Phenotype of the fibroblast growth factor receptor 2 Ser351Cys mutation: Pfeiffer syndrome type III
Autor: | K W, Gripp, C A, Stolle, D M, McDonald-McGinn, R I, Markowitz, S P, Bartlett, J A, Katowitz, M, Muenke, E H, Zackai |
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Rok vydání: | 1998 |
Předmět: |
Male
Foot Deformities Congenital Infant Newborn Receptor Protein-Tyrosine Kinases Acrocephalosyndactylia Receptors Fibroblast Growth Factor Translocation Genetic Radiography Phenotype Amino Acid Substitution Wheelchairs Elbow Serine Humans Point Mutation Abnormalities Multiple Cysteine Eye Abnormalities Receptor Fibroblast Growth Factor Type 2 Hand Deformities Congenital Polymorphism Single-Stranded Conformational |
Zdroj: | American journal of medical genetics. 78(4) |
ISSN: | 0148-7299 |
Popis: | We present a patient with pansynostosis, hydrocephalus, seizures, extreme proptosis with luxation of the eyes out of the lids, apnea and airway obstruction, intestinal non-rotation, and severe developmental delay. His skeletal abnormalities include bilateral elbow ankylosis, radial head dislocation, and unilateral broad and deviated first toe. The phenotype of this patient is consistent with that previously reported in Pfeiffer syndrome type III, but is unusual for the lack of broad thumbs. Our patient most closely resembles the case described by Kerr et al. [1996: Am J Med Genet 66:138-143] as Pfeiffer syndrome type III with normal thumbs. Mutations in the genes for fibroblast growth factor receptors (FGFR) 1 and 2 have previously been seen in patients with Pfeiffer syndrome type I. The mutation identified in our patient, Ser351Cys in FGFR2, represents the first reported cause of Pfeiffer syndrome type III. An identical mutation was described once previously by Pulleyn et al., in a patient whose brief clinical description included cloverleaf skull, significant developmental delay, and normal hands and feet [Eur. J. Hum. Genet. 4: 283-291, 1996]. In our patient, previously performed single-strand conformation polymorphism analysis failed to detect a band shift; the mutation was identified only after independent sequence analysis. |
Databáze: | OpenAIRE |
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