Division of Human Genetics, Department of Clinical Laboratory Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
BMC Med Genet. 2013 Aug 7;14:81. doi: 10.1186/1471-2350-14-81.
Keratitis-Ichthyosis-Deafness (KID) syndrome (OMIM 148210) is a congenital ectodermal defect that consists of an atypical ichthyosiform erythroderma associated with congenital sensorineural deafness. KID appears to be genetically heterogeneous and most cases are caused by GJB2 mutations. Mutations in African patients have been rarely described.
We report on two unrelated Cameroonian individuals affected with sporadic KID, presenting with the classic phenotypic triad. The two patients were heterozygous for the most frequent p.Asp50Asn mutation. This first report in patients from sub-Saharan African origin supports the hypothesis that the occurrence of KID due to p.Asp50Asn mutation in GJB2 seems not to be population specific.
Our finding has implication in medical genetic practice, specifically in the molecular diagnosis of KID in Africans. These cases also reveal and emphasize the urgent need to develop appropriate policies to care for patients with rare/orphan diseases in Sub-Saharan Africa, as many of these cases become more and more recognizable.
角膜炎-鱼鳞病-耳聋(KID)综合征(OMIM 148210)是一种先天性外胚层缺陷,由非典型鱼鳞癣性红皮病伴先天性感觉神经性耳聋组成。KID 似乎具有遗传异质性,大多数病例是由 GJB2 突变引起的。在非洲患者中,突变的情况很少被描述。
我们报告了两个无关的喀麦隆个体患有散发性 KID,表现为典型的表型三联征。这两个患者均为 GJB2 中最常见的 p.Asp50Asn 突变的杂合子。这是首例来自撒哈拉以南非洲人群的报告,支持了 GJB2 中 p.Asp50Asn 突变导致 KID 发生的假设,该突变似乎不具有人群特异性。
我们的发现对医学遗传学实践具有重要意义,特别是在对非洲人 KID 的分子诊断中。这些病例还揭示并强调了在撒哈拉以南非洲地区为患有罕见/孤儿疾病的患者制定适当政策的紧迫性,因为这些病例变得越来越容易识别。