Typical Face, Developmental Delay, and Hearing Loss in a Patient with 3M Syndrome: The Co-Occurrence of Two Rare Conditions

Introduction3M syndrome is an autosomal recessive disorder characterized by characteristic facial features, severe pre- and postnatal growth restriction (A (p.Cys314Ter) variant in the ILDR1 gene. The parents were heterozygous for the same variant. Discussion3M syndrome should be considered in the d...

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Veröffentlicht in:Molecular syndromology 2023, Vol.13 (6), p.537-542
Hauptverfasser: Akalın, Akçahan, Şimşek-Kiper, Pelin Ö, Taşkıran, Ekim, Utine, Gülen E, Boduroğlu, Koray
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container_end_page 542
container_issue 6
container_start_page 537
container_title Molecular syndromology
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creator Akalın, Akçahan
Şimşek-Kiper, Pelin Ö
Taşkıran, Ekim
Utine, Gülen E
Boduroğlu, Koray
description Introduction3M syndrome is an autosomal recessive disorder characterized by characteristic facial features, severe pre- and postnatal growth restriction (A (p.Cys314Ter) variant in the ILDR1 gene. The parents were heterozygous for the same variant. Discussion3M syndrome should be considered in the differential diagnosis of patients with short stature and typical facial features even if in the presence of other inconsistent features such as developmental delay. In addition, it is important to take into account the co-occurrence of rare autosomal recessive genetic disorders especially in countries with a high consanguineous marriage rate.
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Up to date, causative mutations have been demonstrated in 3 genes, cullin-7 (CUL7), obscurin-like 1 (OBSL1), and coiled coil domain containing protein 8 (CCDC8). Case presentationHere, we report a patient who was referred to our clinic due to short stature and developmental delay. Physical examination revealed prenatal onset short stature, low birth weight, and normal head circumference. She displayed several dysmorphic facial features in addition to developmental delay and bilateral sensorineural hearing loss. The physical findings were suggestive of 3M syndrome. Genetic assessment revealed a novel homozygous frameshift c.418_419delAC (p.Thr140Cysfs*11) variant in the CUL7 gene and a previously reported pathogenic nonsense homozygous c.942C&gt;A (p.Cys314Ter) variant in the ILDR1 gene. The parents were heterozygous for the same variant. Discussion3M syndrome should be considered in the differential diagnosis of patients with short stature and typical facial features even if in the presence of other inconsistent features such as developmental delay. 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Up to date, causative mutations have been demonstrated in 3 genes, cullin-7 (CUL7), obscurin-like 1 (OBSL1), and coiled coil domain containing protein 8 (CCDC8). Case presentationHere, we report a patient who was referred to our clinic due to short stature and developmental delay. Physical examination revealed prenatal onset short stature, low birth weight, and normal head circumference. She displayed several dysmorphic facial features in addition to developmental delay and bilateral sensorineural hearing loss. The physical findings were suggestive of 3M syndrome. Genetic assessment revealed a novel homozygous frameshift c.418_419delAC (p.Thr140Cysfs*11) variant in the CUL7 gene and a previously reported pathogenic nonsense homozygous c.942C&gt;A (p.Cys314Ter) variant in the ILDR1 gene. The parents were heterozygous for the same variant. 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title Typical Face, Developmental Delay, and Hearing Loss in a Patient with 3M Syndrome: The Co-Occurrence of Two Rare Conditions
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