关键词: Acroosteolysis Hajdu–Cheney syndrome NOTCH2 Osteoporosis Serpentine fibula-polycystic kidney syndrome

Mesh : Adult Alleles Asians / genetics Base Sequence Child, Preschool Exons / genetics Family Female Hajdu-Cheney Syndrome / genetics pathology Heterozygote Humans Infant Infant, Newborn Male Molecular Sequence Data Mutation / genetics Phenotype Pregnancy Receptor, Notch2 / genetics Republic of Korea Sequence Deletion

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Abstract:
Hajdu-Cheney syndrome (HCS) and serpentine fibula-polycystic kidney syndrome (SFPKS) share many similarities, including craniofacial abnormalities, bony deformities, and renal involvement. Because mutations in exon 34 of NOTCH2 have been identified recently in both HCS and SFPKS patients, it has been suggested that these two syndromes be classed as the same disorder. A 3-year-old boy presented with polycystic kidneys and club feet detected during the fetal period; however, acroosteolysis and curved fibulae were not observed. His mother showed osteoporosis and had a history of compression fractures in the spine without renal anomalies. Although the same novel mutation in NOTCH2 was found in both the mother and her son, these patients displayed different clinical manifestations. In this report, we present a familial case of HCS in a boy and his mother that was suspected on physical examination and radiological findings. We speculate that HCS and SFPKS are a single disease entity with a wide spectrum of clinical manifestations associated with truncating mutations in exon 34 of NOTCH2.
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