Department of Paediatrics, Division of Paediatric Propaedeutics and Rare Disorders, Medical University, Wroclaw, Poland.
Department of Medical Genetics, Medical University, Warsaw, Poland.
J Appl Genet. 2021 Sep;62(3):477-485. doi: 10.1007/s13353-021-00636-1. Epub 2021 May 12.
Mowat-Wilson syndrome is a rare neurodevelopmental disorder caused by pathogenic variants in the ZEB2 gene, intragenic deletions of the ZEB2 gene, and microdeletions in the critical chromosomal region 2q22-23, where the ZEB2 gene is located. Mowat-Wilson syndrome is characterized by typical facial features that change with the age, severe developmental delay with intellectual disability, and multiple congenital abnormalities. The authors describe the clinical and genetic aspects of 28th patients with Mowat-Wilson syndrome diagnosed in Poland. Characteristic dysmorphic features, psychomotor retardation, intellectual disability, and congenital anomalies were present in all cases. The incidence of most common congenital anomalies (heart defect, Hirschsprung disease, brain defects) was similar to presented in literature. Epilepsy was less common compared to previously reported cases. Although the spectrum of disorders in patients with Mowat-Wilson syndrome is wide, knowledge of characteristic dysmorphic features awareness of accompanying abnormalities, especially intellectual disability, improves detection of the syndrome.
Mowat-Wilson 综合征是一种罕见的神经发育障碍,由 ZEB2 基因的致病性变异、ZEB2 基因的基因内缺失以及位于该基因所在的 2q22-23 关键染色体区域的微缺失引起。Mowat-Wilson 综合征的特征是典型的随年龄变化的面部特征、严重的发育迟缓伴智力残疾和多种先天性异常。作者描述了在波兰诊断出的第 28 例 Mowat-Wilson 综合征患者的临床和遗传方面。所有病例均存在特征性的发育不良、精神运动发育迟缓、智力残疾和先天性异常。最常见的先天性异常(心脏缺陷、先天性巨结肠、脑缺陷)的发生率与文献报道相似。与之前报道的病例相比,癫痫的发病率较低。尽管 Mowat-Wilson 综合征患者的疾病谱广泛,但对特征性发育不良特征和伴随异常(尤其是智力残疾)的认识提高了对该综合征的检出率。