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Sotos syndrome in two children from India
Inusha Panigrahi1, Chakshu Chaudhry1
1Genetic Metabolic Unit, Department of Pediatrics, APC, PGIMER, Chandigarh, India.
Insights
Sotos syndrome, a rare overgrowth disorder, can cause developmental delays and tall stature. This study identifies two Indian children with Sotos syndrome, confirming NSD1 gene variants through genetic testing.
Area of Science:
- Genetics
- Pediatrics
- Rare Diseases
Background:
- Sotos syndrome is a genetic overgrowth disorder characterized by intellectual disability, behavioral issues, and tall stature.
- Clinical manifestations can include seizures, cardiac, and renal anomalies.
Observation:
- This report details two Indian pediatric cases presenting with Sotos syndrome.
- Initial symptoms included macrocephaly in one child and behavioral problems in the other.
Findings:
- Next-generation sequencing confirmed pathogenic variants in the NSD1 gene in both patients.
- Specific variants identified were NSD1: c.2362C>T and NSD1: c.5474dup, both leading to premature protein termination.
Implications:
- These findings highlight the genetic basis of Sotos syndrome and the role of NSD1 mutations.
- Early genetic confirmation is crucial for accurate diagnosis and management of Sotos syndrome in affected children.
Abstract:
Sotos syndrome is one of the overgrowth syndromes, and can present with intellectual disability, behavioral problems and tall stature. In some cases, seizures, pectus deformity, cardiac and renal anomalies may be identified. Here we report two Indian children with Sotos syndrome whose initial presentation was macrocephaly and behavioral problems, respectively. The pathogenic variants in NSD1 gene were confirmed by next generation sequencing. The gene variants in the two children, one male and one female; were NSD1: c.2362C>T and NSD1: c.5474dup, respectively, leading to premature termination of protein formation.
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