2018, Number 1
<< Back Next >>
Acta Pediatr Mex 2018; 39 (1)
Phelan-McDermid syndrome: A case report and literature review
Hernández-Gómez M, Meléndez-Hernández R, Ramírez-Arroyo E, Mayén-Molina DG
Language: Spanish
References: 12
Page: 42-51
PDF size: 820.13 Kb.
ABSTRACT
Phelan-McDermid syndrome is a neurodevelopmental disorder, also
called 22q13.3 deletion syndrome, resulting in the loss of function
of the gene
SHANK3. It is characterized by severe neonatal hypotonia,
global developmental delay, sever speech delays or absence of
language and minor dysmorphic features. 80% of cases are de novo,
although their prevalence is unknown, approximately 1200 cases
have been described around the world. It is a frequent cause of autism
spectrum disorder and intellectual disability, contributing 0.5 to
2% of all cases. Microarray is the study of choice with conventional
citogenetics. In this report we present one case of Phelan-McDermid syndrome, with highly suggestive clinical data at a very early age who
was diagnosed until 4 years of age. It is a
de novo case, due to a deletion
of 4.3 Mb resulting from the formation of a chromosomal ring.
We believe that by disseminating this case, we will contribute to the
disclosure of this entity, which may allow, together with the current
diagnostic technology, that patients and their families benefit from a
faster, timely diagnosis and a better follow-up.
REFERENCES
Phelan MC. Deletion 22q13. 3 syndrome. Orphanet journal of rare diseases. 2008;3(1):1. DOI: 10.1186/1750- 1172-3-14
Phelan K, McDermid H. The 22q13. 3 deletion syndrome (Phelan-McDermid syndrome). Molecular syndromology. 2011;2(3-5):186-201.
Canonero I, Montes C, Sturich A, Boterón M, Asinari M, Cuestas E, et al. Síndrome de Phelan McDermid: descripción de cinco pacientes e informe del primer caso descripto en gemelas siamesas. Archivos argentinos de pediatría. 2012;110(3):e50-e4.
Costales JL, Kolevzon A. Phelan–McDermid Syndrome and SHANK3: Implications for Treatment. Neurotherapeutics. 2015;12(3):620-30.
Miller DT, Adam MP, Aradhya S, Biesecker LG, Brothman AR, Carter NP, et al. Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. The American Journal of Human Genetics. 2010;86(5):749-64.
Sarasua SM, Boccuto L, Sharp JL, Dwivedi A, Chen C-F, Rollins JD, et al. Clinical and genomic evaluation of 201 patients with Phelan–McDermid syndrome. Human genetics. 2014;133(7):847-59.
Oberman LM, Boccuto L, Cascio L, Sarasua S, Kaufmann WE. Autism spectrum disorder in Phelan-McDermid syndrome: initial characterization and genotype-phenotype correlations. Orphanet journal of rare diseases. 2015;10(1):1. DOI: 10.1186/s13023-015-0323-9
Kolevzon A, Angarita B, Bush L, Wang AT, Frank Y, Yang A, et al. Phelan-McDermid syndrome: a review of the literature and practice parameters for medical assessment and monitoring. Journal of neurodevelopmental disorders. 2014;6(1):1. doi: 10.1186/1866-1955-6-39
Dhar S, Del Gaudio D, German J, Peters S, Ou Z, Bader P, et al. 22q13. 3 deletion syndrome: clinical and molecular analysis using array CGH. American Journal of Medical Genetics Part A. 2010;152(3):573-81.
Soorya L, Kolevzon A, Zweifach J, Lim T, Dobry Y, Schwartz L, et al. Prospective investigation of autism and genotypephenotype correlations in 22q13 deletion syndrome and SHANK3 deficiency. Molecular autism. 2013;4(1):1. doi: 10.1186/2040-2392-4-18
Uchino S, Waga C. SHANK3 as an autism spectrum disorderassociated gene. Brain and Development. 2013;35(2):106- 10.
Lei D, Li S, Banerjee S, Zhang H, Li C, Hou S, et al. Clinical and genomic evaluation of a Chinese patient with a novel deletion associated with Phelan-McDermid syndrome. Oncotarget. 2016;(49):80327-80335.