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Singapore medical journal ; : e72-5, 2013.
Artigo em Inglês | WPRIM | ID: wpr-335416

RESUMO

Apert syndrome (AS) is a rare autosomal dominant disorder characterised by craniosynostosis and limb malformations, and is associated with congenital heart disease and other systemic malformations, including intellectual disability. We report two Indonesian patients with AS, in whom molecular analysis detected p.Ser252Trp (c.755C>G) and p.Pro253Arg (c.758C>G) mutations in the fibroblast growth factor receptor 2 (FGFR2) gene, respectively. Although the syndrome has been frequently described, this is the first clinical report of AS confirmed by molecular analysis in Indonesia. The difference in severity of clinical features in the two patients may be consistent with a genotype-phenotype correlation of the FGFR2mutation. The management of individuals with AS is best achieved within a multidisciplinary setting. However, in most developing countries, early intervention may be delayed due to late diagnosis, a lack of facilities and financial constraints. This report underpins the benefits of early diagnosis for AS management.


Assuntos
Humanos , Lactente , Recém-Nascido , Masculino , Acrocefalossindactilia , Diagnóstico , Etnologia , Genética , Arginina , Análise Mutacional de DNA , Evolução Fatal , Estudos de Associação Genética , Indonésia , Mutação , Prolina , Receptor Tipo 2 de Fator de Crescimento de Fibroblastos , Genética , Serina , Triptofano
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