Neurofibromatosis Type 1 and Hypospadias in a Male 46, XY with a Mutation in the NF1 Gene and a Mutation in NR5A1.

Pharmacogenomics and Personalized Medicine Pub Date : 2022-10-25 eCollection Date: 2022-01-01 DOI:10.2147/PGPM.S380796
Lina Perafan-Valdes, Sebastian Giraldo-Ocampo, Juliana Lores, Harry Pachajoa
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Abstract

Neurofibromatosis type 1 is one of the most common genetic autosomal dominant disorders described, with a prevalence of 1 in 2000 to 1 in 3000 individuals. It is characterized by skin, nerves, and bone abnormalities. Non-related to NF1, hypospadias is a displacement in the urethral opening which in the majority of patients has an idiopathic cause. Here, we describe a patient with neurofibromatosis type 1, hypospadias, and unilateral cryptorchidism. The heterozygous variants c.6789_6792delTTAC, p.(Tyr2264Thrfs*5) and c.140A>G, p.(Tyr47Cys) were found in the NF1 and NR5A1 genes, respectively. This case contributes to the phenotypical characterization of patients with NF1 but also with hypospadias caused by a mutation in the NR5A1 gene, which usually leads to severe sex disorders.

Abstract Image

Abstract Image

NF1基因和NR5A1基因突变的46,XY男性1型神经纤维瘤病和尿道下裂
1型神经纤维瘤病是最常见的遗传常染色体显性遗传病之一,患病率为2000 / 1至3000 / 1。它的特点是皮肤、神经和骨骼异常。尿道下裂与NF1无关,是一种尿道开口移位,在大多数患者中有特发性原因。在这里,我们描述了一个患有1型神经纤维瘤病,尿道下裂和单侧隐睾的患者。在NF1和NR5A1基因中分别发现了c.6789_6792delTTAC, p.(Tyr2264Thrfs*5)和c.140A>G, p.(Tyr47Cys)的杂合变异。该病例有助于NF1患者的表型特征,但也有助于NR5A1基因突变引起的尿道下裂患者的表型特征,NR5A1基因突变通常导致严重的性功能障碍。
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