On 10 February , MNS workers attacked vendors and shopkeepers from North India in various parts of Maharashtra , and destroyed government property to vent their anger against the reported move to arrest Raj Thackeray. Reminiscent of the famous Flatiron Building in its design, Myrtle is wedged between Bushwick Avenue and Himrod Street, less than two blocks from the M train at Knickerbocker Avenue. C , C HPO: He was not short, but was mentally retarded. On the first working day following the incident, uproarious scenes were seen in the national parliament.
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Males with OPD2 have disabling skeletal anomalies in addition to variable malformations in the hindbrain, heart, intestines, and kidneys that frequently lead to perinatal death.
The most severe phenotype, MNS, is characterized by a skeletal dysplasia in the heterozygote. Affected males exhibit severe malformations similar to those observed in individuals with OPD2, resulting in prenatal lethality or death in the first few months of life review by Robertson, Melnick and Needles described families that contained multiple cases in multiple generations of a severe congenital bone disorder characterized by typical facies exophthalmos, full cheeks, micrognathia and malalignment of teeth , flaring of the metaphyses of long bones, s-like curvature of bones of legs, irregular constrictions in the ribs, and sclerosis of base of skull.
Male-to-male transmission was thought to have occurred in 1 instance. Ureteral obstruction was observed in the original case Melnick and Needles, and in several others reported.
Bone disease was recognized in infancy when she began to walk. Normal childbirth was impossible because of contracted pelvis. Osteoarthritis of the lumbar spine and hips gave much pain.
Her height was normal. Striking facies comprised frog-like eyes, high forehead, full red cheeks, and receding chin. X-rays showed curved long bones, tortuous ribboned ribs, and deformed clavicles, scapula, and pelvis. Beighton and Hamersma speculated that frontometaphyseal dysplasia and osteodysplasty MNS may be due to the same gene. They suggested that the gene may be X-linked and that the former condition is the usual phenotype in hemizygous males and the latter condition the usual phenotype in heterozygous females.
They pointed out that the manifestations in Melnick and Needles' 2 kindreds 13 affected persons; 9 females, 4 males were highly variable. Apart from one doubtful instance, no male-to-male transmission was reported.
Features emphasized by Kozlowski on the basis of 9 cases included small, deformed chest, large anterior fontanel associated with prominent forehead, and high vertebrae. One of his patients was diagnosed at the age of 37 years. They analyzed the X-chromosome inactivation pattern in this family to determine if it was related to the variable phenotype. A very skewed inactivation pattern was observed in the blood from both the mildly affected mother and one of her daughters, whereas a highly skewed inactivation pattern in buccal smear DNA was observed in the mother only.
X inactivation, therefore, did not explain the variable phenotype in this family. Von Oeyen et al. The son had omphalocele and hypoplastic kidneys.
A similar case was reported by Theander and Ekberg The condition was detected sonographically at 16 weeks' gestation. Autopsy on the electively aborted fetus showed exophthalmos, prune belly sequence with urethral atresia and megacystis, tetralogy of Fallot, atrioventricular canal defect, and complete malrotation of the gut.
One of the patients described in detail died of pneumonia at age 3 after having repeated bouts of pneumonia. Van der Lely et al. He may be the oldest surviving male with this disorder. His facial features were similar to those of his mother. He was not short, but was mentally retarded. His radiologic examination showed sclerotic skull base, ribbon-like flaring of ribs, short bowed clavicles, small pelvis with thin iliac crest, and moderate flaring of the distal part of the long bones.
In addition, he had atrial septal defect, pulmonic stenosis, intestinal malrotation, and ectopic kidney. They reviewed the features in these disorders and in OPD1 and suggested that these disorders constitute a single entity. Melnick-Needles syndrome is an X-linked dominant disorder. Most cases described are in females. Nyhan and Sakati described a family with 4 affected females in 3 successive generations. Melnick studied 4 additional families in the United States; in two, 3 generations were affected and in the other two, 2 generations.
The Melnick-Needles syndrome had been assumed to be an autosomal dominant disorder. However, Gorlin and Knier analyzed reported families with restudy of some. Melnick had reexamined the male 'cases' in the kindred he reported in and found them in fact to be normal. In all, Gorlin and Knier found 23 patients in 15 pedigrees. Most cases were sporadic and may represent new mutations. In only 3 pedigrees was there transmission from one generation to the next, always female to female.
Ter Haar et al. This disorder was later characterized as a distinct entity and named Frank-ter Haar syndrome Anti-N is sometimes seen in dialysis patients due to cross-reactions with the residual formaldehyde from sterilizing the equipment. This is usually irrelevant for transfusion since this variant of the antibody does not react at body temperature. Anti-S and anti-s can cause hemolytic transfusion reactions and hemolytic disease of the newborn. The U antigen is a high incidence antigen, occurring in more than The U was originally short for "Universal", though this is not the case.
U negative RBCs can be found in people of African descent. This mutation in red cell surface structure also makes the RBCs S- and s-. Anti-U has been associated with both hemolytic transfusion reactions and hemolytic disease of the newborn. The other 41 identified antigens in the MNS group are low incidence, such as He 0.
Antigens of the MNS system are located on one of two glycoproteins: From Wikipedia, the free encyclopedia. Vox Sang ; Transfus Med Rev ; International Society for Blood Transfusion. Archived from the original on Kathan and Anthony Adamany.