Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES), inherited eyelid syndrome presenting with telecanthus, epicanthus inversus. Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES): Part of a case and tutorial about congenital ptosis from and. Blepharophimosis, ptosis, epicanthus inversus syndrome or BPES is a rare disease characterized by the conditions it is named after: blepharophimosis, ptosis.

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Health care resources for this disease Expert centres Diagnostic tests 40 Patient organisations 39 Orphan drug s 0.

This article is an orphanas no other articles link to it. She demonstrates the classic findings of blepharophimosis, telecanthus, bilateral symmetric ptosis and epicanthus inversus. Retrieved from ” https: Blepharophimosis, ptosis, epicanthus inversus syndrome is inherited in an autosomal dominant manner.

It should however be noted that no therapies have been shown to restore fertility or ovarian function thus far. The infertility is inherited as an autosomal dominant sex-limited trait.

OMIM is intended for use primarily by physicians and other blepbarophimosis concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine. From Wikipedia, the free encyclopedia. The altered gene can be inherited from either parent or can be the result of a new mutation in the affected individual. The condition should be considered distinct from congenital ptosis Clinical Synopsis Toggle Dropdown. Rare syndromes Syndromes affecting the eyes.

Differential diagnosis The differential diagnosis of BPES includes those conditions in which ptosis or blepharophimosis are major features. All studies receiving U. Two were sisters; they had another affected sister who was not investigated. Type I is characterized by the abovementioned eyelid findings and premature ovarian failure and infertility. To confirm the clinical diagnosis on the molecular level, several genetic tests can be performed. The differential diagnosis of BPES includes those conditions in which ptosis or blepharophimosis are major features.


Blepharophimosis, Ptosis, and Epicanthus Inversus syndrome BPES is an ophthalmic blepjarophimosis characterized by blepharophimosis, ptosis, epicanthus inversus, and telecanthus, that can appear associated with type Blepharophimozis or without premature ovarian failure POF; see this term type II. The elder sister presented initially with ‘resistant ovary syndrome’ and thereafter true premature menopause, while the younger sister presented with resistant ovary syndrome. Further evidence for the location of the blepharophimosis syndrome BPES at 3q The blepharophimosis syndrome was present in 14 of the 22, and was familial in 5, sporadic in 9.

Blepharophimosis syndrome is linked to chromosome 3q.

Jane Kelly – updated: Other entities represented in this entry: Management of BPES is primarily surgical if indicated see indication of treatment in blepharoptosis. The prevalence of BPES is unknown, but there are no differences in prevalence based on ethnicity, sex, race or age.

Rare instances of homozygous mutation in the FOXL2 gene have been reported. Since blepharophimosis, ptosis, and microphthalmia are consistent bepharophimosis in patients with an interstitial deletion of band 3q2 Alvarado et al.

In some people the symptoms are so mild they are almost unrecognisable. Standard Therapies Treatment Treatment for BPES needs to address both the eyelid malformation and the premature ovarian insufficienty in type I patients.


The patient was microcephalic with mild dysmorphism and minor anomalies. This is usually started between the ages of three and five years. Blepharophymosis sic syndrome and de novo balanced autosomal translocation [46,XY,t 3;4 q23;p Some also suggest fixing the medial canthus to the periosteum.


Most genetic diseases are determined by the status of the two copies of a gene, one received from the father and one from the mother. Blepharophimosis, Ptosis, and Epicanthus Inversus.

Rare Disease Database

The authors mapped the PB insertion site to a region approximately kb upstream of the Foxl2 transcription start site and approximately 10 kb upstream of an element, ECF1, that showed a high degree of conservation among goat, mouse, and human. The treatment of blepharophimosis requires coordination among oculoplastic surgeons, pediatric ophthalmologists, pediatric endocrinologists and genetic counselors.

The patient had a palatal ridge as well as a single mesial maxillary tooth, suggesting the holoprosencephaly sequence, but CT scans of the brain were normal. Information on current clinical trials is posted on the Internet at www. Blepharophimosis, ptosis, and epicanthus inversus syndrome BPES associated with interstitial deletion of band 3q The second finding is drooping of the upper eyelid ptosis.

Blepharophiomsis age in the blepharophimosis, ptosis, epicanthus inversus, telecanthus complex. Diagnosis The diagnosis of BPES is based on four clinical findings which are present at the time of birth. People with BPES might be particularly sensitive to bright light, even in winter.

Vignes probably first described this entity, a dysplasia of the eyelids. Females who have BPES type I especially are encouraged for endocrinologic and gynecologic follow up to monitor ovarian function.