A Patient with Interstitial 5q21 Deletion, Familial Adenomatous Polyposis, Dysmorphic Features, and Profound Neurologic Dysfunction
Publish place: International Journal of Pediatrics، Vol: 5، Issue: 1
Publish Year: 1396
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INJPM-5-1_012
تاریخ نمایه سازی: 20 مهر 1398
Abstract:
Familial adenomatous polyposis (FAP) is a hereditary autosomal dominant cancer syndrome, results from germ line mutation or deletion of the Adenomatous Polyposis Coli (APC) gene on chromosome 5q21. Patients with FAP suffer from multiple polyps mainly at the colorectal region as well as other parts of the gastrointestinal tract, which has propensity to transform into carcinoma. FAP has also been well described in association with various syndromic extra-gastrointestinal manifestations. Less commonly, patients with FAP present with varying degrees of cognitive dysfunction and developmental delay, though the reason for the association is unclear. Herein, we report the case of a male patient born with an interstitial deletion of chromosome 5q, 46,XY, del(5) (q14q23), presenting with familial adenomatous polyposis (FAP), profound developmental delay, cognitive dysfunction, and multiple congenital anomalies including talipes equinovarus, agenesis of the corpus callosum, and dysmorphic facial features.
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Authors
Manoochehr Karjoo
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Golisano Children Hospital, Upstate Medical University, Syracuse New York, USA.
Qurratul Ann Warsi
Department of Epidemiology and Biostatistics, University of California and San Francisco, San Francisco, California, USA.
Devin Halleran
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Golisano Children Hospital, Upstate Medical University, Syracuse New York, USA.
Marcus Rivera
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Golisano Children Hospital, Upstate Medical University, Syracuse New York, USA.