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Ophthalmologic findings in an 18-month-old boy with focal dermal hypoplasia
Marielle P Young1, Briana L Sawyer1, M Elizabeth Hartnett1
1John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Insights
Focal dermal hypoplasia, a rare X-linked disorder, presents unique challenges. This study details ophthalmologic findings in a young boy with mosaicism of a novel PORCN gene mutation.
Area of Science:
- Genetics
- Ophthalmology
- Developmental Biology
Background:
- Focal dermal hypoplasia (FDH) is a rare X-linked dominant disorder.
- Males typically experience in utero lethality due to the condition.
- Mutations in the PORCN gene at chromosome Xp11.23 are associated with FDH.
Observation:
- This report focuses on an 18-month-old boy with FDH.
- The patient presented with mosaicism for a newly identified mutation in the PORCN gene.
- Ophthalmologic findings were specifically evaluated.
Findings:
- The study describes the specific ophthalmologic manifestations observed in the patient.
- Mosaicism for a novel PORCN mutation was confirmed.
- Clinical correlation between the genetic findings and ocular presentation is discussed.
Implications:
- This case expands the understanding of PORCN gene mutations in FDH.
- It highlights the importance of ophthalmologic evaluations in affected individuals.
- Further research into genotype-phenotype correlations in FDH is warranted.
Abstract:
Focal dermal hypoplasia is a rare X-linked dominant disorder with in utero lethality in males. Affected patients have been reported to have several different mutations in the PORCN gene on chromosome Xp11.23. Dysplastic mesodermal and ectodermal tissue causes clinical findings in the skin, skeleton, teeth, central nervous system, and eyes of affected patients. We describe the ophthalmologic findings in an 18-month-old boy with mosaicism of a novel mutation in PORCN.
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