Document Detail


Sensorineural deafness, distinctive facial features, and abnormal cranial bones: a new variant of Waardenburg syndrome?
MedLine Citation:
PMID:  18553554     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Waardenburg syndromes (WS) account for approximately 2% of congenital sensorineural deafness. This heterogeneous group of diseases currently can be categorized into four major subtypes (WS types 1-4) on the basis of characteristic clinical features. Multiple genes have been implicated in WS, and mutations in some genes can cause more than one WS subtype. In addition to eye, hair, and skin pigmentary abnormalities, dystopia canthorum and broad nasal bridge are seen in WS type 1. Mutations in the PAX3 gene are responsible for the condition in the majority of these patients. In addition, mutations in PAX3 have been found in WS type 3 that is distinguished by musculoskeletal abnormalities, and in a family with a rare subtype of WS, craniofacial-deafness-hand syndrome (CDHS), characterized by dysmorphic facial features, hand abnormalities, and absent or hypoplastic nasal and wrist bones. Here we describe a woman who shares some, but not all features of WS type 3 and CDHS, and who also has abnormal cranial bones. All sinuses were hypoplastic, and the cochlea were small. No sequence alteration in PAX3 was found. These observations broaden the clinical range of WS and suggest there may be genetic heterogeneity even within the CDHS subtype.
Authors:
Alona Gad; Mercy Laurino; Kenneth R Maravilla; Mark Matsushita; Wendy H Raskind
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of medical genetics. Part A     Volume:  146A     ISSN:  1552-4833     ISO Abbreviation:  Am. J. Med. Genet. A     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-08-20     Revised Date:  2014-09-24    
Medline Journal Info:
Nlm Unique ID:  101235741     Medline TA:  Am J Med Genet A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1880-5     Citation Subset:  IM    
Copyright Information:
2008 Wiley-Liss, Inc.
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MeSH Terms
Descriptor/Qualifier:
Adult
Craniofacial Abnormalities / genetics*,  pathology
DNA / genetics
DNA Mutational Analysis
Female
Hearing Loss, Sensorineural / congenital,  genetics*
Humans
Paired Box Transcription Factors / genetics
Paranasal Sinuses / abnormalities
Phenotype
Waardenburg Syndrome / classification,  diagnosis*,  genetics*
Grant Support
ID/Acronym/Agency:
5T32GM007454/GM/NIGMS NIH HHS; T32 GM007454/GM/NIGMS NIH HHS; T32 GM007454-28/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
0/PAX3 protein, human; 0/Paired Box Transcription Factors; 9007-49-2/DNA
Comments/Corrections

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