An adult patient with Tatton-Brown-Rahman syndrome caused by a novel DNMT3A variant and axonal polyneuropathy

© 2023 The Authors. American Journal of Medical Genetics Part A published by Wiley Periodicals LLC..

Tatton-Brown-Rahman syndrome (TBRS) is a rare autosomal dominant overgrowth syndrome first reported in 2014 and caused by pathogenic variants in the DNA methyltransferase 3A (DNMT3A) gene. All individuals reported to date share a phenotype of somatic overgrowth, dysmorphic features, and intellectual disability. Peripheral neuropathy was not described in these cases. We report an adult patient with TBRS caused by a novel pathogenic DNMT3A variant (NM_175629.2: c.2036G>A, p.(Arg688His)) harboring an axonal length-dependent sensory-motor polyneuropathy. Extensive laboratory and molecular genetic work-up failed to identify alternative causes for this patient's neuropathy. We propose that axonal neuropathy may be a novel, age-dependent phenotypic feature in adults with TBRS and suggest that this syndrome should be considered in the differential diagnosis of patients with overgrowth, cognitive and psychiatric difficulties, and peripheral neuropathy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:194

Enthalten in:

American journal of medical genetics. Part A - 194(2024), 4 vom: 30. März, Seite e63484

Sprache:

Englisch

Beteiligte Personen:

AlSabah, Al-Alya [VerfasserIn]
Alsalmi, Mohammed [VerfasserIn]
Massie, Rami [VerfasserIn]
Bilodeau, Marie-Claude [VerfasserIn]
Campeau, Philippe M [VerfasserIn]
McGraw, Serge [VerfasserIn]
D'Agostino, Maria Daniela [VerfasserIn]

Links:

Volltext

Themen:

Adult
Case Reports
DNA (Cytosine-5-)-Methyltransferases
DNA Methyltransferase 3A
DNMT3A
EC 2.1.1.37
Overgrowth syndrome
Peripheral neuropathy
Tatton-Brown-Rahman

Anmerkungen:

Date Completed 11.03.2024

Date Revised 11.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ajmg.a.63484

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365324841