Genetics of the Costello syndrome

Although Costello syndrome is considered to be an autosomal recessive disorder, review of 20 families demonstrated that the 37 sibs of the probands were all normal. In 6 families on whom pedigrees were not available, 2 affected sib‐pairs were born. Even if there were no normal offspring in these lat...

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Veröffentlicht in:American journal of medical genetics 1994-09, Vol.52 (3), p.358-359
1. Verfasser: Lurie, Iosif W.
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description Although Costello syndrome is considered to be an autosomal recessive disorder, review of 20 families demonstrated that the 37 sibs of the probands were all normal. In 6 families on whom pedigrees were not available, 2 affected sib‐pairs were born. Even if there were no normal offspring in these latter families, the occurrence of the Costello syndrome in only 2 of 39 sibs virtually excludes an autosomal recessive inheritance pattern (P = 0.999). Moreover, a significant increase of mean paternal age (38.0 yr) and paternal‐maternal age difference (7.36 yr) suggests sporadic autosomal dominant mutations as a likely cause. The 2 reported cases of affected sibs born to healthy parents may be explained by gonadal mosaicism, although heterogeneity with a small proportion of recessively inherited cases cannot be excluded. © 1994 Wiley‐Liss, Inc.
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subjects Abnormalities, Multiple - genetics
Adult
autosomal dominant inheritance
Biological and medical sciences
Child
Complex syndromes
Costello syndrome
Costello's syndrome
Developmental Disabilities - genetics
Face - abnormalities
Female
Genes, Dominant
gonadal mosaicism
Humans
inheritance
Intellectual Disability - genetics
Male
man
Maternal Age
Medical genetics
Medical sciences
mosaicism
Nose Neoplasms - genetics
Papilloma - genetics
Paternal Age
paternal-maternal age differencea
Skin Abnormalities
Syndrome
title Genetics of the Costello syndrome
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