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2017 ; 8
(1
): 30-35
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Chromosome 1p31 1p31 3 Deletion in a Patient with Craniosynostosis, Central
Nervous System and Renal Malformation: Case Report and Review of the Literature
#MMPMID28232780
Rivera-Pedroza CI
; Barraza-García J
; Paumard-Hernández B
; Nevado J
; Orbea-Gallardo C
; Sánchez Del Pozo J
; Heath KE
Mol Syndromol
2017[Jan]; 8
(1
): 30-35
PMID28232780
show ga
Interstitial deletions in the short arm of chromosome 1 are infrequent. We report
a female with a 1p31.1p31.3 deletion and cloverleaf skull, who presented with
renal and central nervous system malformations, cleft palate, severe ocular
anomalies, and cutis laxa, in addition to the previously described clinical data
present in other cases with deletions encompassing this region, such as
developmental delay, seizures, round face with a prominent nose,
micro/retrognathia, half-opened mouth, short neck, hand/foot malformations,
hernia, congenital heart malformations, and abnormal external genitalia. The
deletion spanned ?18.6 Mb and included a total of 68 OMIM protein coding genes.
We have reviewed 17 cases previously described in the literature and in DECIPHER
involving the chromosomal region 1p31.1p31.3. Only 3 of these affect the whole
region, 9 are partial deletions of this region, and 5 are much smaller deletions.
Taking into account the MORBID ID and the haploinsufficiency score of the genes,
we go on to propose which genes may explain particular clinical features observed
in the patient. IL23R may be responsible for the craniosynostosis, FOXD2 for the
renal anomalies, LHX8 for closure defects of the palate, and ST6GALNAC3 for skin
anomalies. In summary, we have identified a chromosome 1p31.1p31.3 deletion in a
patient with an atypical presentation of craniosynostosis amongst other more
typical features observed in individuals with similar deletions.