Aase Syndrome

Definition

Aase syndrome is a rare disorder that involves anemia and certain joint and skeletal deformities.

Alternative Names

Aase-Smith syndrome; Hypoplastic anemia/Triphalangeal thumb syndrome

Causes, Incidence, and Risk factors

Most cases of Aase syndrome occur without a known reason and are not passed down through families (inherited). However, some cases have been shown to be inherited.

The anemia in Aase syndrome is caused by poor development of the bone marrow, which is where blood cells are formed.

Symptoms

• Absent or small knuckles
• Cleft palate
• Decreased skin creases at finger joints
• Deformed ears
• Droopy eyelids
• Inability to fully extend the joints from birth (contracture deformity)
• Narrow shoulders
• Pale skin
• Triple-jointed thumbs

Signs and tests

Signs may include:

• Delayed closure of soft spots (fontanelles)
• Mildly slowed growth

Tests that may be done include:

• Bone marrow biopsy
• Complete blood count (CBC)
• Echocardiogram
• X-rays

Treatment

Blood transfusions are given in the first year of life to treat anemia. Prednisone has also been used to treat anemia associated with Aase syndrome. However, it should only be used after reviewing the benefits and risks with a doctor who has experience treating anemias.

A bone marrow transplant may be necessary if other treatment fails.
Expectations (prognosis)

The anemia tends to improve with age.

Complications

Complications related to anemia include:

• Fatigue
• Decreased oxygen in the blood
• Weakness

Heart problems can lead to a variety of complications, depending on the specific defect.

Severe cases of Aase syndrome have been associated with stillbirth or early death.

Calling your health care provider

Call your health care provider if you notice possible signs of Aase syndrome in your child. Genetic counseling is recommended if you have a family history of Aase syndrome. Genetic counseling can help families understand issues such as how the disease is inherited, and the care, treatment, and possible outcome of the patient.

Prevention

There is no known prevention.With prompt recognition and treatment of infections in childhood, the complications of low white blood cell counts may be limited.