Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings

Pitt Hopkins-like syndrome 1 (PTHLS1, OMIM # 610042) is an ultra-rare autosomal recessive condition with a prevalence of <1/1,000,000. Intragenic deletions of CNTNAP2 has been implicated in PTHLS1, however to our knowledge a compound heterozygous deletion of exon 4 and a c.1977_1989del13; p.V660F...

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Autores principales: Rea Mittal BS, Ashutosh Kumar MD, Roger Ladda MD, Gayatra Mainali MD, Ermal Aliu MD
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Lenguaje:EN
Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/5c670dfe6da54ef7bc68e6fb0e7b9143
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spelling oai:doaj.org-article:5c670dfe6da54ef7bc68e6fb0e7b91432021-11-10T22:33:19ZPitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings2329-048X10.1177/2329048X211055330https://doaj.org/article/5c670dfe6da54ef7bc68e6fb0e7b91432021-11-01T00:00:00Zhttps://doi.org/10.1177/2329048X211055330https://doaj.org/toc/2329-048XPitt Hopkins-like syndrome 1 (PTHLS1, OMIM # 610042) is an ultra-rare autosomal recessive condition with a prevalence of <1/1,000,000. Intragenic deletions of CNTNAP2 has been implicated in PTHLS1, however to our knowledge a compound heterozygous deletion of exon 4 and a c.1977_1989del13; p.V660Ffsx9 frameshift variant have not been published previously. In this case report, the proband is a seven year old female with PTHLS1, developmental delay, autism spectrum disorder, focal epilepsy, hypotonia, refractory errors, strabismus, and obstructive sleep apnea. Whole exome sequencing analysis revealed biallelic pathogenic variants of the CNTNAP2 gene. Proband has a three year old sister who has who has a similar phenotype including, developmental delay, epilepsy, gait abnormality, refractory errors, strabismus. Family variants were tested and she shared the same CNTNAP2 variants as her sister. The sisters described highlight two novel variants leading to PTHLS1. Genetic workup is essential in identification and management guidance in these populations.Rea Mittal BSAshutosh Kumar MDRoger Ladda MDGayatra Mainali MDErmal Aliu MDSAGE PublishingarticlePediatricsRJ1-570Neurology. Diseases of the nervous systemRC346-429ENChild Neurology Open, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Pediatrics
RJ1-570
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Pediatrics
RJ1-570
Neurology. Diseases of the nervous system
RC346-429
Rea Mittal BS
Ashutosh Kumar MD
Roger Ladda MD
Gayatra Mainali MD
Ermal Aliu MD
Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
description Pitt Hopkins-like syndrome 1 (PTHLS1, OMIM # 610042) is an ultra-rare autosomal recessive condition with a prevalence of <1/1,000,000. Intragenic deletions of CNTNAP2 has been implicated in PTHLS1, however to our knowledge a compound heterozygous deletion of exon 4 and a c.1977_1989del13; p.V660Ffsx9 frameshift variant have not been published previously. In this case report, the proband is a seven year old female with PTHLS1, developmental delay, autism spectrum disorder, focal epilepsy, hypotonia, refractory errors, strabismus, and obstructive sleep apnea. Whole exome sequencing analysis revealed biallelic pathogenic variants of the CNTNAP2 gene. Proband has a three year old sister who has who has a similar phenotype including, developmental delay, epilepsy, gait abnormality, refractory errors, strabismus. Family variants were tested and she shared the same CNTNAP2 variants as her sister. The sisters described highlight two novel variants leading to PTHLS1. Genetic workup is essential in identification and management guidance in these populations.
format article
author Rea Mittal BS
Ashutosh Kumar MD
Roger Ladda MD
Gayatra Mainali MD
Ermal Aliu MD
author_facet Rea Mittal BS
Ashutosh Kumar MD
Roger Ladda MD
Gayatra Mainali MD
Ermal Aliu MD
author_sort Rea Mittal BS
title Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
title_short Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
title_full Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
title_fullStr Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
title_full_unstemmed Pitt Hopkins-Like Syndrome 1 with Novel CNTNAP2 Mutation in Siblings
title_sort pitt hopkins-like syndrome 1 with novel cntnap2 mutation in siblings
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/5c670dfe6da54ef7bc68e6fb0e7b9143
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