About Smith-Lemli-Opitz syndrome

What is Smith-Lemli-Opitz syndrome?

Smith-Lemli-Opitz syndrome (SLOS) is a rare genetic disorder caused by a deficiency of an enzyme called 7-dehydrocholesterol reductase. This enzyme is responsible for converting a cholesterol precursor into cholesterol. People with SLOS have a wide range of physical and mental disabilities, including intellectual disability, developmental delays, and physical abnormalities. They may also have problems with their immune system, heart, and other organs.

What are the symptoms of Smith-Lemli-Opitz syndrome?

The most common symptoms of Smith-Lemli-Opitz syndrome include:

-Developmental delays
-Intellectual disability
-Feeding difficulties
-Growth delays
-Distinctive facial features
-Heart defects
-Cleft palate
-Hearing loss
-Kidney abnormalities
-Abnormalities of the genitalia
-Abnormalities of the hands and feet
-Behavioral problems
-Seizures
-Sleep disturbances
-Skin abnormalities

What are the causes of Smith-Lemli-Opitz syndrome?

Smith-Lemli-Opitz syndrome (SLOS) is caused by a genetic mutation in the DHCR7 gene, which is responsible for producing an enzyme called 7-dehydrocholesterol reductase. This enzyme is responsible for converting cholesterol into a form that can be used by the body. When the DHCR7 gene is mutated, the enzyme does not work properly, leading to a buildup of cholesterol in the body and the development of SLOS.

What are the treatments for Smith-Lemli-Opitz syndrome?

The treatments for Smith-Lemli-Opitz syndrome vary depending on the individual and the severity of the condition. Generally, treatment focuses on managing the symptoms and complications associated with the syndrome. This may include physical, occupational, and speech therapy; dietary modifications; medications to treat seizures, infections, and other medical conditions; and surgery to correct physical abnormalities. In some cases, hormone replacement therapy may be recommended. Genetic counseling is also recommended for individuals with Smith-Lemli-Opitz syndrome and their families.

What are the risk factors for Smith-Lemli-Opitz syndrome?

1. Family history of Smith-Lemli-Opitz syndrome
2. Maternal use of certain medications during pregnancy, such as anticonvulsants, antifungals, and cholesterol-lowering drugs
3. Maternal obesity
4. Maternal diabetes
5. Maternal age over 35
6. Maternal alcohol use during pregnancy
7. Maternal smoking during pregnancy
8. Maternal exposure to certain environmental toxins, such as pesticides and solvents

Is there a cure/medications for Smith-Lemli-Opitz syndrome?

There is no cure for Smith-Lemli-Opitz syndrome, but there are medications that can help manage some of the symptoms. These include cholesterol-lowering medications, hormone replacement therapy, and medications to help with sleep, behavior, and seizures. Additionally, physical, occupational, and speech therapy can help improve motor skills, communication, and daily living activities.