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CEDNIK syndrome with phenotypic variability.

Arti Nanda1, Tarek M Karam1, Atlal AlLafi1

  • 1As'ad Al-Hamad Dermatology Center, Kuwait.

Pediatric Dermatology
|March 1, 2022
PubMed
Summary
This summary is machine-generated.

CEDNIK syndrome, a rare neurodegenerative disorder, is caused by SNAP29 gene variants. This study reports two siblings with CEDNIK syndrome, noting the absence of palmoplantar keratoderma and a novel venous malformation.

Keywords:
CEDNIK syndromepalmoplantar keratodermaphenotypic variability

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Area of Science:

  • Genetics
  • Neurology
  • Dermatology

Background:

  • CEDNIK syndrome is a rare autosomal recessive disorder.
  • It is characterized by cerebral dysgenesis, neuropathy, ichthyosis, and keratoderma.
  • The condition results from loss-of-function pathogenic variants in the SNAP29 gene.

Purpose of the Study:

  • To describe two siblings with CEDNIK syndrome from a consanguineous Syrian family.
  • To report a novel homozygous pathogenic variant in the SNAP29 gene.
  • To document clinical variations, including the absence of a cardinal sign and a previously unreported finding.

Main Methods:

  • Clinical evaluation of two affected siblings.
  • Genetic analysis to identify the causative variant.
  • Review of literature for comparison.

Main Results:

  • Both siblings presented with CEDNIK syndrome due to a homozygous SNAP29 variant [c.223delG(p.Val75Serf*28)].
  • Palmoplantar keratoderma, a typical feature, was notably absent in both patients.
  • One patient exhibited a verrucous venous malformation, a finding not previously associated with CEDNIK syndrome.

Conclusions:

  • This report expands the clinical spectrum of CEDNIK syndrome.
  • Highlights the genetic basis and phenotypic variability of SNAP29-related disorders.
  • Emphasizes the importance of comprehensive genetic and clinical evaluation in rare diseases.