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Deleterious Med12 Mutation Of Fg Syndrome

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Deleterious MED12 Mutation in a Patient with Mitochondrial Dysfunction Expands the Phenotype of FG Syndrome ABSTRACT: Mutations in the MED12 gene are associated with X-linked intellectual disability (ID) which present phenotypically as FG syndrome or Lujan syndrome. The two disorders have overlapping features of ID, hypotonia, and corpus callosum abnormalities but physical features differ . Carrier females are typically unaffected. Mitochondrial dysfunction has not been previously described. Herein, we report a 7 year old male with features of FG syndrome, hypogammoglobulinemia, mitochondrial dysfunction, and normal IQ found to have a de novo deleterious MED12 mutation on whole exome sequencing. This case expands the phenotype of MED12-related disorders. In addition, hypogammoglobulinemia documented in this patient may explain the frequent infections reported in other patients with MED12 mutations. INTRODUCTION: The definition of FG syndrome is based on original observations by Opitz and Kaveggia in 1974. They described a case of 3 brothers and their 2 male first cousins with an undescribed X- linked mental retardation syndrome. They were also affected with macrocephaly, imperforate anus and congenital hypotonia and agenesis of the corpus callosum . In 1977, Riccardi et al reported another male in the original family and 3 affected brothers from an unrelated family . They had short stature, joint contractures, seizures, characteristic personality and facial features,

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