Karaer Kadri, Yüksel Zafer, Yalınbaş Esin, Scherer Gerd
Medical Genetics, Intergen Genetic Diseases Diagnostic Center, Ankara, Turkey.
Yale University School of Medicine, Child Study Center, New Haven, Connecticut, USA.
Turk Pediatri Ars. 2014 Jun 1;49(2):154-6. doi: 10.5152/tpa.2014.1187. eCollection 2014 Jun.
Campomelic dysplasia (CD, OMIM #114290) is a rare autosomal dominant disease characterized with bending and shortness in the long bones of the lower extremities, typical facial features, hypoplastic scapula, costa defect, narrow thorax and pes equinovarus. Campomelic dysplasia occurs with heterozygous mutations in the SOX9 gene in the 17q24 chromosome. The main findings of our four-day old patient included typical facial features, risomelic extremity shortness, angular bending in the long bones of bilateral lower extremities and pes equinovarus. On direct graphies, costa defect and scapula hypoplasia were noted. We showed a missense mutation (c.473C>T [p.A158V]) in the SOX9 gene which had not been reported before in our patient who had the typical clinical findings of CD. The family of the patient was informed about potential future pathologies of this disease and received genetic counseling.
弯肢侏儒症(CD,OMIM编号#114290)是一种罕见的常染色体显性疾病,其特征为下肢长骨弯曲和短小、典型的面部特征、肩胛骨发育不全、肋骨缺损、胸廓狭窄和马蹄内翻足。弯肢侏儒症由17q24染色体上SOX9基因的杂合突变引起。我们这位4天大患者的主要表现包括典型的面部特征、肢体近端短小、双侧下肢长骨成角弯曲和马蹄内翻足。在直接成像检查中,发现有肋骨缺损和肩胛骨发育不全。我们在该患者的SOX9基因中发现了一个错义突变(c.473C>T [p.A158V]),该患者具有弯肢侏儒症的典型临床特征,此突变此前未见报道。已将该疾病未来可能出现问题告知患者家属,并为其提供了遗传咨询。