Waardenburg Syndrome

Figure 2.26 A: Waardenburg syndrome (Reprint from Levine N, Levine CC. Dermatologic Therapy: A–Z Essentials. New York: Springer; 2009.) B: Clinodactyly of 5th finger
Figure 2.26
A: Waardenburg syndrome
(Reprint from Levine N, Levine
CC. Dermatologic Therapy:
A–Z Essentials. New York:
Springer; 2009.
)
B: Clinodactyly of 5th finger
(Figure 2.26A)
  • Four types below:
   
 
TypeInhDefectClinical
 
WS,
Type 1
AD
PAX3
(transcription factor)
White forelock, leukoderma, heterochromia iridis, synophrys, dystopia canthorum (characteristic), broad nasal root, deafness uncommon
 
WS,
Type 2
AD
MITF
(transcription factor)
Similar to WS1 but dystopia canthorum absent, deafness common
 
WS,
Type 3
AD
PAX3
Similar to WS1 + upper limb abnormalities (hypoplasia, syndactyly, flexion contractures)
 
WS,
Type 4
AD
AR
SOX10 (TF)

EDN3 (endothelin-3)

EDNRB (endothelin
receptor)
Similar to WS1 + Hirschsprung disease, deafness common