Rincon Alejandra, Paez-Rojas Paola, Suárez-Obando Fernando
Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Colombia.
Javesalud, Colombia.
Case Rep Genet. 2019 Jan 10;2019:7608348. doi: 10.1155/2019/7608348. eCollection 2019.
8q22.2q22.3 microdeletion syndrome has been described in only seven patients. We present a new case from Colombia. The characteristics of this condition are developmental delay, microcephaly, seizures, and typical facial dysmorphism. We discuss the clinical phenotype of the patient presenting relevant findings like hearing loss and severe epilepsy and the possible relations between the phenotype and the genes involved in the microdeletion. We describe a female with developmental delay, microcephaly, epilepsy, severe short stature, impaired speech, facial dysmorphism, and congenital deafness. A minimal/maximal deletion of 5.238 Mb and 5.374Mb, respectively, at 8q22.2q22.3 was diagnosed using a genome-wide array. The clinical phenotype is similar to the others seven patients previously reported; however, the severity of epilepsy and the concomitant hearing loss is remarkable, characteristics previously observed independently in only two patients. The KCNS2 gene is located in the deleted regions (8q22.2). Therefore it is a possible candidate for explaining the complex neurologic phenotype.
8q22.2q22.3微缺失综合征仅在7例患者中被描述过。我们报告一例来自哥伦比亚的新病例。这种病症的特征是发育迟缓、小头畸形、癫痫发作以及典型的面部畸形。我们讨论了该患者的临床表型,呈现出如听力丧失和严重癫痫等相关发现,以及表型与微缺失中涉及基因之间的可能关系。我们描述了一名患有发育迟缓、小头畸形、癫痫、严重身材矮小、言语障碍、面部畸形和先天性耳聋的女性。使用全基因组阵列诊断出在8q22.2q22.3处分别存在最小/最大缺失5.238 Mb和5.374 Mb。该临床表型与先前报道的其他7例患者相似;然而,癫痫的严重程度和伴随的听力丧失较为显著,这是之前仅在2例患者中独立观察到的特征。KCNS2基因位于缺失区域(8q22.2)。因此,它是解释复杂神经表型的一个可能候选基因。