Coats syndrome in facioscapulohumeral dystrophy type 1: frequency and D4Z4 contraction size

Jeffrey M Statland1, Sabrina Sacconi, Constantine Farmakidis

  • 1Departments of Neurology, University of Rochester Medical Center, Rochester, NY, USA. Jeffrey_Statland@URMC.Rochester.edu

Neurology
|March 1, 2013
PubMed

Insights

Coats syndrome is a rare complication in facioscapulohumeral muscular dystrophy type 1 (FSHD1), often linked to larger D4Z4 contractions. Increased eye surveillance is recommended for FSHD1 patients with D4Z4 fragments up to 15 kb.

Area of Science:

  • Ophthalmology
  • Genetics
  • Neurology

Background:

  • Facioscapulohumeral muscular dystrophy type 1 (FSHD1) is a genetic disorder affecting muscles.
  • Coats syndrome is a rare eye condition characterized by abnormal blood vessel development in the retina.
  • The association between FSHD1 and Coats syndrome, particularly concerning D4Z4 contraction size, requires further investigation.

Purpose of the Study:

  • To determine the frequency of Coats syndrome in patients with FSHD1.
  • To explore the relationship between D4Z4 contraction size and the occurrence of Coats syndrome in FSHD1 patients.

Main Methods:

  • Searched North American FSHD registry and University of Rochester database.
  • Reviewed existing literature and surveyed 14 international FSHD referral centers.
  • Identified and analyzed data from genetically confirmed FSHD1 patients diagnosed with Coats syndrome, including D4Z4 contraction size.

Main Results:

  • Identified 14 patients with FSHD and confirmed Coats syndrome.
  • The median D4Z4 fragment size in affected patients was 13 kb.
  • Coats syndrome was diagnosed at a median age of 10 years.

Conclusions:

  • Coats syndrome is a rare extramuscular manifestation of FSHD1.
  • Large D4Z4 contractions are associated with Coats syndrome in FSHD1.
  • Retinal complication surveillance is advised for FSHD1 patients with D4Z4 fragments ≤15 kb.
Abstract

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