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Open AccessJournal ArticleDOI

ROHHAD (Rapid-onset Obesity with Hypoventilation, Hypothalamic Dysfunction, Autonomic Dysregulation) Syndrome-What Every Pediatrician Should Know About the Etiopathogenesis, Diagnosis and Treatment: A Review.

TLDR
In this article, the authors provide a comprehensive description of the etiopathogenetic theories of the disease, clinical presentation, diagnostic workup and treatment possibilities for ROHHAD, which is characterized by precipitous obesity in young children, hypoventilation and autonomic dysregulation with various endocrine abnormalities.
Abstract
Rapid-onset obesity with hypoventilation, hypothalamic dysfunction, autonomic dysregulation (ROHHAD) syndrome is a rare disease with unknown and debated etiology, characterized by precipitous obesity in young children, hypoventilation and autonomic dysregulation with various endocrine abnormalities. Neuroendocrine tumors can be associated in more than half of the cases. This rare condition has a severe outcome because of high morbidity and mortality. We provide a comprehensive description of the etiopathogenetic theories of the disease, clinical presentation, diagnostic workup and treatment possibilities.

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Journal ArticleDOI

Hypothalamic syndrome

TL;DR: The pathogenesis of hypothalamic syndrome is highlighted, the epidemiology, diagnosis and management of this disorder is summarized, and the Primer article on this topic by Müller an colleagues is published.
Journal ArticleDOI

The Genetics of Sleep Disorders in Children: A Narrative Review

TL;DR: A narrative review explores the current genetic knowledge in sleep disorders in children, following the International Classification of Sleep Disorders-Third Edition (ICSD-3) categorisation as mentioned in this paper, following the ICD-3 classification.
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Genotype-Phenotype Correlation and Functional Insights for Two Monoallelic TREX1 Missense Variants Affecting the Catalytic Core

TL;DR: Functional analysis allowed us to interpret the impact of TREX1 variants on patients’ phenotypes and identify any causal link to Aicardi–Goutières Syndrome type 1 and CADASIL-like patients.
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Autoimmunity Related to Adipsic Hypernatremia and ROHHAD Syndrome

TL;DR: Since clinical diagnoses of autoimmunological adipsic hypernatremia and ROHHAD syndrome might overlap, the essential etiology is understood and precise assessments are carried out to accurately diagnose patients and provide effective treatment.
References
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Journal ArticleDOI

A de novo mutation affecting human TrkB associated with severe obesity and developmental delay

TL;DR: Mutation of NTRK2, which encodes TrkB, seems to result in a unique human syndrome of hyperphagic obesity and the associated impairment in memory, learning and nociception seen in the proband reflects the crucial role of TrkB in the human nervous system.
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Idiopathic congenital central hypoventilation syndrome: Analysis of genes pertinent to early autonomic nervous system embryologic development and identification of mutations in PHOX2b

TL;DR: Genes pertinent to early embryologic development of the ANS including mammalian achaete‐scute homolog‐1 (MASH1), bone morphogenic protein‐2 (BMP2), engrailed‐1(EN1), TLX3, endothelin converting enzyme‐ 1 (ECE1), endothelins‐1 ('EDN1), PHOX2a, andPHOX2b are studied in 67 probands with CCHS, and gender‐
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Molecular analysis of congenital central hypoventilation syndrome.

TL;DR: The prominent role of mutations in the PHOX2B gene in the pathogenesis of CCHS is confirmed and the analysis of more cases and further candidates concerned with the development of the autonomic nervous system is required.
Journal ArticleDOI

Rapid-Onset Obesity With Hypothalamic Dysfunction, Hypoventilation, and Autonomic Dysregulation Presenting in Childhood

TL;DR: Positive PHOX2B sequencing results demonstrate that this entity is distinct from congenital central hypoventilation syndrome, and provides a comprehensive description of the clinical spectrum of rapid-onset obesity with hypothalamic dysfunction, hypventilation, and autonomic dysregulation.
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A Candidate Gene Study of Obstructive Sleep Apnea in European Americans and African Americans

TL;DR: This candidate gene analysis identified the potential role of genes operating through intermediate disease pathways to influence sleep apnea phenotypes, providing a framework for focusing future replication studies.
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