Unusual Stüve-Wiedemann syndrome with complete maternal chromosome 5 isodisomy.

Ann Clin Transl Neurol

Department of Clinical Science, University of Bergen Bergen, Norway ; Center of Medical Genetics and Molecular Medicine, Haukeland University Hospital Bergen, Norway.

Published: November 2014

AI Article Synopsis

  • A woman with a new mutation in the LIFR gene (c.2170C>G; p.Pro724Ala) was found to have Stüve-Wiedemann syndrome, a condition that disrupts normal signaling pathways.
  • She received two identical chromosomes from her mother, who carried a heterozygous mutation in the same gene, but her presentation lacked the typical long bone abnormalities associated with the syndrome.
  • Skin biopsies revealed evidence of nerve differentiation issues affecting sweat glands and confirmed the absence of a condition initially diagnosed as cold-induced sweating syndrome.

Article Abstract

A woman was isozygous for a novel mutation in the leukemia inhibitory factor receptor gene (LIFR) (c.2170C>G; p.Pro724Ala) which disrupts LIFR downstream signaling and results in Stüve-Wiedemann syndrome (STWS). She inherited two identical chromosomes 5 from her mother, heterozygous for the LIFR mutation. The presentation was typical for STWS, except there was no long bone dysplasia. Prominent cold-induced sweating and heat intolerance lead to an initial diagnosis of cold-induced sweating syndrome, excluded by exome sequencing. Skin biopsies provide the first human evidence of failed postnatal cholinergic differentiation of sympathetic neurons innervating sweat glands in cold-induced sweating, and of a neuropathy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265064PMC
http://dx.doi.org/10.1002/acn3.126DOI Listing

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