ABSTRACT
Campomelic dysplasia (CD) is an autosomal, dominantly inherited, skeletal abnormality belonging to the subgroup of bent bone dysplasias. In addition to bowed lower limbs, CD typically includes the following: disproportionate short stature, flat face, micrognathia, cleft palate, bell-shaped thorax, and club feet. Up to three quarters of 46, XY individuals may be sex-reversed. Radiological signs include scapular and pubic hypoplasia, narrow iliac wings, spaced ischia, and bowed femora and tibiae. Lethal CD is usually due to heterozygous mutations in SOX9, a major regulator of chondrocytic development. We present a detailed clinical and molecular characterization of nine Brazilian CD patients. Infants were either stillborn (n = 2) or died shortly after birth and presented similar phenotypes. Sex-reversal was observed in one of three chromosomally male patients. Sequencing of SOX9 revealed new heterozygous mutations in seven individuals. Six patients had mutations that resulted in premature transcriptional termination, while one infant had a single-nucleotide substitution at the conserved splice-site acceptor of intron 1. No clear genotype-phenotype correlations were observed. This study highlights the diversity of SOX9 mutations leading to lethal CD, and expands the group of known genetic alterations associated with this skeletal dysplasia.
ABSTRACT
Resumo: Os autores apresentam um caso de linfoma näo - Hodgkin de intestino delgado,que se apresentou, radiologicamente, na forma ulcerativa. O linfoma intestinal primário é considerado entidade rara, sendo seus critérios diagnósticos bastante rígidos. A doença secundária - envolvimento do intestino delgado pelo linfoma sistêmico - constitui apresentaçäo clínica pouco freqüênte dessas neoplasias, devendo ser considerado sempre que os critérios para a doença primária näo sejam preenchidos. O diagnóstico baseia-se nos achados do trânsito intestinal e/ou tomografia computadorizada, sendo confirmado por biópsia