Kasr Al Aini School of Medicine,
Cairo
Egypt
Case Report
Intrafamilial Variability and Clinical Heterogeneity in Two Siblings with NPHP4 loss of Function Mutations
Author(s): Marwa M Nabhan, Susann Brenzinger, Sahar N Saleem, Edgar A Otto, Friedhelm Hildebrandt and Neveen A SolimanMarwa M Nabhan, Susann Brenzinger, Sahar N Saleem, Edgar A Otto, Friedhelm Hildebrandt and Neveen A Soliman
Joubert syndrome–related disorders (JSRDs) are a group of clinically and genetically pleiotropic conditions that share a midbrain-hindbrain malformation, the pathognomonic molar tooth sign (MTS) visible on brain imaging, with variable involvement of other organs and systems mainly the eyes and the kidneys. Nevertheless, the definition of JSRDs remained problematical due to the extreme phenotypic heterogeneity, often with intrafamilial variability, and the significant clinical overlap among distinct forms. Here we describe two siblings with nephronophthisis (NPHP), the elder is best categorized as JSRD. Nevertheless, his younger sibling lacked the characteristic molar tooth sign; hence best categorized as NPHP- related ciliopathy. Both siblings had NPHP as the common renal phenotype, yet with variable neurological and ocular involvement. Genetic linkage and mutation analysis reve.. Read More»
DOI:
10.4172/2155-9929.1000217
Molecular Biomarkers & Diagnosis received 2054 citations as per Google Scholar report