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Órgano Oficial del Instituto Nacional de Pediatría
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2018, Number 1

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Acta Pediatr Mex 2018; 39 (1)

Phelan-McDermid syndrome: A case report and literature review

Hernández-Gómez M, Meléndez-Hernández R, Ramírez-Arroyo E, Mayén-Molina DG
Full text How to cite this article

Language: Spanish
References: 12
Page: 42-51
PDF size: 820.13 Kb.


Key words:

22q13.3 deletion, Phelan-Mcdermid syndrome, genomic disorder, SHANK3 gene.

ABSTRACT

Phelan-McDermid syndrome is a neurodevelopmental disorder, also called 22q13.3 deletion syndrome, resulting in the loss of function of the gene SHANK3. It is characterized by severe neonatal hypotonia, global developmental delay, sever speech delays or absence of language and minor dysmorphic features. 80% of cases are de novo, although their prevalence is unknown, approximately 1200 cases have been described around the world. It is a frequent cause of autism spectrum disorder and intellectual disability, contributing 0.5 to 2% of all cases. Microarray is the study of choice with conventional citogenetics. In this report we present one case of Phelan-McDermid syndrome, with highly suggestive clinical data at a very early age who was diagnosed until 4 years of age. It is a de novo case, due to a deletion of 4.3 Mb resulting from the formation of a chromosomal ring. We believe that by disseminating this case, we will contribute to the disclosure of this entity, which may allow, together with the current diagnostic technology, that patients and their families benefit from a faster, timely diagnosis and a better follow-up.


REFERENCES

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  2. Phelan K, McDermid H. The 22q13. 3 deletion syndrome (Phelan-McDermid syndrome). Molecular syndromology. 2011;2(3-5):186-201.

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  4. Costales JL, Kolevzon A. Phelan–McDermid Syndrome and SHANK3: Implications for Treatment. Neurotherapeutics. 2015;12(3):620-30.

  5. Miller DT, Adam MP, Aradhya S, Biesecker LG, Brothman AR, Carter NP, et al. Consensus statement: chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies. The American Journal of Human Genetics. 2010;86(5):749-64.

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  8. Kolevzon A, Angarita B, Bush L, Wang AT, Frank Y, Yang A, et al. Phelan-McDermid syndrome: a review of the literature and practice parameters for medical assessment and monitoring. Journal of neurodevelopmental disorders. 2014;6(1):1. doi: 10.1186/1866-1955-6-39

  9. Dhar S, Del Gaudio D, German J, Peters S, Ou Z, Bader P, et al. 22q13. 3 deletion syndrome: clinical and molecular analysis using array CGH. American Journal of Medical Genetics Part A. 2010;152(3):573-81.

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  12. Lei D, Li S, Banerjee S, Zhang H, Li C, Hou S, et al. Clinical and genomic evaluation of a Chinese patient with a novel deletion associated with Phelan-McDermid syndrome. Oncotarget. 2016;(49):80327-80335.




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Acta Pediatr Mex. 2018;39