General Information: CHARGE Syndrome/AssociationCHARGE syndrome refers to a specific set of birth defects commonly found together. The word CHARGE is an acronym for each of the birth defects found in individuals diagnosed with CHARGE. Features:C = ColobomaA coloboma is a cleft or failure to close, of the eyeball. This can result in a keyhole shaped pupil and/or abnormalities of the retina or optic nerve. Coloboma's of the retina or optic nerve may result in significant vision loss and heightened sensitivity to bright light. H = HeartAbout 80% of children with CHARGE Syndrome are born with a heart defect. Many are minor defects, but some require treatment or surgery or can be life threatening. A = Atresia of the choanaeBlockage of the back of the nasal passage. These passages may be blocked (atresia) or narrowed (stenosis). Surgery can often correct these defects. R = Retardation of growth and developmentPhysical delay: Although most children with CHARGE Syndrome are average size at birth, many will become small due to nutritional problems, heart problems, or growth hormone deficiency. Developmental delay: Most children with CHARGE Syndrome will become developmentally delayed. This is primarily due to sensory deficits of vision and/or hearing loss, and frequent hospitalizations as infants. Some children with CHARGE Syndrome will be mentally retarded,with or without brain abnormalities. G = Genital and urinary abnormalitiesMany males with CHARGE Syndrome have a underdeveloped penis and undescended testes. Females may have small labia. Hormone therapy may be required to achieve puberty. Both males and females may have kidney and/or urinary problems. E = Ear abnormalities and hearing lossMost children with CHARGE Syndrome have deformed external ear lobes. Mild to profound hearing loss is prevalent in 80-85% of children with CHARGE syndrome. Ear infections may be frequent. Cause/ Population:The etiology of CHARGE Syndrome is unknown. It has been found with the same frequency in both males and females, and is both sporadic and familial in nature.Usually a family will not have a second child born with the syndrome. However, chances of having a child born with CHARGE Syndrome increase if one parent is diagnosed with CHARGE ( Hefner, Thenlin & Davenport, 1987). For a diagnosis of CHARGE Syndrome to be made, four of the six characteristics must be present. Presently there is no way to test for CHARGE Syndrome. For more information contact:CHARGE Syndrome Foundation,
Inc. National Organization for Rare Disorders, Inc. (NORD)
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