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Published on: September 24, 2021
Isolated cytokine-enriched pericardial effusion: A likely key feature for Aymé-Gripp syndrome
Anna-Lina König1, Hemmen Sabir1, Brigitte Strizek2
1Department of Neonatology and Pediatric Intensive Care Medicine, University Clinics of Bonn, Bonn, Germany.
Abstract:
Aymé-Gripp syndrome is a multisystemic disorder caused by a heterozygous variation in the MAF gene (OMIM*177075). Key features are congenital cataracts, sensorineural hearing loss, and a characteristic facial appearance. In a proportion of individuals, pericardial effusion or pericarditis has been reported as part of the phenotypic spectrum. In the present case, a large persistent cytokine-enriched pericardial effusion was the main pre- and postnatal symptom that led to the clinical and later molecular diagnosis of Aymé-Gripp syndrome. In the postnatal course, the typical Aymé-Gripp syndrome-associated features bilateral cataracts and hearing loss were diagnosed. We propose that activating dominant variants in the cytokine-modulating transcription factor c-MAF causes cytokine-enriched pericardial effusions possibly representing a key feature of Aymé-Gripp syndrome.
Insights
Aymé-Gripp syndrome, a rare genetic disorder, can manifest with significant pericardial effusion. Activating MAF gene variants may cause this cytokine-rich fluid buildup, a potential key feature of the syndrome.
Area of Science:
- Genetics
- Molecular Biology
- Cardiology
Background:
- Aymé-Gripp syndrome is a multisystemic disorder linked to MAF gene variations.
- Characteristic features include cataracts, hearing loss, and distinct facial appearance.
- Pericardial effusion/pericarditis is an occasionally reported feature.
Observation:
- A case presented with a large, persistent cytokine-enriched pericardial effusion as the primary symptom.
- This effusion was the main indicator leading to clinical and molecular diagnosis.
- Postnatal diagnosis confirmed typical Aymé-Gripp features: bilateral cataracts and hearing loss.
Findings:
- Activating dominant variants in the c-MAF transcription factor are implicated.
- These variants may lead to cytokine-enriched pericardial effusions.
- This effusion could be a key diagnostic feature of Aymé-Gripp syndrome.
Implications:
- Highlights a potential novel phenotype of Aymé-Gripp syndrome.
- Suggests c-MAF variants' role in cytokine dysregulation and fluid accumulation.
- May guide earlier diagnosis and management of affected individuals.
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