J Genet Med.  2012 Dec;9(2):89-92. 10.5734/JGM.2012.9.2.89.

A Korean Girl with Campomelic Dysplasia caused by a Novel Nonsense Mutation within the SOX9 Gene

Affiliations
  • 1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. jmko@snu.ac.kr
  • 2Department of Otolaryngology, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Plastic Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • 4Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • 5Medical Genetics Center, Asan Medical Center, Seoul, Korea.

Abstract

Campomelic dysplasia (CMD) is a rare, often lethal, genetic disorder characterized by multiple congenital anomalies and abnormal development of the reproductive organs in males. Mutations in the SOX9 gene are known to cause CMD. We present a Korean CMD girl with a normal 46,XX karyotype and a female reproductive organ phenotype. She was born at 2.35 kg at 38 weeks of gestation and showed characteristic phenotypes, including cleft palate, micrognathia, hypertelorism, flat nasal bridge, congenital bowing of limbs, hypoplastic scapulae, deformed pelvis, and 11 pairs of ribs. She also had an atrioseptal defect of the heart and marked laryngotracheomalacia requiring tracheostomy and tracheopexy. SOX9 mutation analysis revealed the presence of a novel nonsense mutation, p.Gln369*, and the patient was genetically confirmed to have CMD. Although she showed marked failure to thrive and neurodevelopmental delay, she is now 40 months of age and is the only surviving patient with CMD in Korea.

Keyword

Campomelic dysplasia; Laryngotracheomalacia; Cleft palate; Growth retardation; SOX9

MeSH Terms

Campomelic Dysplasia
Cleft Palate
Codon, Nonsense
Extremities
Failure to Thrive
Female
Heart
Humans
Hypertelorism
Karyotype
Korea
Male
Pelvis
Phenotype
Pregnancy
Ribs
Scapula
Tracheostomy
Codon, Nonsense
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