Academic Journal

Occurrence of Esophageal Atresia With Tracheoesophageal Fistula in Siblings From Three-Generation Family Affected by Variable Expressivity MYCN Mutation: A Case Report

التفاصيل البيبلوغرافية
العنوان: Occurrence of Esophageal Atresia With Tracheoesophageal Fistula in Siblings From Three-Generation Family Affected by Variable Expressivity MYCN Mutation: A Case Report
المؤلفون: Magdalena Klaniewska, Krystian Toczewski, Anna Rozensztrauch, Michal Bloch, Agata Dzielendziak, Piotr Gasperowicz, Ryszard Slezak, Rafał Ploski, Małgorzata Rydzanicz, Robert Smigiel, Dariusz Patkowski
المصدر: Frontiers in Pediatrics, Vol 9 (2021)
بيانات النشر: Frontiers Media S.A., 2021.
سنة النشر: 2021
المجموعة: LCC:Pediatrics
مصطلحات موضوعية: esophageal atresia, tracheoesophageal fistula, MYCN, Feingold syndrome, familial occurrence, Pediatrics, RJ1-570
الوصف: The MYCN oncogene encodes a transcription factor belonging to the MYC family. It is primarily expressed in normal developing embryos and is thought to be critical in brain and other neural development. Loss-of-function variants resulting in haploinsufficiency of MYCN, which encodes a protein with a basic helix–loop–helix domain causes Feingold syndrome (OMIM 164280, ORPHA 391641). We present an occurrence of esophageal atresia (EA) with tracheoesophageal fistula in siblings from a three-generation family affected by variable expressivity of MYCN mutation p.(Ser90GlnfsTer176) as a diagnostic effect of searching the cause of familial esophageal atresia using NGS-based whole-exome sequencing (WES). All of our affected patients showed microcephaly and toe syndactyly, which were frequently reported in the literature. Just one patient exhibited clinodactyly. None of the patients exhibited brachymesophalangy or hypoplastic thumbs. The latest report noted that patients with EA and Feingold syndrome were also those with the more complex and severe phenotype. However, following a thorough review of the present literature, the same association was not found, which is also confirmed by the case we described. The variable phenotypic expression of the patients we described and the data from the literature guide a careful differential diagnosis of Feingold syndrome even in cases of poorly expressed and non-specific symptoms.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-2360
Relation: https://www.frontiersin.org/articles/10.3389/fped.2021.783553/full; https://doaj.org/toc/2296-2360
DOI: 10.3389/fped.2021.783553
URL الوصول: https://doaj.org/article/5c17636ad65c4694a5c87f7f90539229
رقم الانضمام: edsdoj.5c17636ad65c4694a5c87f7f90539229
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22962360
DOI:10.3389/fped.2021.783553