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Expanding the clinical spectrum of chromosome 15q26 terminal deletions associated with IGF-1 resistance.

Identifieur interne : 000567 ( Main/Exploration ); précédent : 000566; suivant : 000568

Expanding the clinical spectrum of chromosome 15q26 terminal deletions associated with IGF-1 resistance.

Auteurs : Aisling M. O'Riordan [Irlande (pays)] ; Niamh Mcgrath [Irlande (pays)] ; Farhana Sharif [Irlande (pays)] ; Nuala P. Murphy [Irlande (pays)] ; Orla Franklin [Irlande (pays)] ; Sally Ann Lynch [Irlande (pays)] ; Michael J. O'Grady [Irlande (pays)]

Source :

RBID : pubmed:27826649

Descripteurs français

English descriptors

Abstract

Haploinsufficiency of the insulin-like growth factor-1 receptor (IGF1R) gene on chromosome 15q26.3 is associated with impaired prenatal and postnatal growth, developmental delay, dysmorphic features and skeletal abnormalities. Terminal deletions of chromosome 15q26 arising more proximally may also be associated with congenital heart disease, epilepsy, diaphragmatic hernia and renal anomalies. We report three additional cases of 15q26 terminal deletions with novel features which may further expand the spectrum of this rarely reported contiguous gene syndrome. Phenotypic features including neonatal lymphedema, aplasia cutis congenita and aortic root dilatation have not been reported previously. Similarly, laboratory features of insulin-like growth factor 1 (IGF-1) resistance are described, including markedly elevated IGF-1 of up to +4.7 SDS. In one patient, the elevated IGF-1 declined over time and this coincided with a period of spontaneous growth acceleration.

DOI: 10.1007/s00431-016-2802-y
PubMed: 27826649


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Haploinsufficiency of the insulin-like growth factor-1 receptor (IGF1R) gene on chromosome 15q26.3 is associated with impaired prenatal and postnatal growth, developmental delay, dysmorphic features and skeletal abnormalities. Terminal deletions of chromosome 15q26 arising more proximally may also be associated with congenital heart disease, epilepsy, diaphragmatic hernia and renal anomalies. We report three additional cases of 15q26 terminal deletions with novel features which may further expand the spectrum of this rarely reported contiguous gene syndrome. Phenotypic features including neonatal lymphedema, aplasia cutis congenita and aortic root dilatation have not been reported previously. Similarly, laboratory features of insulin-like growth factor 1 (IGF-1) resistance are described, including markedly elevated IGF-1 of up to +4.7 SDS. In one patient, the elevated IGF-1 declined over time and this coincided with a period of spontaneous growth acceleration.</div>
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