{"title":"Non-pterygium Escobar syndrome from compound-heterozygous CHRNG variants: genotype-phenotype insights.","authors":"Jun Kido, Hiroe Ueno, Yohei Misumi, Keishin Sugawara, Suzuran Saito, Eriko Koshimizu, Naomichi Matsumoto, Mitsuharu Ueda, Kimitoshi Nakamura","doi":"10.1038/s41439-026-00340-8","DOIUrl":null,"url":null,"abstract":"<p><p>Escobar syndrome is a rare congenital disorder characterized by contractures, pterygia and craniofacial anomalies. Here we report a school-age girl harboring compound-heterozygous CHRNG variants, NM_005199.5:c.[2T>C];[428C>G] p.[(Met1?)];[(Pro143Arg)]. She presented with neonatal asphyxia, congenital limb contractures and low-frequency hearing loss but without pterygia, maintaining normal cognition. This case underscores the phenotypic variability of CHRNG-related disease and alerts clinicians to recognize milder presentations that lack pterygia and to consider targeted genetic testin.</p>","PeriodicalId":36861,"journal":{"name":"Human Genome Variation","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13000176/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Human Genome Variation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41439-026-00340-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GENETICS & HEREDITY","Score":null,"Total":0}
引用次数: 0
Abstract
Escobar syndrome is a rare congenital disorder characterized by contractures, pterygia and craniofacial anomalies. Here we report a school-age girl harboring compound-heterozygous CHRNG variants, NM_005199.5:c.[2T>C];[428C>G] p.[(Met1?)];[(Pro143Arg)]. She presented with neonatal asphyxia, congenital limb contractures and low-frequency hearing loss but without pterygia, maintaining normal cognition. This case underscores the phenotypic variability of CHRNG-related disease and alerts clinicians to recognize milder presentations that lack pterygia and to consider targeted genetic testin.
埃斯科瓦尔综合征是一种罕见的先天性疾病,其特征是挛缩,翼状胬肉和颅面异常。在这里,我们报告了一名携带复合杂合CHRNG变异的学龄女孩,NM_005199.5:c.[2T> c];428 c > G p。[(Met1 ?)]; [(Pro143Arg)]。患儿表现为新生儿窒息,先天性肢体挛缩,低频听力下降,无翼状胬肉,认知正常。该病例强调了chrng相关疾病的表型变异性,提醒临床医生认识到没有翼状胬肉的轻微症状,并考虑进行靶向基因检测。