023195. PMID: 8656551
Sculier JP, Feld R, Evans WK, DeBoer G, Shepherd FA, Payne DG, Pringle JF, Yeoh JL, Quirt IC, Curtis JE
Cancer 1987 Nov 1;60(9):2275-83. doi: 10.1002/1097-0142(19871101)60:9<2275::aid-cncr2820600929>3.0.co;2-3. PMID: 2830955
Eckman MH, Robert NJ, Parkinson DR, Latzko G, Pauker SG
Med Decis Making 1986 Jul-Sep;6(3):174-86. doi: 10.1177/0272989X8600600308. PMID: 3016451
Dell'Osso LF, Ayyar DR, Daroff RB, Abel LA
Neurology 1983 Sep;33(9):1157-63. doi: 10.1212/wnl.33.9.1157. PMID: 6684251

Diagnosis

Lonati D, Schicchi A, Crevani M, Buscaglia E, Scaravaggi G, Maida F, Cirronis M, Petrolini VM, Locatelli CA
Toxins (Basel) 2020 Aug 7;12(8) doi: 10.3390/toxins12080509. PMID: 32784744Free PMC Article
Agarawal SK, Birch BR, Abercrombie GF
Scand J Urol Nephrol 1995 Sep;29(3):351-3. doi: 10.3109/00365599509180590. PMID: 8578283
N Y State J Med 1991 Jan;91(1):8-14. PMID: 1847235
Sandyk R
S Afr Med J 1983 Feb 26;63(9):323-5. PMID: 6298957
Gutmann L, Crosby TW, Takamori M, Martin JD
Am J Med 1972 Sep;53(3):354-6. doi: 10.1016/0002-9343(72)90179-9. PMID: 4115499

Therapy

Sanders DB, Juel VC, Harati Y, Smith AG, Peltier AC, Marburger T, Lou JS, Pascuzzi RM, Richman DP, Xie T, Demmel V, Jacobus LR, Aleš KL, Jacobus DP; Dapper Study Team
Muscle Nerve 2018 Apr;57(4):561-568. Epub 2018 Feb 2 doi: 10.1002/mus.26052. PMID: 29280483Free PMC Article
Dau PC, Denys EH
Ann Neurol 1982 Jun;11(6):570-5. doi: 10.1002/ana.410110604. PMID: 7114807
Soni N, Kam P
Anaesth Intensive Care 1982 May;10(2):120-6. doi: 10.1177/0310057X8201000205. PMID: 6285756
Cherington M
Neurology 1976 Oct;26(10):944-6. doi: 10.1212/wnl.26.10.944. PMID: 986585
Takamori M
Arch Neurol 1972 Oct;27(4):285-91. doi: 10.1001/archneur.1972.00490160013002. PMID: 4341305

Prognosis

Rajput R, Sachdev A, Din N, Damato EM, Murray A
Orbit 2018 Oct;37(5):385-388. Epub 2018 Jan 15 doi: 10.1080/01676830.2017.1423350. PMID: 29333908
Besser R, Gutmann L, Dillmann U, Weilemann LS, Hopf HC
Neurology 1989 Apr;39(4):561-7. doi: 10.1212/wnl.39.4.561. PMID: 2927681
Wright ES, Pike E, Couves CM
J Surg Oncol 1983 Sep;24(1):23-9. doi: 10.1002/jso.2930240106. PMID: 6310266
Puvanendran K, Cheah JS, Naganathan N, Yeo PP, Wong PK
J Neurol Sci 1979 Sep;43(1):47-57. doi: 10.1016/0022-510x(79)90072-8. PMID: 230318
Gutmann L, Chou SM, Pore RS
Neurology 1975 Oct;25(10):922-6. doi: 10.1212/wnl.25.10.922. PMID: 1237102

Clinical prediction guides

Rajput R, Sachdev A, Din N, Damato EM, Murray A
Orbit 2018 Oct;37(5):385-388. Epub 2018 Jan 15 doi: 10.1080/01676830.2017.1423350. PMID: 29333908
Link J
Acta Neurol Scand Suppl 1994;158:1-58. PMID: 7732782
Sakura S, Saito Y, Maeda M, Kosaka Y
Anaesthesia 1991 Jul;46(7):560-2. doi: 10.1111/j.1365-2044.1991.tb09656.x. PMID: 1862896
Sandyk R
S Afr Med J 1983 Feb 26;63(9):323-5. PMID: 6298957
Lang B, Newsom-Davis J, Wray D, Vincent A, Murray N
Lancet 1981 Aug 1;2(8240):224-6. doi: 10.1016/s0140-6736(81)90474-8. PMID: 6114283

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...