Rubinstein-Taybi syndrome (RTS) is a genetic disease. It involves broad thumbs and toes, short stature, distinctive facial features, and varying degrees of intellectual disability.
Rubinstein syndrome, RTS
RTS is a rare condition. Defects in the genes CREBBP and EP300 are seen in some people with this condition.
Some people are missing the gene entirely. This is more typical in people with more severe problems.
Most cases are sporadic (not passed down through families). They are likely due to a new genetic defect that occurs either in the sperm or egg cells, or at the time of conception.
Other signs and symptoms may include:
Exams and Tests
The health care provider will perform a physical exam. Blood tests and x-rays may also be done.
Genetic tests can be done to determine if the genes involved in this disease are missing or changed.
There is no specific treatment for RTS. However, the following treatments can be used to manage problems commonly associated with the condition.
Rubinstein-Taybi Parents Group USA: www.rubinstein-taybi.com
The majority of children can learn to read at an elementary level. The majority have delayed motor development, but on average, they learn to walk by 2 1/2 years of age.
Complications depend on what part of the body is affected. Complications may include:
When to Contact a Medical Professional
An appointment with a geneticist is recommended if the provider finds signs of RTS.
Genetic counseling is advised for couples with a family history of this disease who are planning a pregnancy.
Milani D, Manzoni FM, Pezzani L, et al. Rubinstein-Taybi syndrome: clinical features, genetic basis, diagnosis, and management. Ital J Pediatr. 2015;41:4. PMID:2559981 www.ncbi.nlm.nih.gov/pubmed/25599811.
Nussbaum RL, McInnes RR, Willard HF. Develomental genetics and birth defects. In: Nussbaum RL, McInnes RR, Willard HF, eds. Thompson & Thompson Genetics in Medicine. 8th ed. Philadelphia, PA: Elsevier; 2016:chap 14.
Stevens CA. Rubinstein-Taybi syndrome. Gene Reviews. 2014;8. PMID: 20301699 www.ncbi.nlm.nih.gov/pubmed/20301699. Accessed August 23, 2017.
Review Date: 8/6/2017
Reviewed By: Anna C. Edens Hurst, MD, MS, Assistant Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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