Entry - 144800 - HYPEROSTOSIS FRONTALIS INTERNA - OMIM
144800

HYPEROSTOSIS FRONTALIS INTERNA


Alternative titles; symbols

MORGAGNI-STEWART-MOREL SYNDROME


Clinical Synopsis
 

Skull
- Hyperostosis frontalis interna
Growth
- Obesity
Skin
- Hypertrichosis
Endocrine
- Galactorrhea
- Hyperprolactinemia
- Diabetes mellitus
- Menstrual irregularity
Misc
- Mainly females
Lab
- Hyperphosphatasemia
Inheritance
- Autosomal dominant

TEXT

In addition to thickening of the inner table of the frontal bone, obesity and hypertrichosis may be present. This condition affects mainly females. Knies and Le Fever (1941) reported mother and 3 children affected. Thus, the disorder may be dominant, but whether autosomal or X-linked is not known. Lieberman (1967) has observed 5 affected females in 3 generations. No case of male-to-male transmission is known. Rosatti (1972) described a family with 12 affected members (10 of them females) in 4 successive generations. Gegick et al. (1973) found elevated serum alkaline phosphatase levels in about half of patients. Pawlikowski and Komorowski (1983) found hyperostosis frontalis in 43% of women with galactorrhea as compared with a population frequency of 2.5%. (At least 2 other groups reported similar frequencies.) Since hyperprolactinemia was found in many of these cases, the authors suggested that this and other features of the syndrome such as hirsutism, diabetes, and menstrual troubles may be related to hyperprolactinemia.


REFERENCES

  1. Gegick, C. G., Danowski, T. S., Khurana, R. C., Vidalon, C., Nolan, S., Stephan, T., Chae, S., Wingard, L. Hyperostosis frontalis interna and hyperphosphatasemia. Ann. Intern. Med. 79: 71-75, 1973. [PubMed: 4721177, related citations] [Full Text]

  2. Knies, P. T., Le Fever, H. E. Metabolic craniopathy: hyperostosis frontalis interna. Ann. Intern. Med. 14: 1858-1892, 1941.

  3. Lieberman, B. Personal Communication. Oakland, Calif. 1967.

  4. Lieberman, B. Morgagni's syndrome--the evolution of an eponym. In: Proceedings of the XXIII International Congress of the History of Medcine, London, 2-9 September 1972. Vol. 1. London: Wellcome Institute of the History of Medicine (pub.) 1974. Pp. 117-122.

  5. Moore, S. Hyperostosis Cranii (Stewart-Morel Syndrome, Metabolic Craniopathy, Morgagni's Syndrome, Stewart-Morel-Moore Syndrome (Ritvo), le Syndrome de Morgagni-Morel). Springfield, Ill.: Charles C Thomas (pub.) 1955.

  6. Pawlikowski, M., Komorowski, J. Hyperostosis frontalis, galactorrhoea/hyperprolactinaemia, and Morgagni-Stewart-Morel syndrome. (Letter) Lancet 321: 474 only, 1983. Note: Originally Volume I. [PubMed: 6131191, related citations] [Full Text]

  7. Rosatti, P. Une famille atteinte d'hyperostose frontale interne (syndrome de Morgagni-Morel) a travers quatre generations successives. J. Genet. Hum. 20: 207-252, 1972. [PubMed: 4659165, related citations]


Creation Date:
Victor A. McKusick : 6/4/1986
carol : 10/20/2016
terry : 12/16/2009
terry : 1/21/2009
mimadm : 9/24/1994
davew : 7/27/1994
pfoster : 2/25/1994
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/27/1989

144800

HYPEROSTOSIS FRONTALIS INTERNA


Alternative titles; symbols

MORGAGNI-STEWART-MOREL SYNDROME


SNOMEDCT: 82054006;   ORPHA: 77296;  



TEXT

In addition to thickening of the inner table of the frontal bone, obesity and hypertrichosis may be present. This condition affects mainly females. Knies and Le Fever (1941) reported mother and 3 children affected. Thus, the disorder may be dominant, but whether autosomal or X-linked is not known. Lieberman (1967) has observed 5 affected females in 3 generations. No case of male-to-male transmission is known. Rosatti (1972) described a family with 12 affected members (10 of them females) in 4 successive generations. Gegick et al. (1973) found elevated serum alkaline phosphatase levels in about half of patients. Pawlikowski and Komorowski (1983) found hyperostosis frontalis in 43% of women with galactorrhea as compared with a population frequency of 2.5%. (At least 2 other groups reported similar frequencies.) Since hyperprolactinemia was found in many of these cases, the authors suggested that this and other features of the syndrome such as hirsutism, diabetes, and menstrual troubles may be related to hyperprolactinemia.


See Also:

Lieberman (1974); Moore (1955)

REFERENCES

  1. Gegick, C. G., Danowski, T. S., Khurana, R. C., Vidalon, C., Nolan, S., Stephan, T., Chae, S., Wingard, L. Hyperostosis frontalis interna and hyperphosphatasemia. Ann. Intern. Med. 79: 71-75, 1973. [PubMed: 4721177] [Full Text: https://doi.org/10.7326/0003-4819-79-1-71]

  2. Knies, P. T., Le Fever, H. E. Metabolic craniopathy: hyperostosis frontalis interna. Ann. Intern. Med. 14: 1858-1892, 1941.

  3. Lieberman, B. Personal Communication. Oakland, Calif. 1967.

  4. Lieberman, B. Morgagni's syndrome--the evolution of an eponym. In: Proceedings of the XXIII International Congress of the History of Medcine, London, 2-9 September 1972. Vol. 1. London: Wellcome Institute of the History of Medicine (pub.) 1974. Pp. 117-122.

  5. Moore, S. Hyperostosis Cranii (Stewart-Morel Syndrome, Metabolic Craniopathy, Morgagni's Syndrome, Stewart-Morel-Moore Syndrome (Ritvo), le Syndrome de Morgagni-Morel). Springfield, Ill.: Charles C Thomas (pub.) 1955.

  6. Pawlikowski, M., Komorowski, J. Hyperostosis frontalis, galactorrhoea/hyperprolactinaemia, and Morgagni-Stewart-Morel syndrome. (Letter) Lancet 321: 474 only, 1983. Note: Originally Volume I. [PubMed: 6131191] [Full Text: https://doi.org/10.1016/s0140-6736(83)91470-8]

  7. Rosatti, P. Une famille atteinte d'hyperostose frontale interne (syndrome de Morgagni-Morel) a travers quatre generations successives. J. Genet. Hum. 20: 207-252, 1972. [PubMed: 4659165]


Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
carol : 10/20/2016
terry : 12/16/2009
terry : 1/21/2009
mimadm : 9/24/1994
davew : 7/27/1994
pfoster : 2/25/1994
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/27/1989