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Marinesco–Sjögren syndrome in a male with mild dysmorphism
Author(s) -
Slavotinek Anne,
Goldman Jill,
Weisiger Kara,
Kostiner Dana,
Golabi Mahin,
Packman Seymour,
Wilcox William,
Hoyme H. Eugene,
Sherr Elliott
Publication year - 2005
Publication title -
american journal of medical genetics part a
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.064
H-Index - 112
eISSN - 1552-4833
pISSN - 1552-4825
DOI - 10.1002/ajmg.a.30504
Subject(s) - medicine , short stature , hypotonia , craniofacial , ptosis , cerebellar ataxia , facial dysmorphism , anatomy , ataxia , pathology , pediatrics , genetics , biology , surgery , psychiatry , gene , phenotype
Marinesco–Sjögren syndrome (MSS) is a rare, autosomal recessive disorder comprising cataracts, cerebellar ataxia caused by cerebellar hypoplasia, mild to moderate mental retardation, neuromuscular weakness, short stature, hypergonadotrophic hypogonadism, and skeletal anomalies. The syndrome was recently mapped to chromosome 5q31, but there is evidence for genetic heterogeneity, and no gene has been identified. We report a 5‐year‐old male with cataracts, ataxia, a progressive cerebellar atrophy, developmental delay, seizures, hypotonia, and a sensorimotor neuropathy consistent with many cases of MSS. He also had mild craniofacial dysmorphism consisting of hypertrichosis and synophrys, deep‐set eyes with epicanthic folds, a flat philtrum, a high palate, short thumbs, and a wide sandal gap between the first and second toes. Skeletal findings included an increased kyphosis. We reviewed the literature on MSS to determine if craniofacial dysmorphism and the presence of neuropathy and/or myopathy would prove to be diagnostically useful in this phenotypically heterogeneous condition. The majority of cases of MSS do not have craniofacial dysmorphism, but other cases have been reported with features such as ptosis or a myopathic facies that are likely to reflect the underlying myopathic or neuromuscular processes in MSS. © 2005 Wiley‐Liss, Inc.

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