Serveur d'exploration sur le lymphœdème

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The lymphatic phenotype in Noonan and Cardiofaciocutaneous syndrome.

Identifieur interne : 000596 ( PubMed/Checkpoint ); précédent : 000595; suivant : 000597

The lymphatic phenotype in Noonan and Cardiofaciocutaneous syndrome.

Auteurs : Sarah Joyce [Royaume-Uni] ; Kristiana Gordon [Royaume-Uni] ; Glen Brice [Royaume-Uni] ; Pia Ostergaard [Royaume-Uni] ; Rani Nagaraja [Royaume-Uni] ; John Short [Royaume-Uni] ; Sandra Moore [Royaume-Uni] ; Peter Mortimer (dermatologue)‎ [Royaume-Uni] ; Sahar Mansour [Royaume-Uni]

Source :

RBID : pubmed:26242988

Descripteurs français

English descriptors

Abstract

The RASopathies, which include Noonan syndrome (NS) and Cardiofaciocutaneous syndrome (CFC), are autosomal dominant disorders with genetic heterogeneity associated with germline mutations of genes in the Ras/mitogen-activated protein kinase (MAPK; RAS-MAP kinase) pathway. The conditions overlap and are characterised by facial dysmorphism, short stature and congenital heart disease. NS and CFC, in particular, are known to be associated with lymphatic problems, but this has not been well characterised to date. We describe 11 patients with Noonan or CFC syndrome with significant, persistent and progressive lymphatic dysplasia. The lymphatic disorders in Noonan and CFC syndrome are rare, but have a characteristic pattern with bilateral lower limb lymphoedema, genital swelling with chylous reflux and frequent systemic involvement, including intestinal lymphangiectasia and chylothoraces, which may be progressive. Lymphoscintigraphy demonstrates reflux and/or rerouting of lymphatic drainage associated with incompetent veins on the venous duplex scans.

DOI: 10.1038/ejhg.2015.175
PubMed: 26242988


Affiliations:


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pubmed:26242988

Le document en format XML

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<div type="abstract" xml:lang="en">The RASopathies, which include Noonan syndrome (NS) and Cardiofaciocutaneous syndrome (CFC), are autosomal dominant disorders with genetic heterogeneity associated with germline mutations of genes in the Ras/mitogen-activated protein kinase (MAPK; RAS-MAP kinase) pathway. The conditions overlap and are characterised by facial dysmorphism, short stature and congenital heart disease. NS and CFC, in particular, are known to be associated with lymphatic problems, but this has not been well characterised to date. We describe 11 patients with Noonan or CFC syndrome with significant, persistent and progressive lymphatic dysplasia. The lymphatic disorders in Noonan and CFC syndrome are rare, but have a characteristic pattern with bilateral lower limb lymphoedema, genital swelling with chylous reflux and frequent systemic involvement, including intestinal lymphangiectasia and chylothoraces, which may be progressive. Lymphoscintigraphy demonstrates reflux and/or rerouting of lymphatic drainage associated with incompetent veins on the venous duplex scans.</div>
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<Country>United Kingdom</Country>
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<CommentsCorrections RefType="Cites">
<RefSource>Am J Med Genet. 1986 May;24(1):127-9</RefSource>
<PMID Version="1">3706401</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Med Genet. 2007 Dec;44(12 ):763-71</RefSource>
<PMID Version="1">17704260</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Pediatr. 2011 Dec;159(6):1029-35</RefSource>
<PMID Version="1">21784453</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Med Genet A. 2012 Dec;158A(12):3106-11</RefSource>
<PMID Version="1">23165751</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Med Genet. 1986 Nov;25(3):413-27</RefSource>
<PMID Version="1">3789005</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Eur J Hum Genet. 2015 Mar;23(3):317-24</RefSource>
<PMID Version="1">24939586</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Med Genet. 1987 Aug;27(4):841-56</RefSource>
<PMID Version="1">3321992</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Nat Genet. 2001 Dec;29(4):465-8</RefSource>
<PMID Version="1">11704759</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Med Genet A. 2014 Apr;164A(4):1003-9</RefSource>
<PMID Version="1">24458550</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Br Med J. 1964 Feb 29;1(5382):529-32</RefSource>
<PMID Version="1">14101998</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Lancet. 2013 Jan 26;381(9863):333-42</RefSource>
<PMID Version="1">23312968</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Mol Syndromol. 2010 Feb;1(1):2-26</RefSource>
<PMID Version="1">20648242</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Annu Rev Genomics Hum Genet. 2013;14:355-69</RefSource>
<PMID Version="1">23875798</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Am J Hum Genet. 2013 Jul 11;93(1):173-80</RefSource>
<PMID Version="1">23791108</PMID>
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<DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D009634" MajorTopicYN="N">Noonan Syndrome</DescriptorName>
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<Year>2015</Year>
<Month>03</Month>
<Day>24</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2015</Year>
<Month>06</Month>
<Day>30</Day>
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<ArticleId IdType="doi">10.1038/ejhg.2015.175</ArticleId>
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<li>Royaume-Uni</li>
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<li>Angleterre</li>
<li>Grand Londres</li>
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<li>Université de Londres</li>
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<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Joyce, Sarah" sort="Joyce, Sarah" uniqKey="Joyce S" first="Sarah" last="Joyce">Sarah Joyce</name>
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<name sortKey="Brice, Glen" sort="Brice, Glen" uniqKey="Brice G" first="Glen" last="Brice">Glen Brice</name>
<name sortKey="Gordon, Kristiana" sort="Gordon, Kristiana" uniqKey="Gordon K" first="Kristiana" last="Gordon">Kristiana Gordon</name>
<name sortKey="Mansour, Sahar" sort="Mansour, Sahar" uniqKey="Mansour S" first="Sahar" last="Mansour">Sahar Mansour</name>
<name sortKey="Moore, Sandra" sort="Moore, Sandra" uniqKey="Moore S" first="Sandra" last="Moore">Sandra Moore</name>
<name sortKey="Mortimer, Peter" sort="Mortimer, Peter" uniqKey="Mortimer P" first="Peter" last="Mortimer">Peter Mortimer (dermatologue)‎</name>
<name sortKey="Nagaraja, Rani" sort="Nagaraja, Rani" uniqKey="Nagaraja R" first="Rani" last="Nagaraja">Rani Nagaraja</name>
<name sortKey="Ostergaard, Pia" sort="Ostergaard, Pia" uniqKey="Ostergaard P" first="Pia" last="Ostergaard">Pia Ostergaard</name>
<name sortKey="Short, John" sort="Short, John" uniqKey="Short J" first="John" last="Short">John Short</name>
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