Journal
EUROPEAN JOURNAL OF MEDICAL GENETICS
Volume 62, Issue 4, Pages 259-264Publisher
ELSEVIER
DOI: 10.1016/j.ejmg.2018.07.025
Keywords
Intellectual deficiency; Seizures; Recessive; EXT2; Mutation; AREXT2; Homozygous
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We report a consanguineous family where 2 boys presented with developmental delay, hypotonia, microcephaly, seizures, gastro-intestinal abnormalities, osteopenia, and neurological regression. Whole exome sequencing performed in one of the boys revealed the presence of a novel homozygous missense variant in the EXT2 gene: c.11C > T (p.Ser4Leu). Segregation analysis by Sanger sequencing confirmed homozygous by descent autosomal recessive transmission of this mutation. Another family was previously reported with homozygous mutations in this gene in four siblings affected with a nearly similar clinical condition (Farhan et al., 2015). We discuss the similarities and differences between the two syndromes and propose AREXT2 as a new acronym for EXT2-related diseases.
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