Article ; Online: Late diagnosis of a truncating
Cold Spring Harbor molecular case studies
2018 Volume 4, Issue 1
Abstract: Rare diseases are often misdiagnosed or receive a delayed diagnosis; thus, unfortunately, affected individuals may not receive optimal medical management. Here, we report a case of two siblings with a severe phenotype of progressive pseudorheumatoid ... ...
Abstract | Rare diseases are often misdiagnosed or receive a delayed diagnosis; thus, unfortunately, affected individuals may not receive optimal medical management. Here, we report a case of two siblings with a severe phenotype of progressive pseudorheumatoid dysplasia (PPD). Their onset of symptoms began at the age of 3 yr. Both were neglected in the past, and the patients presented with a very severe phenotype and unmitigated natural history. PPD is a rare autosomal recessive skeletal dysplasia characterized by progressive joint stiffness, swelling, and pain. Because of observed muscle wasting, weakness, and the lack of laboratory testing, the case had been initially misdiagnosed by the local physicians. We aimed to provide diagnostic support by a targeted next-generation sequencing gene panel (Illumina TruSight One) for Mendelian diseases (Mendeliome), and we identified a homozygous frameshift mutation in the gene |
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MeSH term(s) | Base Sequence ; CCN Intercellular Signaling Proteins/genetics ; Child, Preschool ; Family ; Female ; Humans ; Joint Diseases/diagnosis ; Joint Diseases/diagnostic imaging ; Joint Diseases/genetics ; Joint Diseases/pathology ; Male ; Mutation/genetics ; Pedigree ; Phenotype ; Young Adult |
Chemical Substances | CCN Intercellular Signaling Proteins ; CCN6 protein, human |
Language | English |
Publishing date | 2018-02-01 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2835759-0 |
ISSN | 2373-2873 ; 2373-2873 |
ISSN (online) | 2373-2873 |
ISSN | 2373-2873 |
DOI | 10.1101/mcs.a002139 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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