Tinatin Tkemaladze, Eirik Bratland, Kakha Bregvadze, Teona Shatirishvili, Nino Tatishvili, Elene Abzianidze, Gunnar Houge, Sofia Douzgou
{"title":"MSMO1 deficiency: a potentially partially treatable, ultrarare neurodevelopmental disorder with psoriasiform dermatitis, alopecia and polydactyly.","authors":"Tinatin Tkemaladze, Eirik Bratland, Kakha Bregvadze, Teona Shatirishvili, Nino Tatishvili, Elene Abzianidze, Gunnar Houge, Sofia Douzgou","doi":"10.1097/MCD.0000000000000461","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000461","url":null,"abstract":"<p><p>MSMO1 deficiency (OMIM #616834) is an ultrarare autosomal recessive disorder of distal cholesterol metabolism with only five cases reported to date. The disorder is caused by missense variants in the MSMO1 gene encoding methylsterol monooxygenase 1, leading to the accumulation of methylsterols. Clinically, MSMO1 deficiency is characterized by growth and developmental delay, often in association with congenital cataracts, microcephaly, psoriasiform dermatitis and immune dysfunction. Treatment with oral and topical cholesterol supplements and statins was reported to improve the biochemical, immunological, and cutaneous findings, supporting a potential treatment following the precision diagnosis of MSMO1 deficiency. We describe two siblings from a consanguineous family presenting with novel clinical features of polydactyly, alopecia and spasticity. Whole-exome sequencing revealed a novel, homozygous c.548A > C, p.(Glu183Ala) variant. Based on previously published treatment algorithms, we initiated a modified dosage regime with systemic cholesterol supplementation, statins and bile acid along with topical application of a cholesterol/statin formulation. This resulted in a marked improvement of psoriasiform dermatitis and some hair growth.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 3","pages":"97-105"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bilge Geckinli, Ayberk Turkyilmaz, Ceren Alavanda, Gunes Sager, Esra Arslan Ates, Mehmet Ali Soylemez, Ahmet Arman
{"title":"Novel, homozygous RAB3GAP1 c.2606 + 1G>A, p.Glu830ValfsTer9 variant and chromosome 3q29 duplication in a Turkish individual with Warburg micro syndrome.","authors":"Bilge Geckinli, Ayberk Turkyilmaz, Ceren Alavanda, Gunes Sager, Esra Arslan Ates, Mehmet Ali Soylemez, Ahmet Arman","doi":"10.1097/MCD.0000000000000454","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000454","url":null,"abstract":"<p><p>Warburg micro syndrome (WARBM) is a rare, autosomal recessive, neurodevelopmental disorder characterized by microcephaly, cortical dysplasia, corpus callosum hypoplasia, congenital hypotonia leading to subsequent spastic quadriplegia, severe developmental delay and hypogenitalism. Ophthalmologic findings that may affect any ocular segment including characteristic, small, atonic pupils. WARBM is known to be caused by biallelic, pathogenic variants in at least five genes although additional genetic loci may exist. The RAB3GAP1 c.748 + 1G>A, p.Asp250CysfsTer24 founder variant has been described in families of Turkish ancestry. We report the clinical and molecular findings in three, unrelated, Turkish families with WARBM. A novel c.974-2A>G variant causing WARBM in three siblings of Turkish descent was found. Functional studies of the novel, c.2606 + 1G>A variant in patients' mRNA revealed skipping of exon 22 which results in a premature stop codon in exon 23. However, the clinical consequences of this variant are blended given that the individual also had a maternally inherited chromosome 3q29 microduplication.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"55-61"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johnny Awwad, Tony Yammine, Layal Hamdar, Mirna Souaid, Chantal Farra
{"title":"Novel intronic JAG1 variant associated with Alagille syndrome in a three-generation Lebanese family with variable features.","authors":"Johnny Awwad, Tony Yammine, Layal Hamdar, Mirna Souaid, Chantal Farra","doi":"10.1097/MCD.0000000000000447","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000447","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"80-83"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Engin Demir, Ceyda Tuna Kirsaçlioğlu, İnci Nur Saltik-Temizel, Gizem Ürel-Demir, Beren Karaosmanoğlu, Ekim Zihni Taşkiran, Pelin Özlem Şimşek-Kiper, Gülen Eda Utine, Zarife Kuloğlu, Aydan Kansu
{"title":"Neonatal ichthyosis-sclerosing cholangitis syndrome: report of a novel mutation and a review of the literature.","authors":"Engin Demir, Ceyda Tuna Kirsaçlioğlu, İnci Nur Saltik-Temizel, Gizem Ürel-Demir, Beren Karaosmanoğlu, Ekim Zihni Taşkiran, Pelin Özlem Şimşek-Kiper, Gülen Eda Utine, Zarife Kuloğlu, Aydan Kansu","doi":"10.1097/MCD.0000000000000451","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000451","url":null,"abstract":"Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Faculty of Medicine, Ankara University, Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Department of Pediatric Genetics, Department of Pediatrics and Department of Medical Genetics, Hacettepe University Faculty of Medicine, Ankara, Turkey Correspondence to Engin Demir, MD, Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Faculty of Medicine, Ankara University, Ankara 06590, Turkey Tel: +90 505 395 04 45; e-mail: engindemir777@gmail.com","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"88-91"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aphallia in a neonate with VACTERL malformation: report of a rare association.","authors":"Kiruthi Krishnamoorthy, Giridhar Sethuraman, Usha Devi","doi":"10.1097/MCD.0000000000000445","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000445","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"74-76"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10226029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo Leal-Rodríguez, Tania Barragán-Arévalo, Armando Pérez-Torres, David M Giraldo-Gómez, Juan Carlos Zenteno
{"title":"Clinical, genetic, and electron microscopy of hair findings in a patient with CDH3 -related hypotrichosis with juvenile macular dystrophy.","authors":"Ricardo Leal-Rodríguez, Tania Barragán-Arévalo, Armando Pérez-Torres, David M Giraldo-Gómez, Juan Carlos Zenteno","doi":"10.1097/MCD.0000000000000449","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000449","url":null,"abstract":"Retina Department, Instituto de Enfermedades y Cirugía Ocular (IECO), García Ginerés, Mérida Yucatán, Genetics Department, Institute of Ophthalmology ‘Conde de Valenciana’, Cell and Tissue Biology Department, Microscopy Core Facility and Biochemistry Department, Faculty of Medicine, UNAM, Mexico City, Mexico Correspondence to Juan Carlos Zenteno, PhD, Department of Genetics, Institute of Ophthalmology ‘Conde de Valenciana’s, Chimalpopoca 14, Col. Obrera, Mexico City 06800, Mexico Tel: +52 55 54 42 17 00 ext 3212; e-mail: jczenteno@institutodeoftalmologia.org","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"62-64"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Homozygosity for a novel DOCK6 variant in an individual without aplasia cutis congenita of the scalp and terminal transverse limb defects.","authors":"Mona Zaersabet, Shabnaz Koochakkhani, Yeganeh Sarmast, Hamzeh Salmani","doi":"10.1097/MCD.0000000000000450","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000450","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"84-87"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca L Poole, Emilia K Bijlsma, Gunnar Houge, Gabriela Jones, Violeta Mikštienė, Eglė Preikšaitienė, Louise Thompson, Katrina Tatton-Brown
{"title":"The PHF21A neurodevelopmental disorder: an evaluation of clinical data from 13 patients.","authors":"Rebecca L Poole, Emilia K Bijlsma, Gunnar Houge, Gabriela Jones, Violeta Mikštienė, Eglė Preikšaitienė, Louise Thompson, Katrina Tatton-Brown","doi":"10.1097/MCD.0000000000000455","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000455","url":null,"abstract":"<p><p>Potocki-Shaffer syndrome (PSS) is a rare neurodevelopmental disorder caused by deletions involving the 11p11.2-p12 region, encompassing the plant homeodomain finger protein 21A (PHF21A) gene. PHF21A has an important role in epigenetic regulation and PHF21A variants have previously been associated with a specific disorder that, whilst sharing some features of PSS, has notable differences. This study aims to expand the phenotype, particularly in relation to overgrowth, associated with PHF21A variants. Analysis of phenotypic data was undertaken on 13 individuals with PHF21A constitutional variants including four individuals described in the current series. Of those individuals where data were recorded, postnatal overgrowth was reported in 5/6 (83%). In addition, all had both an intellectual disability and behavioural issues. Frequent associations included postnatal hypotonia (7/11, 64%); and at least one afebrile seizure episode (6/12, 50%). Although a recognizable facial gestalt was not associated, subtle dysmorphic features were shared amongst some individuals and included a tall broad forehead, broad nasal tip, anteverted nares and full cheeks. We provide further insight into the emerging neurodevelopmental syndrome associated with PHF21A disruption. We present some evidence that PHF21A might be considered a new member of the overgrowth-intellectual disability syndrome (OGID) family.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"49-54"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raquel Rodrigues, Mariana Soeiro E Sá, Ana Sousa, Ana Berta Sousa
{"title":"Clinical characterization of a patient with CNOT2 haploinsufficiency caused by a de novo partial deletion.","authors":"Raquel Rodrigues, Mariana Soeiro E Sá, Ana Sousa, Ana Berta Sousa","doi":"10.1097/MCD.0000000000000444","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000444","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"32 2","pages":"70-73"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10217525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}