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Published on: August 20, 2019
Polydactyly with ectodermal defect, osteopenia, and mental delay
Raffaella Zannolli1, Sabrina Buoni, Massimo Viviano
1Department of Pediatrics, Obstetrics and Reproductive Medicine, Section of Pediatrics, Policlinico Le Scotte, University of Siena, Siena, Italy. zannolli@unisi.it
Insights
This study describes a family with postaxial polydactyly exhibiting variable symptoms like syndactyly and osteopenia, likely due to a contiguous gene syndrome affecting multiple physiological activities.
Area of Science:
- Genetics
- Medical Genetics
- Developmental Biology
Background:
- Autosomal dominant inheritance patterns are crucial in understanding genetic disorders.
- Phenotypic variability within families poses diagnostic challenges.
Observation:
- A three-generation family presented with postaxial polydactyly (A and B types).
- Affected individuals displayed a range of features including cutaneous syndactyly, nail-teeth dysplasia, osteopenia, and varying degrees of mental delay.
Findings:
- Postaxial polydactyly was associated with significant phenotypic heterogeneity.
- The observed constellation of symptoms suggests a potential contiguous gene syndrome rather than a single gene mutation affecting multiple pathways.
Implications:
- Understanding contiguous gene syndromes is vital for accurate genetic diagnosis and counseling.
- Further research is needed to confirm the genetic basis and molecular mechanisms underlying this condition.
Abstract:
Five members from 3 generations, including a 35-year-old woman and her 2 sons, both mentally impaired to a different degree, were studied in a tertiary care hospital. Anamnestic, clinical, neurological, and radiological evaluations were used to describe phenotypes. A and B postaxial polydactyly, transmitted likely as autosomal dominant, was associated with an extensive variability of phenotypic features: (1) cutaneous syndactyly, (2) nail-teeth dysplasia, (3) osteopenia, and (4) mental delay. The likelihood that the constellation of observations we report here is caused by mutation of a single gene that subsequently affects multiple physiological activities, although fascinating, remains to be proven. Instead, we hypothesize that it likely develops as a contiguous gene syndrome.
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