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What is Costello Syndrome?

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Summary

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Costello syndrome is a rare condition that affects a child’s development. It’s caused by a change in their genes before birth, impacting their heart, muscles, bones, skin, and brain. Kids with Costello syndrome may have loose skin, flexible joints, heart issues, and distinct facial features.

Frequently Asked Question

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How is Costello syndrome diagnosed?

Diagnosis is typically made based on clinical features, genetic testing to identify HRAS gene mutations, and consultation with specialists familiar with the condition.

Can children with Costello syndrome attend regular schools?

With proper support and accommodations, many children with Costello syndrome can attend regular schools and benefit from inclusive education.

What is the life expectancy of someone with Costello syndrome?

The life expectancy of individuals with Costello syndrome varies, but with proper medical care and support, many can live fulfilling lives into adulthood and beyond.

Can Costello syndrome be detected before birth?

Prenatal testing, such as genetic testing through chorionic villus sampling (CVS) or amniocentesis, can detect HRAS gene mutations in some cases, allowing for early preparation and support.

Scientific Definition

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Costello syndrome (CS) is a rare genetic disorder caused by a mutation in the HRAS gene, which occurs during fetal development. This mutation leads to a wide range of physical and developmental abnormalities, affecting various organ systems such as the cardiovascular, musculoskeletal, dermatological, and neurological systems. CS is estimated to occur in approximately 1 in every 300,000 to 1,250,000 live births worldwide.

 

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Video Explanation

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Treatment for Costello Syndrome

The treatment of Costello syndrome involves a multidisciplinary approach to address the unique challenges faced by children with this condition. Let’s explore some strategies and interventions that can help your child thrive.

  • Early Intervention: Timely identification and early intervention services, such as physical, occupational, and speech therapies, can support your child’s development and address delays effectively.
  • Medical Management: Regular medical check-ups and monitoring of heart health can help manage potential heart issues associated with Costello syndrome.
  • Genetic Counseling: Seek genetic counseling to understand the specific implications of the HRAS gene mutation and learn about potential health risks.
  • Educational Support: Collaborate with teachers and professionals to create an individualized education plan (IEP) that meets your child’s learning needs.
  • Technology Assistance: Explore assistive technologies, like Goally’s tablet with visual schedules and AAC apps, to enhance communication and skill-building in daily routines.

The long-term prognosis for children with Costello syndrome varies depending on the severity of symptoms and individual factors. With early interventions, proper medical management, and ongoing support, many individuals with Costello syndrome can lead fulfilling lives, achieve developmental milestones, and actively engage in their communities. 

Symptoms of Costello Syndrome

Costello syndrome presents a unique set of symptoms that parents of children with this condition should be aware of. Here are some of the most common symptoms:

Category Description
Distinctive Facial Features Look for a larger head, low-set ears, and full cheeks.
Delayed Development Motor, speech, and cognitive delays are common but can improve with early interventions.
Heart Issues Watch out for structural heart problems or arrhythmias, which need specialized medical care.
Hair Characteristics Expect unusual curly or sparse hair texture.
Feeding Difficulties Some may need feeding support.
Increased Cancer Risk Keep an eye out for a higher risk of certain cancers, like rhabdomyosarcoma.

Knowing the symptoms of Costello syndrome empowers parents to recognize early signs and seek timely medical care and support.

 

This post was originally published on Aug. 5, 2023. It was updated on May 9, 2024.