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eRAM

encyclopedia of Rare Disease Annotation for Precision Medicine



   costello syndrome
  

Disease ID 243
Disease costello syndrome
Definition
Rare congenital disorder with multiple anomalies including: characteristic dysmorphic craniofacial features, musculoskeletal abnormalities, neurocognitive delay, and high prevalence of cancer. Germline mutations in H-Ras protein can cause Costello syndrome. Costello syndrome shows early phenotypic overlap with other disorders that involve MAP KINASE SIGNALING SYSTEM (e.g., NOONAN SYNDROME and cardiofaciocutaneous syndrome).
Synonym
costello syndrome (disorder)
costello syndrome [disease/finding]
cstlo
faciocutaneoskeletal syndrome
faciocutaneoskeletal syndromes
fcs syndrome
fcs syndromes
syndrome, costello
syndrome, faciocutaneoskeletal
syndrome, fcs
syndromes, faciocutaneoskeletal
syndromes, fcs
Orphanet
OMIM
DOID
UMLS
C0587248
MeSH
SNOMED-CT
Comorbidity
UMLS | Disease | Sentences' Count(Total Sentences:4)
C0013421  |  dystonia  |  1
C0010495  |  cutis laxa  |  1
C0175704  |  leopard syndrome  |  1
C0022578  |  keratoconus  |  1
Curated Gene
Entrez_id | Symbol | Resource(Total Genes:7)
5605  |  MAP2K2  |  CTD_human
673  |  BRAF  |  CTD_human
3845  |  KRAS  |  CTD_human
5781  |  PTPN11  |  CTD_human
3265  |  HRAS  |  CTD_human;GHR;UNIPROT;ORPHANET
7139  |  TNNT2  |  CLINVAR
5604  |  MAP2K1  |  CTD_human
Inferring Gene(Waiting for update.)
Text Mined Gene
Entrez_id | Symbol | Score | Resource(Total Genes:29)
6833  |  ABCC8  |  1.43  |  DISEASES
633  |  BGN  |  1.108  |  DISEASES
1028  |  CDKN1C  |  1.776  |  DISEASES
55636  |  CHD7  |  1.107  |  DISEASES
1759  |  DNM1  |  1.665  |  DISEASES
3266  |  ERAS  |  4.307  |  DISEASES
10516  |  FBLN5  |  1.553  |  DISEASES
2261  |  FGFR3  |  2.229  |  DISEASES
23426  |  GRIP1  |  2.309  |  DISEASES
3347  |  HTN3  |  1.581  |  DISEASES
3481  |  IGF2  |  1.261  |  DISEASES
3767  |  KCNJ11  |  1.072  |  DISEASES
54900  |  LAX1  |  2.132  |  DISEASES
3980  |  LIG3  |  1.08  |  DISEASES
4043  |  LRPAP1  |  1.689  |  DISEASES
5609  |  MAP2K7  |  3.379  |  DISEASES
4237  |  MFAP2  |  2.467  |  DISEASES
4763  |  NF1  |  3.88  |  DISEASES
5154  |  PDGFA  |  1.102  |  DISEASES
56034  |  PDGFC  |  1.701  |  DISEASES
80310  |  PDGFD  |  1.857  |  DISEASES
5781  |  PTPN11  |  5.031  |  DISEASES
5900  |  RALGDS  |  2.417  |  DISEASES
5923  |  RASGRF1  |  2.121  |  DISEASES
8036  |  SHOC2  |  4.714  |  DISEASES
6654  |  SOS1  |  4.631  |  DISEASES
10252  |  SPRY1  |  1.686  |  DISEASES
10253  |  SPRY2  |  1.864  |  DISEASES
6427  |  SRSF2  |  1.243  |  DISEASES
Locus
Symbol | Locus(Total Locus:1)
HRAS  |  11p15.5
Disease ID 243
Disease costello syndrome
Integrated Phenotype
HPO | Name(Total Integrated Phenotypes:48)
HP:0012740  |  Papilloma
HP:0000028  |  Cryptorchidism
HP:0000470  |  Short neck
HP:0000682  |  Abnormality of dental enamel
HP:0004322  |  Short stature
HP:0001629  |  Ventricular septal defect
HP:0000474  |  Thickened nuchal skin fold
HP:0005280  |  Depressed nasal bridge
HP:0002224  |  Woolly hair
HP:0007477  |  Abnormal dermatoglyphics
HP:0100729  |  Large face
HP:0000563  |  Keratoconus
HP:0000486  |  Strabismus
HP:0009748  |  Large earlobe
HP:0005692  |  Joint hyperflexibility
HP:0001531  |  Failure to thrive in infancy
HP:0000158  |  Macroglossia
HP:0000164  |  Abnormality of the teeth
HP:0009465  |  Ulnar deviation of finger
HP:0001639  |  Hypertrophic cardiomyopathy
HP:0002120  |  Cerebral cortical atrophy
HP:0001642  |  Pulmonic stenosis
HP:0008872  |  Feeding difficulties in infancy
HP:0002020  |  Gastroesophageal reflux
HP:0000962  |  Hyperkeratosis
HP:0000286  |  Epicanthus
HP:0000956  |  Acanthosis nigricans
HP:0000256  |  Macrocephaly
HP:0001814  |  Deep-set nails
HP:0000293  |  Full cheeks
HP:0004690  |  Thickened Achilles tendon
HP:0000951  |  Abnormality of the skin
HP:0001598  |  Concave nail
HP:0001595  |  Abnormality of the hair
HP:0001249  |  Intellectual disability
HP:0001800  |  Hypoplastic toenails
HP:0000179  |  Thick lower lip vermilion
HP:0001634  |  Mitral valve prolapse
HP:0001582  |  Redundant skin
HP:0002750  |  Delayed skeletal maturation
HP:0100679  |  Lack of skin elasticity
HP:0000368  |  Low-set, posteriorly rotated ears
HP:0000280  |  Coarse facial features
HP:0002033  |  Poor suck
HP:0000189  |  Narrow palate
HP:0001231  |  Abnormality of the fingernails
HP:0007440  |  Generalized hyperpigmentation
HP:0001561  |  Polyhydramnios
Text Mined Phenotype
HPO | Name | Sentences' Count(Total Phenotypes:7)
HP:0000821  |  Underactive thyroid  |  1
HP:0000028  |  Cryptorchidism  |  1
HP:0100543  |  Cognitive deficits  |  1
HP:0000563  |  Conical cornea  |  1
HP:0006482  |  Dental malformations  |  1
HP:0000973  |  Dermatomegaly  |  1
HP:0001332  |  Dystonia  |  1
Disease ID 243
Disease costello syndrome
Manually Symptom
UMLS  | Name(Total Manually Symptoms:13)
C1709353  |  osteofibrous dysplasia
C0700208  |  scoliosis
C0699885  |  bladder carcinoma
C0520679  |  obstructive sleep apnea
C0340425  |  hypertrophic cardiomyopathy
C0281788  |  biventricular hypertrophy
C0271561  |  growth hormone deficiency
C0235896  |  pulmonary infiltrates
C0035412  |  rhabdomyosarcoma
C0030508  |  parasomnia
C0030354  |  papillomas
C0020459  |  hyperinsulinism
C0018799  |  cardiac disease
Text Mined Symptom(Waiting for update.)
Manually Genotype(Total Manually Genotypes:1)
Gene Mutation DOI Article Title
HRASc.34G>A, c.34G>T, c.35G>C, c.35_36delGCinsTT, c. 35_36delGCinsAA, c.37G>T, c.38G>A, c.64C>A, c.110_111+1dupAGG, c.108_110dupAGA, c.173C>T, c.187G>A, c.350A>G, c.436G>A, c.437C>Tdoi:10.1038/gim.0b013e31822dd91fCostello syndrome: a Ras/mitogen activated protein kinase pathway syndrome (rasopathy) resulting from HRAS germline mutations
Text Mining Genotype(Total Genotypes:0)
(Waiting for update.)
All Snps(Total Genotypes:15)
snpId pubmedId geneId geneSymbol diseaseId sourceId sentence score Year geneSymbol_dbSNP CHROMOSOME POS REF ALT
rs1048942272333558992170MTG1umls:C0587248BeFreeFunctional analyses of rarer HRAS mutations identified in individuals with attenuated Costello syndrome phenotypes revealed altered GDP/GTP nucleotide affinities (p.K117R) and inefficient effector binding (p.E37dup).0.0008143262013HRAS;LRRC5611533553TC
rs104894227179791973265HRASumls:C0587248BeFreeMutation analysis in Costello syndrome: functional and structural characterization of the HRAS p.Lys117Arg mutation.0.4546578612008HRAS;LRRC5611533553TC
rs104894228192130303265HRASumls:C0587248BeFreeA premature infant with Costello syndrome due to a rare G13C HRAS mutation.0.4546578612009HRAS;LRRC5611534286CT,G,A
rs104894228214381343265HRASumls:C0587248BeFreePhenotypic analysis of individuals with Costello syndrome due to HRAS p.G13C.0.4546578612011HRAS;LRRC5611534286CT,G,A
rs104894229173246473265HRASumls:C0587248BeFreeWe have observed unusual transverse distal phalangeal creases in two patients, one with Costello syndrome (G12S mutation in the HRAS gene) and one with cardio-facio-cutaneous (CFC) syndrome or possibly Noonan syndrome (Q22E mutation in the KRAS gene).0.4546578612007HRAS;LRRC5611534289CT,G,A
rs104894229168819683265HRASumls:C0587248BeFreeRecurring HRAS mutation G12S in Dutch patients with Costello syndrome.0.4546578612006HRAS;LRRC5611534289CT,G,A
rs104894229173246473845KRASumls:C0587248BeFreeWe have observed unusual transverse distal phalangeal creases in two patients, one with Costello syndrome (G12S mutation in the HRAS gene) and one with cardio-facio-cutaneous (CFC) syndrome or possibly Noonan syndrome (Q22E mutation in the KRAS gene).0.1221715352007HRAS;LRRC5611534289CT,G,A
rs104894229209791923265HRASumls:C0587248BeFreeCostello syndrome with severe cutis laxa and mosaic HRAS G12S mutation.0.4546578612010HRAS;LRRC5611534289CT,G,A
rs104894229192061763265HRASumls:C0587248BeFreeMale-to-male transmission of Costello syndrome: G12S HRAS germline mutation inherited from a father with somatic mosaicism.0.4546578612009HRAS;LRRC5611534289CT,G,A
rs104894229218340373265HRASumls:C0587248BeFreeMolecular confirmation of HRAS p.G12S in siblings with Costello syndrome.0.4546578612011HRAS;LRRC5611534289CT,G,A
rs104894229229262433265HRASumls:C0587248BeFreeTwo cases with severe lethal course of Costello syndrome associated with HRAS p.G12C and p.G12D.0.4546578612012HRAS;LRRC5611534289CT,G,A
rs104894230229262433265HRASumls:C0587248BeFreeTwo cases with severe lethal course of Costello syndrome associated with HRAS p.G12C and p.G12D.0.4546578612012HRAS;LRRC5611534288CT,G,A
rs121913530173246473845KRASumls:C0587248BeFreeWe have observed unusual transverse distal phalangeal creases in two patients, one with Costello syndrome (G12S mutation in the HRAS gene) and one with cardio-facio-cutaneous (CFC) syndrome or possibly Noonan syndrome (Q22E mutation in the KRAS gene).0.1221715352007KRAS1225245351CT,G,A
rs121913530173246473265HRASumls:C0587248BeFreeWe have observed unusual transverse distal phalangeal creases in two patients, one with Costello syndrome (G12S mutation in the HRAS gene) and one with cardio-facio-cutaneous (CFC) syndrome or possibly Noonan syndrome (Q22E mutation in the KRAS gene).0.4546578612007KRAS1225245351CT,G,A
rs121964857NA7139TNNT2umls:C0587248CLINVARNA0.12NATNNT21201359245GA
GWASdb Annotation(Total Genotypes:0)
(Waiting for update.)
GWASdb Snp Trait(Total Genotypes:0)
(Waiting for update.)
Mapped by lexical matching(Total Items:24)
HP ID HP Name MP ID MP Name Annotation
HP:0008872Feeding difficulties in infancyMP:0011075abnormal macrophage activation involved in immune responseanomaly in the process in which a change in response and behavior of a macrophage results from exposure to a cytokine, chemokine, cellular ligand, or soluble factor, leading to the initiation or perpetuation of an immune response
HP:0000179Thick lower lip vermilionMP:0005170cleft upper lipdefect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences
HP:0009465Ulnar deviation of fingerMP:0010178increased number of Howell-Jolly bodiesabnormal presence of basophilic nuclear remnants of condensed DNA (1 to 2 um in diameter) in circulating erythrocytes, typically seen in severe hemolytic anemias or after splenectomy; these inclusions are normally removed by the spleen but will persist in
HP:0005280Depressed nasal bridgeMP:0013582abnormal lateral nasal gland morphologyany structural anomaly of the lateral nasal glands (the largest nasal secretory glands in rodents) which surround the maxillary sinus located in the lateral wall adjacent to each nasal passage and are characterized by cytologic features similar to those d
HP:0001639Hypertrophic cardiomyopathyMP:0005330cardiomyopathydiseases of the heart (myocardium); may result from many causes
HP:0001642Pulmonic stenosisMP:0010449heart right ventricle outflow tract stenosisabnormal constriction or narrowing of part of the anteriosuperior, smooth-walled portion of the cavity of the right ventricle, beginning at the supraventricular crest and terminating in the pulmonary trunk
HP:0000951Abnormality of the skinMP:0013620increased internal diameter of femurincreased cross-sectional distance that extends from one lateral edge of the femur long bone marrow cavity, through its center and to the opposite lateral edge of the bone marrow cavity through the mid point of the femur
HP:0000189Narrow palateMP:0009653abnormal palate developmentabnormal formation of the roof of the mouth in vertebrates formed anteriorly by a bony projection of the upper jaw (hard palate) and posteriorly by the fold of connective tissue (soft palate)
HP:0001595Abnormality of the hairMP:0008261arrest of male meiosiscessation of the progression of the process of nuclear division that results in sperm with one half the normal chromosome number of the original cell
HP:0001582Redundant skinMP:0010678abnormal skin adnexa morphologyany structural anomaly of the tissue or structures associated with or embedded in the skin such as hair and hair follicles, sweat glands, sebaceous glands and claws or nails
HP:0001531Failure to thrive in infancyMP:0020157abnormal behavioral response to alcoholany anomaly in the behavioral response induced by alcohol, such as induced hyperactivity or stereotypic behavior
HP:0002224Woolly hairMP:0010685abnormal hair follicle inner root sheath morphologyany structural anomaly of the multilayered tube composed of terminally differentiated hair follicle keratinocytes that is surrounded by the outer root sheath; the layers of the inner root sheath include the companion layer, Henle's layer, Huxley's layer a
HP:0001231Abnormality of the fingernailsMP:0012069abnormal horizontal basal cell of olfactory epithelium morphologyany structural anomaly of the flat or angular epithelial cell with condensed nuclei and darkly staining cytoplasm containing numerous intermediate filaments inserted into desmosomes contacting surrounding supporting cells, that lie in contact with the bas
HP:0100679Lack of skin elasticityMP:0010919increased number of pulmonary neuroendocrine bodiesgreater number of the corpuscular, organoid structures composed of PNECs, found as distinctive innervated clusters only within intrapulmonary airways, where they appear concentrated at airway branch points; NEBs reach from the basement membrane to the air
HP:0001634Mitral valve prolapseMP:0010617thick mitral valve cuspsan increase in the ratio of the mitral valve cusp wall thickness to the atrioventricular septum thickness
HP:0000280Coarse facial featuresMP:0008018increased facial tumor incidencegreater than the expected number of neoplasms on the face, usually in the form of a distinct mass, in a specific population in a given time period
HP:0007440Generalized hyperpigmentationMP:0001188hyperpigmentationexcess of pigment in any or all tissues or a part of a tissue
HP:0000682Abnormality of dental enamelMP:0012069abnormal horizontal basal cell of olfactory epithelium morphologyany structural anomaly of the flat or angular epithelial cell with condensed nuclei and darkly staining cytoplasm containing numerous intermediate filaments inserted into desmosomes contacting surrounding supporting cells, that lie in contact with the bas
HP:0002750Delayed skeletal maturationMP:0003379absent sexual maturationfailure to initiate pubertal changes that result in achievement of full sexual capacity
HP:0000470Short neckMP:0012720elongated neckincreased length of the neck
HP:0000474Thickened nuchal skin foldMP:0010678abnormal skin adnexa morphologyany structural anomaly of the tissue or structures associated with or embedded in the skin such as hair and hair follicles, sweat glands, sebaceous glands and claws or nails
HP:0002120Cerebral cortical atrophyMP:0012506brain atrophyacquired diminution of the size of the brain associated with wasting as from death and reabsorbtion of cells, diminished cellular proliferation, decreased cellular volume, pressure, ischemia, malnutrition, reduced function or malfunction, or hormonal chan
HP:0001629Ventricular septal defectMP:0011667double outlet right ventricle with atrioventricular septal defecta form of DORV in which there is also a complete atrioventricular canal
HP:0000164Abnormality of the teethMP:0010382abnormal dosage compensation, by inactivation of X chromosomeanomaly in the process of compensating for the two-fold variation in X-chromosome:autosome ratios between sexes by a global inactivation of all, or most of, the genes on one of the X-chromosomes in the XX sex
Mapped by homologous gene(Total Items:47)
HP ID HP Name MP ID MP Name Annotation
HP:0001634Mitral valve prolapseMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0009465Ulnar deviation of fingerMP:0013901absent female preputial glandabsence of the paired, lobulated, modified sebaceous glands located on the side of the clitoris in female rodents; in contrast to the preputial glands in male rodents, clitoral glands are a minor source of olfactory stimuli contributing to sexual attracti
HP:0000474Thickened nuchal skin foldMP:0020039increased bone ossificationincrease in the formation of bone or of a bony substance, or the conversion of fibrous tissue or of cartilage into bone or a bony substance
HP:0002120Cerebral cortical atrophyMP:0020329decreased capillary densityreduction in the number of capillaries in a given cross-sectional area of a tissue
HP:0000164Abnormality of the teethMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0001595Abnormality of the hairMP:0014127increased thymoma incidencegreater than the expected number of a malignant neoplasm originating from the epithelial cells of the thymus, occurring in a specific population in a given time period; thymoma is an uncommon tumor linked with myasthenia gravis and other autoimmune diseas
HP:0000486StrabismusMP:3000003abnormal Ebner's gland morphologyany structural anomaly of the serous salivary glands which reside adjacent to the moats surrounding the circumvallate and foliate papillae just anterior to the posterior third of the tongue, anterior to the terminal sulcus; these exocrine glands secrete l
HP:0002224Woolly hairMP:0014178increased brain apoptosisincrease in the number of cells of the brain undergoing programmed cell death
HP:0004322Short statureMP:3000003abnormal Ebner's gland morphologyany structural anomaly of the serous salivary glands which reside adjacent to the moats surrounding the circumvallate and foliate papillae just anterior to the posterior third of the tongue, anterior to the terminal sulcus; these exocrine glands secrete l
HP:0001629Ventricular septal defectMP:3000003abnormal Ebner's gland morphologyany structural anomaly of the serous salivary glands which reside adjacent to the moats surrounding the circumvallate and foliate papillae just anterior to the posterior third of the tongue, anterior to the terminal sulcus; these exocrine glands secrete l
HP:0000682Abnormality of dental enamelMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0001814Deep-set nailsMP:0012114absent inner cell mass proliferation
HP:0100679Lack of skin elasticityMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0007477Abnormal dermatoglyphicsMP:0013696increased granulocyte monocyte progenitor cell numberincrease in the number of a hematopoietic progenitor cell that is committed to the granulocyte and monocyte lineages; these cells are CD123-positive, and do not express Gata1 or Gata2 but do express C/EBPa, and Pu.1
HP:0000956Acanthosis nigricansMP:0020234decreased basal metabolismdecrease in heat production of an organism at the lowest level of cell chemistry in an inactive, awake, and fasting state
HP:0000189Narrow palateMP:0020039increased bone ossificationincrease in the formation of bone or of a bony substance, or the conversion of fibrous tissue or of cartilage into bone or a bony substance
HP:0000028CryptorchidismMP:3000003abnormal Ebner's gland morphologyany structural anomaly of the serous salivary glands which reside adjacent to the moats surrounding the circumvallate and foliate papillae just anterior to the posterior third of the tongue, anterior to the terminal sulcus; these exocrine glands secrete l
HP:0001231Abnormality of the fingernailsMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0000158MacroglossiaMP:0020169increased thyroid gland weighthigher than average weight of the thyroid gland
HP:0005280Depressed nasal bridgeMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0001639Hypertrophic cardiomyopathyMP:0020329decreased capillary densityreduction in the number of capillaries in a given cross-sectional area of a tissue
HP:0001800Hypoplastic toenailsMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0001561PolyhydramniosMP:0020214susceptible to malignant hyperthermiaincreased susceptibility to hyperthermia triggered by exposure to certain drugs used for general anesthesia, specifically the volatile anesthetic agents and the neuromuscular blocking agent, succinylcholine
HP:0001582Redundant skinMP:0020321increased vascular endothelial cell apoptosisincrease in the timing or the number of vascular endothelial cells undergoing programmed cell death
HP:0000470Short neckMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0009748Large earlobeMP:0013781abnormal mammary gland luminal epithelium morphologyany structural anomaly of the inner cell layer of the mammary epithelium bilayer that lines the luminal surface of mammary gland ducts and alveoli; luminal cells have only limited contact with the underlying basement membrane and surrounding connective ti
HP:0001531Failure to thrive in infancyMP:0020157abnormal behavioral response to alcoholany anomaly in the behavioral response induced by alcohol, such as induced hyperactivity or stereotypic behavior
HP:0001249Intellectual disabilityMP:0020316decreased vascular endothelial cell proliferationdecrease in the expansion rate of any vascular endothelial cell population by cell division
HP:0001642Pulmonic stenosisMP:0020040decreased bone ossificationdecrease in the formation of bone or of a bony substance, or the conversion of fibrous tissue or of cartilage into bone or a bony substance
HP:0000563KeratoconusMP:0013743ciliary body hypoplasiaunderdevelopment or reduced size, usually due to a reduced number of cells, of the thickened portion of the vascular tunic which lies between the choroid and the iris
HP:0000962HyperkeratosisMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0008872Feeding difficulties in infancyMP:0020214susceptible to malignant hyperthermiaincreased susceptibility to hyperthermia triggered by exposure to certain drugs used for general anesthesia, specifically the volatile anesthetic agents and the neuromuscular blocking agent, succinylcholine
HP:0007440Generalized hyperpigmentationMP:0014167ectopic bonethe appearance of an extra bone structure at an atypical location
HP:0002020Gastroesophageal refluxMP:0014178increased brain apoptosisincrease in the number of cells of the brain undergoing programmed cell death
HP:0000286EpicanthusMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0000179Thick lower lip vermilionMP:0020309increased creatine kinase activityincreased ability of to catalyze the reaction: ATP + creatine = N-phosphocreatine + ADP + 2 H(+).
HP:0000280Coarse facial featuresMP:0020169increased thyroid gland weighthigher than average weight of the thyroid gland
HP:0000368Low-set, posteriorly rotated earsMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0100729Large faceMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0002750Delayed skeletal maturationMP:0020169increased thyroid gland weighthigher than average weight of the thyroid gland
HP:0001598Concave nailMP:0013743ciliary body hypoplasiaunderdevelopment or reduced size, usually due to a reduced number of cells, of the thickened portion of the vascular tunic which lies between the choroid and the iris
HP:0000256MacrocephalyMP:0020309increased creatine kinase activityincreased ability of to catalyze the reaction: ATP + creatine = N-phosphocreatine + ADP + 2 H(+).
HP:0005692Joint hyperflexibilityMP:0012125decreased bronchoconstrictive responsereduction in the expected bronchoconstrictive response to provocation challenge with lipopolysaccharide, bradykinin, histamine or other antigen/allergen or agent, often measured by plethysmography
HP:0002033Poor suckMP:0020137decreased bone mineralizationdecrease in the rate at which minerals are deposited into bone
HP:0000293Full cheeksMP:0020321increased vascular endothelial cell apoptosisincrease in the timing or the number of vascular endothelial cells undergoing programmed cell death
HP:0000951Abnormality of the skinMP:0020254decreased collagen leveldecreased level of the main structural protein of the various connective tissues in animals
HP:0004690Thickened Achilles tendonMP:0003619abnormal urine colorany alteration from the usual straw-coloration of the urine
Disease ID 243
Disease costello syndrome
Case(Waiting for update.)