4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay

We encountered a case with congenital iris coloboma, omphalocele, and developmental delay with a 2.5 Mb deletion on chromosome 4q25 encompassing PITX2, leading to Axenfeld-Rieger syndrome (ARS), NEUROG2, and ANK2. ARS is characterized by the aplasia of the anterior eye, odontogenesis, and abdominal...

Full description

Saved in:
Bibliographic Details
Main Authors: Yukino Kawanami, Tomoko Horinouchi, Naoya Morisada, Takeshi Kato, Kandai Nozu
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2023/4592114
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832551131995176960
author Yukino Kawanami
Tomoko Horinouchi
Naoya Morisada
Takeshi Kato
Kandai Nozu
author_facet Yukino Kawanami
Tomoko Horinouchi
Naoya Morisada
Takeshi Kato
Kandai Nozu
author_sort Yukino Kawanami
collection DOAJ
description We encountered a case with congenital iris coloboma, omphalocele, and developmental delay with a 2.5 Mb deletion on chromosome 4q25 encompassing PITX2, leading to Axenfeld-Rieger syndrome (ARS), NEUROG2, and ANK2. ARS is characterized by the aplasia of the anterior eye, odontogenesis, and abdominal wall aplasia. In our case, iris coloboma and omphalocele were thought to be caused by PITX2 haploinsufficiency. However, these symptoms are nonspecific, and clinical symptoms alone can make it difficult to make a correct diagnosis. In addition, the genes responsible for developmental delay, among others, are not well understood. Developmental delay, in this case, might be caused due to NEUROG2 haploinsufficiency. In spite of the partial deletion of ANK2, the causative gene of long QT syndrome type 4, the electrocardiogram was normal. Genetic testing can lead to a correct diagnosis, and it may be effective in detecting complications.
format Article
id doaj-art-a3f8dfd16db945f68b4b13d3f1d8b496
institution Kabale University
issn 2090-6552
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series Case Reports in Genetics
spelling doaj-art-a3f8dfd16db945f68b4b13d3f1d8b4962025-02-03T06:04:51ZengWileyCase Reports in Genetics2090-65522023-01-01202310.1155/2023/45921144q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental DelayYukino Kawanami0Tomoko Horinouchi1Naoya Morisada2Takeshi Kato3Kandai Nozu4Department of PediatricsDepartment of PediatricsDepartment of Clinical GeneticsWestern Pediatric and Rehabilitation Center for the DisabledDepartment of PediatricsWe encountered a case with congenital iris coloboma, omphalocele, and developmental delay with a 2.5 Mb deletion on chromosome 4q25 encompassing PITX2, leading to Axenfeld-Rieger syndrome (ARS), NEUROG2, and ANK2. ARS is characterized by the aplasia of the anterior eye, odontogenesis, and abdominal wall aplasia. In our case, iris coloboma and omphalocele were thought to be caused by PITX2 haploinsufficiency. However, these symptoms are nonspecific, and clinical symptoms alone can make it difficult to make a correct diagnosis. In addition, the genes responsible for developmental delay, among others, are not well understood. Developmental delay, in this case, might be caused due to NEUROG2 haploinsufficiency. In spite of the partial deletion of ANK2, the causative gene of long QT syndrome type 4, the electrocardiogram was normal. Genetic testing can lead to a correct diagnosis, and it may be effective in detecting complications.http://dx.doi.org/10.1155/2023/4592114
spellingShingle Yukino Kawanami
Tomoko Horinouchi
Naoya Morisada
Takeshi Kato
Kandai Nozu
4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
Case Reports in Genetics
title 4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
title_full 4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
title_fullStr 4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
title_full_unstemmed 4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
title_short 4q25 Microdeletion with Axenfeld-Rieger Syndrome and Developmental Delay
title_sort 4q25 microdeletion with axenfeld rieger syndrome and developmental delay
url http://dx.doi.org/10.1155/2023/4592114
work_keys_str_mv AT yukinokawanami 4q25microdeletionwithaxenfeldriegersyndromeanddevelopmentaldelay
AT tomokohorinouchi 4q25microdeletionwithaxenfeldriegersyndromeanddevelopmentaldelay
AT naoyamorisada 4q25microdeletionwithaxenfeldriegersyndromeanddevelopmentaldelay
AT takeshikato 4q25microdeletionwithaxenfeldriegersyndromeanddevelopmentaldelay
AT kandainozu 4q25microdeletionwithaxenfeldriegersyndromeanddevelopmentaldelay