Department of Paediatric Orthopaedics, Christian Medical College; Centre for Stem Cell Research, A Unit of in Stem Bengaluru, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Ophthalmology, Christian Medical College, Vellore, Tamil Nadu, India.
Indian J Ophthalmol. 2020 Nov;68(11):2545-2547. doi: 10.4103/ijo.IJO_325_20.
A 3-year-old girl presenting with blue sclera, hyperlaxity and developmental dysplasia of hip was found to have bilateral corneal thinning with astigmatism and keratoconus. By clinical exome sequencing, a frameshift mutation c.713_716 del TTTG p.(Val238Alafs35) in PRDM5 gene causing brittle cornea syndrome 2 and a novel frameshift mutation c.401dup p.(Ser135Glufs53) in SLC6A5 gene causing Hyperekplexia 3 were identified. No features of hyperekplexia were identified in proband. The novel homozygous mutation of SLC6A5 gene in the proband was presently asymptomatic but they were apprised of the possibility of developing neurological symptoms in the later years.
一位 3 岁女孩因蓝巩膜、关节过度松弛和髋关节发育不良就诊,发现双眼角膜变薄伴散光和圆锥角膜。通过临床外显子组测序,在 PRDM5 基因中发现了一个框移突变 c.713_716del TTTG p.(Val238Alafs35),导致脆角膜综合征 2,在 SLC6A5 基因中发现了一个新的框移突变 c.401dup p.(Ser135Glufs53),导致高张力-易激惹综合征 3。先证者无高张力-易激惹综合征的特征。先证者 SLC6A5 基因的新型纯合突变目前无症状,但告知他们以后几年有发展神经系统症状的可能。