Jansen de Vries syndrome : report of four new patients and review of the literature
Tuiskula, Anna; Rahikkala, Elisa; Kero, Andreina; Haanpää, Maria K.; Avela, Kristiina (2023-07-06)
Anna Tuiskula, Elisa Rahikkala, Andreina Kero, Maria K. Haanpää, Kristiina Avela, Jansen de Vries syndrome: Report of four new patients and review of the literature, European Journal of Medical Genetics, Volume 66, Issue 8, 2023, 104807, ISSN 1769-7212, https://doi.org/10.1016/j.ejmg.2023.104807
© 2023 The Authors. Published by Elsevier Masson SAS. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
https://creativecommons.org/licenses/by/4.0/
https://urn.fi/URN:NBN:fi-fe2023081194887
Tiivistelmä
Abstract
Jansen de Vries syndrome (JDVS, OMIM: 617450) is a rare neurodevelopmental disorder associated with hypotonia, behavioral features, high threshold to pain, short stature, ophthalmological abnormalities, dysmorphism and occasionally a structural cardiac condition. It is caused by truncating variants of the last and penultimate exons of PPM1D. So far, 21 patients with JVDS have been reported in the literature.
Here, we describe four novel cases of JVDS and review the current literature. Notably, our patients 1, 3 and 4 do not have intellectual disability albeit they have significant developmental difficulties. Thus, the phenotype may span from a classic intellectual disability syndrome to a milder neurodevelopmental disorder. Interestingly, two of our patients have received successful growth hormone treatment. Considering the phenotype of all the known JDVS patients, a cardiological consultation is recommended, as at least 7/25 patients showed a structural cardiac defect. Episodic fever and vomiting may associate with hypoglycemia and may even mimic a metabolic disorder. We also report the first JDVS patient with a mosaic gene defect and a mild neurodevelopmental phenotype.
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