Language:
English
In:
American Journal of Medical Genetics Part A, 2010-11, Vol.152A (11), p.2749-2755
Description:
We report on a 25‐year‐old woman with pronounced generalized lipodystrophy and a progeroid aspect since birth, who also had Marfan syndrome (MFS; fulfilling the Ghent criteria) with mild skeletal features, dilated aortic bulb, dural ectasia, bilateral subluxation of the lens, and severe myopia in addition to the severe generalized lipodystrophy. She lacked insulin resistance, hypertriglyceridemia, hepatic steatosis, and diabetes. Mutation analysis in the gene encoding fibrillin 1 (FBN1) revealed a novel de novo heterozygous deletion, c.8155_8156del2 in exon 64. The severe generalized lipodystrophy in this patient with progeroid features has not previously been described in other patients with MFS and FBN1 mutations. We did not find a mutation in genes known to be associated with congenital lipodystrophy (APGAT2, BSCL2, CAV1, PTRF‐CAVIN, PPARG, LMNB2) or with Hutchinson–Gilford progeria (ZMPSTE24, LMNA/C). Other progeria syndromes were considered unlikely because premature greying, hypogonadism, and scleroderma‐like skin disease were not present. Our patient shows striking similarity to two patients who have been published in this journal by O'Neill et al. [O'Neill et al. (2007); Am J Med Genet Part A 143A:1421–1430] with the diagnosis of neonatal progeroid syndrome (NPS). This condition also known as Wiedemann–Rautenstrauch syndrome is a rare disorder characterized by accelerated aging and lipodystrophy from birth, poor postnatal weight gain, and characteristic facial features. The course is usually progressive with early lethality. However this entity seems heterogeneous. We suggest that our patient and the two similar cases described before represent a new entity, a subgroup of MFS with overlapping features to NPS syndrome. © 2010 Wiley‐Liss, Inc.
Subject(s):
Adolescent ; Adult ; Biological and medical sciences ; Body Fat Distribution ; Child ; Child, Preschool ; Dermatology ; Electric Impedance ; FBN1 mutation ; Female ; Fibrillin-1 ; Fibrillins ; Frameshift Mutation - genetics ; Humans ; Infant, Newborn ; lipodystrophy ; Lipodystrophy - complications ; Lipodystrophy - genetics ; Magnetic Resonance Imaging ; Marfan syndrome ; Marfan Syndrome - complications ; Marfan Syndrome - genetics ; Marfan Syndrome - physiopathology ; Medical genetics ; Medical sciences ; Microfilament Proteins - genetics ; neonatal progeroid syndrome ; Pregnancy ; Progeria - complications ; Progeria - genetics ; Protein-Serine-Threonine Kinases - genetics ; Receptors, Transforming Growth Factor beta - genetics ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Skin involvement in other diseases. Miscellaneous. General aspects ; Young Adult
ISSN:
1552-4825
ISSN:
0148-7299
ISSN:
1096-8628
ISSN:
1552-4833
E-ISSN:
1096-8628
E-ISSN:
1552-4833
DOI:
10.1002/ajmg.a.33690
Source:
Hellenic Academic Libraries Link
Source:
Wiley Online Library All Journals
URL:
http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23361309$$DView record in Pascal Francis
URL:
https://www.ncbi.nlm.nih.gov/pubmed/20979188$$D View this record in MEDLINE/PubMed
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