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A 22-Week-Old Fetus with Nager Syndrome and Congenital Diaphragmatic Hernia due to a Novel <b><i>SF3B4</i></b> Mutation
Author(s) -
Marco Castori,
Irene Bottillo,
Daniela D’Angelantonio,
Silvia Morlino,
Carmelilia De Bernardo,
Giovanna Scassellati Sforzolini,
Evelina Silvestri,
Paola Grammatico
Publication year - 2014
Publication title -
molecular syndromology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 36
eISSN - 1661-8777
pISSN - 1661-8769
DOI - 10.1159/000365769
Subject(s) - congenital diaphragmatic hernia , medicine , fetus , hypoplasia , phenotype , mutation , diaphragmatic hernia , diaphragmatic breathing , anatomy , hernia , genetics , pathology , biology , gene , surgery , pregnancy , alternative medicine
Nager syndrome, or acrofacial dysostosis type 1 (AFD1), is a rare multiple malformation syndrome characterized by hypoplasia of first and second branchial arches derivatives and appendicular anomalies with variable involvement of the radial/axial ray. In 2012, AFD1 has been associated with dominant mutations in SF3B4. We report a 22-week-old fetus with AFD1 associated with diaphragmatic hernia due to a previously unreported SF3B4 mutation (c.35-2A>G). Defective diaphragmatic development is a rare manifestation in AFD1 as it is described in only 2 previous cases, with molecular confirmation in 1 of them. Our molecular finding adds a novel pathogenic splicing variant to the SF3B4 mutational spectrum and contributes to defining its prenatal/fetal phenotype.

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