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Intellectual Disability, Muscle Weakness and Characteristic Face in Three Siblings: A Newly Described Recessive Syndrome Mapping to 3P24.3-P25.3 Publisher Pubmed



Kariminejad A1 ; Nafissi S2 ; Nilipoor Y3 ; Tavasoli A4 ; Van Veldhoven PP5 ; Bonnard C6 ; Ng YT6 ; Majoie CB7 ; Reversade B6 ; Hennekam RC8
Authors
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Authors Affiliations
  1. 1. Kariminejad-Najmabadi Pathology and Genetics Center, Tehran, Iran
  2. 2. Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pediatric Pathology Research Center, Mofid Children's Hospital, Shahid Beheshti Medical University, Tehran, Iran
  4. 4. Department of Pediatric Neurology, Pediatrics Centre of Excellence, Children's Medical Centre Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Cellular Molecular Medicine, LIPIT KU Leuven, Leuven, Belgium
  6. 6. Institute of Medical Biology A STAR, Singapore
  7. 7. Department of Radiology, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands
  8. 8. Department of Pediatrics, Academic Medical Centre, University of Amsterdam, Amsterdam, Netherlands

Source: American Journal of Medical Genetics# Part A Published:2015


Abstract

We report on a sister and two brothers born to healthy Iranian parents with mild intellectual disability, progressive muscle weakness, and characteristic facies. including highly arched eyebrows, down-slanting palpebral fissures, prominent nasal bridge, prominent nose, columella extending below alae nasi, narrow mouth, narrow palate, and dental caries, and in one of them an inability to abduct the left eye. Electrophysiological studies showed signs of myopathy, and muscle biopsies demonstrated only nonspecific signs. Brain MRIs in two of the sibs showed leukencephalopathy with delayed myelination, frontal and parietal hyperintensities, and hippocampal atrophy in one. We have been unable to find a description of this association of features in literature. Based on the occurrence in siblings, no significant difference in phenotype between the brothers and sister, absence of manifestations in parents, and a likely consanguinity between parents we performed a homozygosity mapping. A single identical-by-descent bloc encompassing 57 genes located at 3p24.3-p25.3 was found to segregate within the family with this phenotype. © 2015 Wiley Periodicals, Inc.
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