Atypical findings in Kabuki syndrome: report of 8 patients in a series of 20 and review of the literature
- PMID: 15266618
- DOI: 10.1002/ajmg.a.30144
Atypical findings in Kabuki syndrome: report of 8 patients in a series of 20 and review of the literature
Abstract
Kabuki syndrome (KS) is a rare multiple congenital anomaly/mental retardation syndrome with an estimated frequency of 1/32,000 in Japan. Five major criteria delineate KS namely postnatal short stature, skeletal anomalies, moderate mental retardation, dermatoglyphic anomalies, and a characteristic facial dysmorphism. Here we report on a series of 20 sporadic KS patients and we focus on some rare and atypical features that we have observed: chronic and/or severe diarrhea (4/20) including celiac disease, diaphragmatic defects (3/20), pseudarthrosis of the clavicles (2/20), vitiligo (2/20), and persistent hypoglycemia (2/20). Other occasional findings were severe autoimmune thrombopenia, cerebellar vermis atrophy, and myopathic features. Interestingly, one of our KS patients presented with a clinical overlap with CHARGE syndrome (right eye microphtalmia with optic nerve coloboma, VSD, bilateral cryptorchidism, and severe deafness). Because these features are more frequent in our series than previously described, we propose to carefully investigate these manifestations during KS patient survey in an attempt to determine their real frequency and in order to improve clinical management.
Similar articles
-
Coloboma and other ophthalmologic anomalies in Kabuki syndrome: distinction from charge association.Am J Med Genet A. 2003 Dec 15;123A(3):249-52. doi: 10.1002/ajmg.a.20277. Am J Med Genet A. 2003. PMID: 14608645 Review.
-
Kabuki syndrome: a review.Clin Genet. 2005 Mar;67(3):209-19. doi: 10.1111/j.1399-0004.2004.00348.x. Clin Genet. 2005. PMID: 15691356 Review.
-
Severe congenital anomalies requiring transplantation in children with Kabuki syndrome.Am J Med Genet. 1998 Dec 4;80(4):362-7. Am J Med Genet. 1998. PMID: 9856564
-
Triplication of 8p22-8p23 in a patient with features similar to Kabuki syndrome.Am J Med Genet A. 2006 Jan 15;140(2):170-3. doi: 10.1002/ajmg.a.31036. Am J Med Genet A. 2006. PMID: 16353235
-
Congenital heart defects in Kabuki syndrome.Am J Med Genet. 2001 May 15;100(4):269-74. doi: 10.1002/ajmg.1265. Am J Med Genet. 2001. PMID: 11343317 Review.
Cited by
-
Vitiligo in a Patient With Kabuki Syndrome: Case Study and Review of the Literature.Cureus. 2023 Jan 24;15(1):e34143. doi: 10.7759/cureus.34143. eCollection 2023 Jan. Cureus. 2023. PMID: 36843813 Free PMC article.
-
Perspective on the Genetics and Diagnosis of Congenital Hyperinsulinism Disorders.J Clin Endocrinol Metab. 2016 Mar;101(3):815-26. doi: 10.1210/jc.2015-3651. Epub 2016 Feb 23. J Clin Endocrinol Metab. 2016. PMID: 26908106 Free PMC article. Review.
-
CHARGE and Kabuki Syndromes: Gene-Specific DNA Methylation Signatures Identify Epigenetic Mechanisms Linking These Clinically Overlapping Conditions.Am J Hum Genet. 2017 May 4;100(5):773-788. doi: 10.1016/j.ajhg.2017.04.004. Am J Hum Genet. 2017. PMID: 28475860 Free PMC article.
-
Syndromic forms of congenital hyperinsulinism.Front Endocrinol (Lausanne). 2023 Mar 30;14:1013874. doi: 10.3389/fendo.2023.1013874. eCollection 2023. Front Endocrinol (Lausanne). 2023. PMID: 37065762 Free PMC article. Review.
-
Clinical and Molecular Characterization of Hyperinsulinism in Kabuki Syndrome.J Endocr Soc. 2024 May 21;8(7):bvae101. doi: 10.1210/jendso/bvae101. eCollection 2024 May 23. J Endocr Soc. 2024. PMID: 38859884 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Molecular Biology Databases