A New Case Linking a Somatic NRAS Variant to Encephalocraniocutaneous Lipomatosis.

IF 1.7 4区 生物学 Q3 GENETICS & HEREDITY
Omar Azrak, Sheng-Che Hung, Nathaniel G Wooten, Clara C Hildebrandt
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引用次数: 0

Abstract

Encephalocraniocutaneous lipomatosis (ECCL) is a rare somatic disorder caused by mutations in various genes of the RAS-MAPK pathway. Distinctive features of ECCL include nevus psiloliparus, scalp alopecia, ocular choristomas, and intracranial lipomas. ECCL is most commonly associated with FGFR1 and KRAS mutations. An NRAS variant causing ECCL has only been reported in the literature once. We present the case of a female infant with ECCL, harboring an NRAS somatic mutation, variant c.37G>C (p.Gly13Arg). This is the second reported case of an NRAS variant in ECCL and the first to document an associated intracranial lipoma. The report highlights the genotypic, clinical, and neuroradiological presentation of ECCL, its overlap and distinctions with other mosaic RASopathies, and reviews the recommended diagnostic approach when ECCL is suspected.

一个将体细胞NRAS变异与脑颅皮脂肪病联系起来的新病例。
脑颅皮脂肪瘤病(ECCL)是一种罕见的由RAS-MAPK通路的多种基因突变引起的躯体疾病。ECCL的显著特征包括:肩阔静脉痣、头皮脱发、眼绒毛膜瘤和颅内脂肪瘤。ECCL最常与FGFR1和KRAS突变相关。引起ECCL的NRAS变异在文献中只报道过一次。我们报告一例患有ECCL的女婴,携带NRAS体细胞突变,变体C . 37g >C (p.Gly13Arg)。这是ECCL中第二例报道的NRAS变异病例,也是第一例记录相关颅内脂肪瘤的病例。该报告强调了ECCL的基因型、临床和神经放射学表现,其与其他马赛克ras病变的重叠和区别,并回顾了怀疑ECCL时推荐的诊断方法。
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来源期刊
CiteScore
3.50
自引率
5.00%
发文量
432
审稿时长
2-4 weeks
期刊介绍: The American Journal of Medical Genetics - Part A (AJMG) gives you continuous coverage of all biological and medical aspects of genetic disorders and birth defects, as well as in-depth documentation of phenotype analysis within the current context of genotype/phenotype correlations. In addition to Part A , AJMG also publishes two other parts: Part B: Neuropsychiatric Genetics , covering experimental and clinical investigations of the genetic mechanisms underlying neurologic and psychiatric disorders. Part C: Seminars in Medical Genetics , guest-edited collections of thematic reviews of topical interest to the readership of AJMG .
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