A 37-kb Deletion in Region 16p13.3 in an Infant with Osteopetrosis and Congenital Diarrhea Including the CLCN7 and PERCC1 Genes
Semih Sandal1, Gulsum Kayhan2, Dilek Kahvecioglu3
1Pediatric Gastroenterology, Ankara Research and Education Hospital, Ankara, Turkey.
Insights
A rare genetic deletion on chromosome 16p13.3 caused both osteopetrosis and congenital diarrhea in an infant. This finding highlights the importance of genetic testing for complex pediatric cases.
Area of Science:
- Genetics
- Pediatrics
- Molecular Biology
Background:
- Congenital diarrhea poses diagnostic challenges, especially when symptoms are atypical.
- Osteopetrosis is a rare genetic disorder characterized by increased bone density.
Purpose of the Study:
- To investigate the genetic basis of a rare condition presenting with both congenital diarrhea and osteopetrosis.
- To highlight the diagnostic significance of chromosomal abnormalities in complex pediatric cases.
Main Methods:
- Clinical exome sequencing was performed.
- Chromosomal microarray analysis was utilized.
- Genetic testing identified a homozygous deletion on chromosome 16p13.3.
Main Results:
- The patient presented with thrombocytopenia, increased bone density, and pale optic discs, indicative of osteopetrosis.
- The infant also exhibited noninfectious, blood- and mucus-free diarrhea.
- A 39-kb deletion on chromosome 16p13.3 was identified, encompassing the CLCN7 and PERCC1 genes.
Conclusions:
- 16p13.3 deletions should be considered in infants with combined symptoms of congenital diarrhea and osteopetrosis.
- This case expands the known genetic causes of congenital diarrhea.
- Comprehensive genetic analysis is crucial for diagnosing rare pediatric disorders.
Introduction:
Congenital diarrhea presents a diagnostic challenge in cases where standard assessments are inconclusive.
Case Presentation:
We report a female infant with thrombocytopenia, increased bone density, and pale optic disc symptoms, suggestive of osteopetrosis. However, she also exhibited noninfectious, blood- and mucus-free diarrhea, not accounted for by osteopetrosis. Genetic testing, including clinical exome sequencing and chromosomal microarray analysis, revealed a homozygous 39-kb deletion on chromosome 16p13.3. This deletion spanned the CLCN7 gene associated with osteopetrosis and the PERCC1 gene implicated in congenital diarrhea.
Conclusion:
This case illustrates the importance of considering 16p13.3 deletions when confronted with the dual presentation of congenital diarrhea and osteopetrosis, expanding the diagnostic considerations for similar clinical presentations.
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