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16p13.11 microduplication with growth retardation and developmental disorders: a case report and literature review
Daisuke Watanabe1, Hideaki Yagasaki1, Hiromune Narusawa1
1Department of Pediatrics, Faculty of Medicine, University of Yamanashi, Chuo, Japan.
Insights
Genetic variations like 16p13.11 microduplication can cause short stature and developmental delay in children. This study highlights the varied symptoms and diagnostic challenges of this genetic condition.
Area of Science:
- Genetics
- Pediatrics
- Developmental Biology
Background:
- Short stature and growth retardation affect many children, with genetic factors playing a significant role in unexplained cases.
- Pathogenic copy number variants (CNVs) are identified in 10%-16% of children with unexplained short stature.
- The 16p13.11 microduplication is a CNV associated with diverse clinical presentations.
Purpose of the Study:
- To report a case of a Japanese girl with growth retardation and developmental delay linked to a 16p13.11 microduplication.
- To review existing literature on 16p13.11 microduplication cases to understand genotype-phenotype correlations.
- To emphasize the diagnostic challenges and the need for comprehensive genetic evaluation.
Main Methods:
- Case study of a 5-year-old Japanese girl with growth retardation and developmental delay.
- Genetic analysis to identify the 16p13.11 microduplication in the patient and her mother.
- Literature review of 274 cases associated with 16p13.11 microduplication.
Main Results:
- The patient presented with growth retardation and developmental delay due to a 16p13.11 microduplication.
- Her mother carried the same microduplication but showed no related symptoms, illustrating variable expressivity.
- Literature review indicated neurological disorders in ~70% and short stature in 15.3% of 16p13.11 microduplication cases.
Conclusions:
- The 16p13.11 microduplication exhibits diverse phenotypic manifestations, including short stature and developmental delay.
- Diagnosis is challenging due to variable symptoms and unclear genotype-phenotype relationships.
- Comprehensive genetic evaluation is essential for children with unexplained short stature and developmental disorders.
Abstract:
Short stature and growth retardation is a common condition in children. Genetic variations are responsible for many cases of short stature of unknown etiology. In particular, pathogenic copy number variants (CNVs) have been found in 10%-16% of children with unexplained short stature. This paper reports on a 5-year-old Japanese girl with both growth retardation and developmental delay associated with a 16p13.11 microduplication. Although the patient's mother also carries this microduplication, she did not show growth retardation and developmental delay. These cases illustrate the diverse phenotypic manifestations of 16p13.11 microduplication. Consequently, we conducted the literature review of 274 cases associated with this duplication revealed neurological disorders in approximately 70% of cases, 15.3% of these cases were associated with short stature. Diagnosis of 16p13.11 microduplication remains challenging due to its diverse symptomatology and elusive genotype-phenotype correlations. Comprehensive genetic evaluation is crucial for patients presenting with short stature and developmental disorders, underscoring the need for further investigation into the 16p13.11 microduplication to clarify its specific role and implications.
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