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Hutchinson-Gilford progeria syndrome caused by an LMNA mutation: a case report
1Department of Dermatology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Insights
Hutchinson-Gilford progeria syndrome (HGPS) is a rare genetic disorder causing premature aging. This case highlights a 6-year-old boy with HGPS, identified by a specific LMNA gene mutation, emphasizing the condition's rarity.
Area of Science:
- Genetics
- Pediatrics
- Dermatology
Background:
- Hutchinson-Gilford progeria syndrome (HGPS) is a rare, fatal genetic disorder characterized by accelerated aging.
- It affects multiple organ systems, including skin, bones, cardiovascular system, and vasculature.
Observation:
- A 6-year-old boy presented with scleroderma-like skin changes at 1 month of age, progressing to HGPS manifestations.
- Clinical features included prominent facial features, hair loss, stunted growth, and premature aging.
- Metabolic investigations revealed transient methylmalonic aciduria.
Findings:
- Genetic testing identified a heterozygous c.1824C>T mutation in the LMNA gene.
- This mutation is associated with the development of Hutchinson-Gilford progeria syndrome.
Implications:
- This case underscores the importance of early recognition and genetic diagnosis in HGPS.
- Further research into the LMNA gene and HGPS pathogenesis is crucial for potential therapeutic strategies.
- Reporting rare cases aids in understanding the phenotypic variability and progression of HGPS.
Abstract:
Hutchinson-Gilford progeria syndrome is a rare genetic disorder characterized by premature aging of the skin, bones, heart, and blood vessels. We report a 6-year-old boy who was born at full term but presented with scleroderma-like appearance at 1 month of age and gradually developed clinical manifestations of progeria. He had characteristic facial features of prominent eyes, scalp, and leg veins; loss of scalp hair, eyebrows, and eyelashes; stunted growth; scleroderma-like changes of the skin; and a premature aged appearance. Metabolic investigations showed transient methylmalonic aciduria, and genetic testing of the peripheral blood identified the c.1824C>T heterozygous LMNA mutation. The present case is reported because of its rarity.
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