Case Report: Potocki-Lupski Syndrome in Five Siblings

Potocki-Lupski syndrome (PTLS) is a rare developmental disorder resulting from the partial duplication of the short arm of chromosome 17. Affected children may have hypotonia, facial dysmorphism, or neurological abnormalities. PTLS is also frequently associated with failure to thrive due to swallowi...

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Autores principales: Alina Grama, Claudia Sîrbe, Diana Miclea, Simona Sorana Cǎinap, Delia Huniadi, Bogdan Bulata, Tudor Lucian Pop
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/225b30cb0e2e4f26930414ce59e158f4
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spelling oai:doaj.org-article:225b30cb0e2e4f26930414ce59e158f42021-11-08T08:00:26ZCase Report: Potocki-Lupski Syndrome in Five Siblings2296-236010.3389/fped.2021.698629https://doaj.org/article/225b30cb0e2e4f26930414ce59e158f42021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.698629/fullhttps://doaj.org/toc/2296-2360Potocki-Lupski syndrome (PTLS) is a rare developmental disorder resulting from the partial duplication of the short arm of chromosome 17. Affected children may have hypotonia, facial dysmorphism, or neurological abnormalities. PTLS is also frequently associated with failure to thrive due to swallowing difficulties or growth hormone deficiency. We report the first Romanian family (a mother and her five children) diagnosed with PTLS (17p11.2 microduplication). Fortunately, they present a less severe form of the disease. The neurological manifestations (speech delay, mild intellectual disability) are associated with craniofacial dysmorphism (microcephaly, micrognathia, triangular face, broad forehead, long chin, prominent ears, dolichocephaly, down slanting palpebral fissures). The diagnostic was established using a multiplex ligation-dependent probe amplification technique (MLPA) test, which detected the duplication of three regions of the 17p11.2 chromosome (RAI1, DRC3-6, LLGL1-4RA). Children with PTLS have specific phenotypes (craniofacial dysmorphism or neurological manifestations), which must draw the pediatrician's attention to a possible genetic condition. However, every child with this disease is unique and may have a different clinical presentation. A multi-disciplinary team is needed for the management of these patients. The parent's counseling and genetic advice are essential for a family with children with PTLS.Alina GramaAlina GramaClaudia SîrbeClaudia SîrbeDiana MicleaSimona Sorana CǎinapSimona Sorana CǎinapDelia HuniadiBogdan BulataTudor Lucian PopTudor Lucian PopFrontiers Media S.A.articlechildrencraniofacial dysmorphismhypotoniacognitive delay17p112 duplicationPotocki-Lupski syndromePediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic children
craniofacial dysmorphism
hypotonia
cognitive delay
17p112 duplication
Potocki-Lupski syndrome
Pediatrics
RJ1-570
spellingShingle children
craniofacial dysmorphism
hypotonia
cognitive delay
17p112 duplication
Potocki-Lupski syndrome
Pediatrics
RJ1-570
Alina Grama
Alina Grama
Claudia Sîrbe
Claudia Sîrbe
Diana Miclea
Simona Sorana Cǎinap
Simona Sorana Cǎinap
Delia Huniadi
Bogdan Bulata
Tudor Lucian Pop
Tudor Lucian Pop
Case Report: Potocki-Lupski Syndrome in Five Siblings
description Potocki-Lupski syndrome (PTLS) is a rare developmental disorder resulting from the partial duplication of the short arm of chromosome 17. Affected children may have hypotonia, facial dysmorphism, or neurological abnormalities. PTLS is also frequently associated with failure to thrive due to swallowing difficulties or growth hormone deficiency. We report the first Romanian family (a mother and her five children) diagnosed with PTLS (17p11.2 microduplication). Fortunately, they present a less severe form of the disease. The neurological manifestations (speech delay, mild intellectual disability) are associated with craniofacial dysmorphism (microcephaly, micrognathia, triangular face, broad forehead, long chin, prominent ears, dolichocephaly, down slanting palpebral fissures). The diagnostic was established using a multiplex ligation-dependent probe amplification technique (MLPA) test, which detected the duplication of three regions of the 17p11.2 chromosome (RAI1, DRC3-6, LLGL1-4RA). Children with PTLS have specific phenotypes (craniofacial dysmorphism or neurological manifestations), which must draw the pediatrician's attention to a possible genetic condition. However, every child with this disease is unique and may have a different clinical presentation. A multi-disciplinary team is needed for the management of these patients. The parent's counseling and genetic advice are essential for a family with children with PTLS.
format article
author Alina Grama
Alina Grama
Claudia Sîrbe
Claudia Sîrbe
Diana Miclea
Simona Sorana Cǎinap
Simona Sorana Cǎinap
Delia Huniadi
Bogdan Bulata
Tudor Lucian Pop
Tudor Lucian Pop
author_facet Alina Grama
Alina Grama
Claudia Sîrbe
Claudia Sîrbe
Diana Miclea
Simona Sorana Cǎinap
Simona Sorana Cǎinap
Delia Huniadi
Bogdan Bulata
Tudor Lucian Pop
Tudor Lucian Pop
author_sort Alina Grama
title Case Report: Potocki-Lupski Syndrome in Five Siblings
title_short Case Report: Potocki-Lupski Syndrome in Five Siblings
title_full Case Report: Potocki-Lupski Syndrome in Five Siblings
title_fullStr Case Report: Potocki-Lupski Syndrome in Five Siblings
title_full_unstemmed Case Report: Potocki-Lupski Syndrome in Five Siblings
title_sort case report: potocki-lupski syndrome in five siblings
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/225b30cb0e2e4f26930414ce59e158f4
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