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Pathogenic FBN1 mutations in 146 adults not meeting clinical diagnostic criteria for Marfan syndrome: Further delineation of type 1 fibrillinopathies and focus on patients with an isolated major criterion

Identifieur interne : 007E07 ( Main/Exploration ); précédent : 007E06; suivant : 007E08

Pathogenic FBN1 mutations in 146 adults not meeting clinical diagnostic criteria for Marfan syndrome: Further delineation of type 1 fibrillinopathies and focus on patients with an isolated major criterion

Auteurs : L. Faivre [France] ; G. Collod-Beroud [France] ; B. Callewaert [Belgique] ; A. Child [Royaume-Uni] ; B. L. Loeys [Belgique, États-Unis] ; C. Binquet [France] ; E. Gautier [France] ; E. Arbustini [Italie] ; K. Mayer [Allemagne] ; M. Arslan-Kirchner [Allemagne] ; A. Kiotsekoglou [États-Unis] ; P. Comeglio [États-Unis] ; M. Grasso [Italie] ; C. Beroud [France] ; C. Bonithon-Kopp [France] ; M. Claustres [France] ; C. Stheneur [France] ; O. Bouchot [France] ; J. E. Wolf [France] ; P. N. Robinson [Allemagne] ; L. Adès [Australie] ; J. De Backer [Belgique] ; P. Coucke [Belgique] ; U. Francke [États-Unis] ; A. De Paepe [Belgique] ; C. Boileau [France] ; G. Jondeau [France]

Source :

RBID : ISTEX:B99063646751FB28E209A75FAD443720176D2B14

Descripteurs français

English descriptors

Abstract

Mutations in the FBN1 gene cause Marfan syndrome (MFS) and have been associated with a wide range of milder overlapping phenotypes. A proportion of patients carrying a FBN1 mutation does not meet diagnostic criteria for MFS, and are diagnosed with “other type I fibrillinopathy.” In order to better describe this entity, we analyzed a subgroup of 146 out of 689 adult propositi with incomplete “clinical” international criteria (Ghent nosology) from a large collaborative international study including 1,009 propositi with a pathogenic FBN1 mutation. We focused on patients with only one major clinical criterion, [including isolated ectopia lentis (EL; 12 patients), isolated ascending aortic dilatation (17 patients), and isolated major skeletal manifestations (1 patient)] or with no major criterion but only minor criteria in 1 or more organ systems (16 patients). At least one component of the Ghent nosology, insufficient alone to make a minor criterion, was found in the majority of patients with isolated ascending aortic dilatation and isolated EL. In patients with isolated EL, missense mutations involving a cysteine were predominant, mutations in exons 24–32 were underrepresented, and no mutations leading to a premature truncation were found. Studies of recurrent mutations and affected family members of propositi with only one major clinical criterion argue for a clinical continuum between such phenotypes and classical MFS. Using strict definitions, we conclude that patients with FBN1 mutation and only one major clinical criterion or with only minor clinical criteria of one or more organ system do exist but represent only 5% of the adult cohort. © 2009 Wiley‐Liss, Inc.

Url:
DOI: 10.1002/ajmg.a.32809


Affiliations:


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<placeName>
<region type="region">Bourgogne-Franche-Comté</region>
<region type="old region">Bourgogne</region>
<settlement type="city">Dijon</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Wolf, J E" sort="Wolf, J E" uniqKey="Wolf J" first="J. E." last="Wolf">J. E. Wolf</name>
<affiliation wicri:level="3">
<country xml:lang="fr">France</country>
<wicri:regionArea>Cardiologie, CHU, Dijon</wicri:regionArea>
<placeName>
<region type="region">Bourgogne-Franche-Comté</region>
<region type="old region">Bourgogne</region>
<settlement type="city">Dijon</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Robinson, P N" sort="Robinson, P N" uniqKey="Robinson P" first="P. N." last="Robinson">P. N. Robinson</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institut für Medizinische Genetik, Universitätsmedizin Charité, Berlin</wicri:regionArea>
<placeName>
<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ades, L" sort="Ades, L" uniqKey="Ades L" first="L." last="Adès">L. Adès</name>
<affiliation wicri:level="3">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Marfan Research Group, The Children's Hospital at Westmead, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Discipline of Paediatrics and Child Health, University of Sydney, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
<affiliation wicri:level="3">
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Clinical Genetics, The Children's Hospital at Westmead, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="De Backer, J" sort="De Backer, J" uniqKey="De Backer J" first="J." last="De Backer">J. De Backer</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Center for Medical Genetics, Ghent University Hospital, Ghent</wicri:regionArea>
<wicri:noRegion>Ghent</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Coucke, P" sort="Coucke, P" uniqKey="Coucke P" first="P." last="Coucke">P. Coucke</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Center for Medical Genetics, Ghent University Hospital, Ghent</wicri:regionArea>
<wicri:noRegion>Ghent</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Francke, U" sort="Francke, U" uniqKey="Francke U" first="U." last="Francke">U. Francke</name>
<affiliation wicri:level="2">
<country>États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>Departments of Genetics and Pediatrics, Stanford University Medical Center, Stanford</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="De Paepe, A" sort="De Paepe, A" uniqKey="De Paepe A" first="A." last="De Paepe">A. De Paepe</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Center for Medical Genetics, Ghent University Hospital, Ghent</wicri:regionArea>
<wicri:noRegion>Ghent</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Boileau, C" sort="Boileau, C" uniqKey="Boileau C" first="C." last="Boileau">C. Boileau</name>
<affiliation wicri:level="1">
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Versailles‐Saint Quentin en Yvelines, UFR P.I.F.O., Garches</wicri:regionArea>
<wicri:noRegion>Garches</wicri:noRegion>
<wicri:noRegion>Garches</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<country xml:lang="fr">France</country>
<wicri:regionArea>AP‐HP, Hôpital Ambroise Paré, Laboratoire de Génétique Moléculaire, Boulogne</wicri:regionArea>
<wicri:noRegion>Boulogne</wicri:noRegion>
<wicri:noRegion>Boulogne</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3">
<country xml:lang="fr">France</country>
<wicri:regionArea>AP‐HP, Hôpital Bichat, Consultation Pluridisciplinaire Marfan, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jondeau, G" sort="Jondeau, G" uniqKey="Jondeau G" first="G." last="Jondeau">G. Jondeau</name>
<affiliation wicri:level="3">
<country xml:lang="fr">France</country>
<wicri:regionArea>AP‐HP, Hôpital Bichat, Consultation Pluridisciplinaire Marfan, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series>
<title level="j" type="main">American Journal of Medical Genetics Part A</title>
<title level="j" type="alt">AMERICAN JOURNAL OF MEDICAL GENETICS</title>
<idno type="ISSN">1552-4825</idno>
<idno type="eISSN">1552-4833</idno>
<imprint>
<biblScope unit="vol">149A</biblScope>
<biblScope unit="issue">5</biblScope>
<biblScope unit="page" from="854">854</biblScope>
<biblScope unit="page" to="860">860</biblScope>
<biblScope unit="page-count">7</biblScope>
<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2009-05">2009-05</date>
</imprint>
<idno type="ISSN">1552-4825</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<idno type="ISSN">1552-4825</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Adult propositi</term>
<term>Aneurysm</term>
<term>Aortic</term>
<term>Aortic dilatation</term>
<term>Boileau</term>
<term>Brillin gene</term>
<term>Cardiovascular</term>
<term>Cohort</term>
<term>Comeglio</term>
<term>Criterion</term>
<term>Cysteine</term>
<term>Diagnosis</term>
<term>Diagnostic criteria</term>
<term>Dietz</term>
<term>Dijon</term>
<term>Dural</term>
<term>Dural ectasia</term>
<term>Ectasia</term>
<term>Ectopia</term>
<term>Ectopia lentis</term>
<term>Faivre</term>
<term>Family history</term>
<term>Family members</term>
<term>Fbn1</term>
<term>Fbn1 gene</term>
<term>Fbn1 mutation</term>
<term>Fbn1 mutations</term>
<term>Francke</term>
<term>Gene</term>
<term>Genet</term>
<term>Genet part</term>
<term>Genetics</term>
<term>Ghent</term>
<term>Ghent nosology</term>
<term>Henikoff</term>
<term>International criteria</term>
<term>International study</term>
<term>Lentis</term>
<term>Loeys</term>
<term>Major criteria</term>
<term>Major criterion</term>
<term>Marfan</term>
<term>Marfan syndrome</term>
<term>Medical genetics part</term>
<term>Milewicz</term>
<term>Minor criteria</term>
<term>Minor criterion</term>
<term>Missense</term>
<term>Missense mutation</term>
<term>Missense mutations</term>
<term>Mutation</term>
<term>Nosology</term>
<term>Organ system</term>
<term>Organ systems</term>
<term>Other type</term>
<term>Paepe</term>
<term>Pathogenesis</term>
<term>Pathogenic</term>
<term>Pathogenic fbn1 mutation</term>
<term>Patient</term>
<term>Phenotype</term>
<term>Positive family history</term>
<term>Premature truncation</term>
<term>Propositus</term>
<term>Protrusion acetabuli</term>
<term>Pyeritz</term>
<term>Skeletal system</term>
<term>Symptomatology</term>
<term>Syndrome</term>
<term>Thoracic aortic aneurysms</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Adulte</term>
<term>Critère</term>
<term>Diagnostic</term>
<term>Gène</term>
<term>Malade</term>
<term>Mutation</term>
<term>Pathogène</term>
<term>Pathogénie</term>
<term>Phénotype</term>
<term>Symptomatologie</term>
<term>Syndrome de Marfan</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Adult propositi</term>
<term>Aneurysm</term>
<term>Aortic</term>
<term>Aortic dilatation</term>
<term>Boileau</term>
<term>Brillin gene</term>
<term>Cardiovascular</term>
<term>Cohort</term>
<term>Comeglio</term>
<term>Criterion</term>
<term>Cysteine</term>
<term>Diagnostic criteria</term>
<term>Dietz</term>
<term>Dijon</term>
<term>Dural</term>
<term>Dural ectasia</term>
<term>Ectasia</term>
<term>Ectopia</term>
<term>Ectopia lentis</term>
<term>Faivre</term>
<term>Family history</term>
<term>Family members</term>
<term>Fbn1</term>
<term>Fbn1 gene</term>
<term>Fbn1 mutation</term>
<term>Fbn1 mutations</term>
<term>Francke</term>
<term>Genet</term>
<term>Genet part</term>
<term>Genetics</term>
<term>Ghent</term>
<term>Ghent nosology</term>
<term>Henikoff</term>
<term>International criteria</term>
<term>International study</term>
<term>Lentis</term>
<term>Loeys</term>
<term>Major criteria</term>
<term>Major criterion</term>
<term>Marfan</term>
<term>Marfan syndrome</term>
<term>Medical genetics part</term>
<term>Milewicz</term>
<term>Minor criteria</term>
<term>Minor criterion</term>
<term>Missense</term>
<term>Missense mutation</term>
<term>Missense mutations</term>
<term>Mutation</term>
<term>Nosology</term>
<term>Organ system</term>
<term>Organ systems</term>
<term>Other type</term>
<term>Paepe</term>
<term>Pathogenic fbn1 mutation</term>
<term>Phenotype</term>
<term>Positive family history</term>
<term>Premature truncation</term>
<term>Propositus</term>
<term>Protrusion acetabuli</term>
<term>Pyeritz</term>
<term>Skeletal system</term>
<term>Syndrome</term>
<term>Thoracic aortic aneurysms</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Adulte</term>
<term>Génétique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Mutations in the FBN1 gene cause Marfan syndrome (MFS) and have been associated with a wide range of milder overlapping phenotypes. A proportion of patients carrying a FBN1 mutation does not meet diagnostic criteria for MFS, and are diagnosed with “other type I fibrillinopathy.” In order to better describe this entity, we analyzed a subgroup of 146 out of 689 adult propositi with incomplete “clinical” international criteria (Ghent nosology) from a large collaborative international study including 1,009 propositi with a pathogenic FBN1 mutation. We focused on patients with only one major clinical criterion, [including isolated ectopia lentis (EL; 12 patients), isolated ascending aortic dilatation (17 patients), and isolated major skeletal manifestations (1 patient)] or with no major criterion but only minor criteria in 1 or more organ systems (16 patients). At least one component of the Ghent nosology, insufficient alone to make a minor criterion, was found in the majority of patients with isolated ascending aortic dilatation and isolated EL. In patients with isolated EL, missense mutations involving a cysteine were predominant, mutations in exons 24–32 were underrepresented, and no mutations leading to a premature truncation were found. Studies of recurrent mutations and affected family members of propositi with only one major clinical criterion argue for a clinical continuum between such phenotypes and classical MFS. Using strict definitions, we conclude that patients with FBN1 mutation and only one major clinical criterion or with only minor clinical criteria of one or more organ system do exist but represent only 5% of the adult cohort. © 2009 Wiley‐Liss, Inc.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>France</li>
<li>Italie</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Basse-Saxe</li>
<li>Berlin</li>
<li>Bourgogne</li>
<li>Bourgogne-Franche-Comté</li>
<li>Californie</li>
<li>Grand Londres</li>
<li>Languedoc-Roussillon</li>
<li>Maryland</li>
<li>Nouvelle-Galles du Sud</li>
<li>Occitanie (région administrative)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Berlin</li>
<li>Dijon</li>
<li>Hanovre</li>
<li>Londres</li>
<li>Montpellier</li>
<li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université Montpellier 1</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree>
<country name="France">
<region name="Bourgogne-Franche-Comté">
<name sortKey="Faivre, L" sort="Faivre, L" uniqKey="Faivre L" first="L." last="Faivre">L. Faivre</name>
</region>
<name sortKey="Beroud, C" sort="Beroud, C" uniqKey="Beroud C" first="C." last="Beroud">C. Beroud</name>
<name sortKey="Beroud, C" sort="Beroud, C" uniqKey="Beroud C" first="C." last="Beroud">C. Beroud</name>
<name sortKey="Beroud, C" sort="Beroud, C" uniqKey="Beroud C" first="C." last="Beroud">C. Beroud</name>
<name sortKey="Binquet, C" sort="Binquet, C" uniqKey="Binquet C" first="C." last="Binquet">C. Binquet</name>
<name sortKey="Binquet, C" sort="Binquet, C" uniqKey="Binquet C" first="C." last="Binquet">C. Binquet</name>
<name sortKey="Boileau, C" sort="Boileau, C" uniqKey="Boileau C" first="C." last="Boileau">C. Boileau</name>
<name sortKey="Boileau, C" sort="Boileau, C" uniqKey="Boileau C" first="C." last="Boileau">C. Boileau</name>
<name sortKey="Boileau, C" sort="Boileau, C" uniqKey="Boileau C" first="C." last="Boileau">C. Boileau</name>
<name sortKey="Bonithon Opp, C" sort="Bonithon Opp, C" uniqKey="Bonithon Opp C" first="C." last="Bonithon-Kopp">C. Bonithon-Kopp</name>
<name sortKey="Bonithon Opp, C" sort="Bonithon Opp, C" uniqKey="Bonithon Opp C" first="C." last="Bonithon-Kopp">C. Bonithon-Kopp</name>
<name sortKey="Bouchot, O" sort="Bouchot, O" uniqKey="Bouchot O" first="O." last="Bouchot">O. Bouchot</name>
<name sortKey="Claustres, M" sort="Claustres, M" uniqKey="Claustres M" first="M." last="Claustres">M. Claustres</name>
<name sortKey="Claustres, M" sort="Claustres, M" uniqKey="Claustres M" first="M." last="Claustres">M. Claustres</name>
<name sortKey="Claustres, M" sort="Claustres, M" uniqKey="Claustres M" first="M." last="Claustres">M. Claustres</name>
<name sortKey="Collod Eroud, G" sort="Collod Eroud, G" uniqKey="Collod Eroud G" first="G." last="Collod-Beroud">G. Collod-Beroud</name>
<name sortKey="Collod Eroud, G" sort="Collod Eroud, G" uniqKey="Collod Eroud G" first="G." last="Collod-Beroud">G. Collod-Beroud</name>
<name sortKey="Faivre, L" sort="Faivre, L" uniqKey="Faivre L" first="L." last="Faivre">L. Faivre</name>
<name sortKey="Faivre, L" sort="Faivre, L" uniqKey="Faivre L" first="L." last="Faivre">L. Faivre</name>
<name sortKey="Faivre, L" sort="Faivre, L" uniqKey="Faivre L" first="L." last="Faivre">L. Faivre</name>
<name sortKey="Gautier, E" sort="Gautier, E" uniqKey="Gautier E" first="E." last="Gautier">E. Gautier</name>
<name sortKey="Gautier, E" sort="Gautier, E" uniqKey="Gautier E" first="E." last="Gautier">E. Gautier</name>
<name sortKey="Jondeau, G" sort="Jondeau, G" uniqKey="Jondeau G" first="G." last="Jondeau">G. Jondeau</name>
<name sortKey="Stheneur, C" sort="Stheneur, C" uniqKey="Stheneur C" first="C." last="Stheneur">C. Stheneur</name>
<name sortKey="Stheneur, C" sort="Stheneur, C" uniqKey="Stheneur C" first="C." last="Stheneur">C. Stheneur</name>
<name sortKey="Wolf, J E" sort="Wolf, J E" uniqKey="Wolf J" first="J. E." last="Wolf">J. E. Wolf</name>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Callewaert, B" sort="Callewaert, B" uniqKey="Callewaert B" first="B." last="Callewaert">B. Callewaert</name>
</noRegion>
<name sortKey="Coucke, P" sort="Coucke, P" uniqKey="Coucke P" first="P." last="Coucke">P. Coucke</name>
<name sortKey="De Backer, J" sort="De Backer, J" uniqKey="De Backer J" first="J." last="De Backer">J. De Backer</name>
<name sortKey="De Paepe, A" sort="De Paepe, A" uniqKey="De Paepe A" first="A." last="De Paepe">A. De Paepe</name>
<name sortKey="Loeys, B L" sort="Loeys, B L" uniqKey="Loeys B" first="B. L." last="Loeys">B. L. Loeys</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Child, A" sort="Child, A" uniqKey="Child A" first="A." last="Child">A. Child</name>
</region>
</country>
<country name="États-Unis">
<region name="Maryland">
<name sortKey="Loeys, B L" sort="Loeys, B L" uniqKey="Loeys B" first="B. L." last="Loeys">B. L. Loeys</name>
</region>
<name sortKey="Comeglio, P" sort="Comeglio, P" uniqKey="Comeglio P" first="P." last="Comeglio">P. Comeglio</name>
<name sortKey="Francke, U" sort="Francke, U" uniqKey="Francke U" first="U." last="Francke">U. Francke</name>
<name sortKey="Kiotsekoglou, A" sort="Kiotsekoglou, A" uniqKey="Kiotsekoglou A" first="A." last="Kiotsekoglou">A. Kiotsekoglou</name>
</country>
<country name="Italie">
<noRegion>
<name sortKey="Arbustini, E" sort="Arbustini, E" uniqKey="Arbustini E" first="E." last="Arbustini">E. Arbustini</name>
</noRegion>
<name sortKey="Grasso, M" sort="Grasso, M" uniqKey="Grasso M" first="M." last="Grasso">M. Grasso</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Mayer, K" sort="Mayer, K" uniqKey="Mayer K" first="K." last="Mayer">K. Mayer</name>
</noRegion>
<name sortKey="Arslan Irchner, M" sort="Arslan Irchner, M" uniqKey="Arslan Irchner M" first="M." last="Arslan-Kirchner">M. Arslan-Kirchner</name>
<name sortKey="Robinson, P N" sort="Robinson, P N" uniqKey="Robinson P" first="P. N." last="Robinson">P. N. Robinson</name>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Ades, L" sort="Ades, L" uniqKey="Ades L" first="L." last="Adès">L. Adès</name>
</region>
<name sortKey="Ades, L" sort="Ades, L" uniqKey="Ades L" first="L." last="Adès">L. Adès</name>
<name sortKey="Ades, L" sort="Ades, L" uniqKey="Ades L" first="L." last="Adès">L. Adès</name>
</country>
</tree>
</affiliations>
</record>

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   |texte=   Pathogenic FBN1 mutations in 146 adults not meeting clinical diagnostic criteria for Marfan syndrome: Further delineation of type 1 fibrillinopathies and focus on patients with an isolated major criterion
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