关键词: Ankyloblepharon filiforme adnatum Hay–Wells syndrome TP63 gene congenital eyelids disorders ectodermal dysplasia p63 protein

Mesh : Cleft Lip / diagnosis genetics surgery Cleft Palate / diagnosis genetics surgery Ectodermal Dysplasia / diagnosis genetics surgery Eye Abnormalities / diagnosis genetics surgery Eyelids / abnormalities surgery Female Genetic Testing Gestational Age Heterozygote Humans Infant, Newborn Mutation, Missense / genetics Ophthalmologic Surgical Procedures Transcription Factors / genetics Tumor Suppressor Proteins / genetics Young Adult

来  源:   DOI:10.1080/13816810.2017.1401091   PDF(Sci-hub)

Abstract:
Ankyloblepharon filiforme adnatum associated with Hay-Wells syndrome is a rare congenital disease caused by mutations in TP63 gene on the 3q27 chromosome. Here, we report a case of a new-born suffering from this syndrome in whom we detected a mutation c.1709T>C not previously included in the Ensemble database.
A girl delivered in the 34th week of gestation from a physiological pregnancy was born with extensive burn-like skin defects, ankyloblepharon filiforme adnatum, palate cleft, onychodystrophy of all limbs and syndactyly of toes. Hay-Wells syndrome was suspected and confirmed by genetic examination. A heterozygous missense change c.1709T>C was found in the TP63 gene. This variant leads to a 570th codon exchange of leucine for proline (p.Leu570Pro) on the protein level. The eyelid separation was performed surgically, burns were treated locally and cosmetic surgeries correcting other defects are planned for the near future. The girl is still monitored by a multidisciplinary team.
The mutation was not previously described in the literature or databases and should be included into these as probably pathogenic. A multidisciplinary approach is necessary to care for a patient with Hay-Wells syndrome, such care however can provide good results.
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