Recently, variants in DONSON have been reported to cause different disorders of the microcephalic primordial dwarfism spectrum. Using whole-exome sequencing, we identified two novel, compound heterozygous DONSON variants in a pair of siblings, one of whom was previously diagnosed with Fanconi anemia. This occurred because the present cases exhibited clinical findings in addition to those of the microcephalic primordial dwarfism disorder, including severe limb malformations. These findings suggest that the DONSON and Fanconi anemia proteins could have supplementary roles in developmental processes as they have in the maintenance of genomic integrity, resulting in related disease phenotypes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117362PMC
http://dx.doi.org/10.1038/s41431-018-0128-0DOI Listing

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Article Synopsis
  • The disorder discussed leads to autosomal recessive microcephaly and chorioretinopathy, recently identified as a syndrome due to distinct eye-related symptoms and overlapping features like short stature and microcephaly.
  • A case study details the first Indian family displaying this disorder, where an affected child and fetal sibling shown to have microcephaly and brain abnormalities underwent extensive genomic testing confirming their condition.
  • The findings reveal novel genetic variants and underscore the complexity of diagnosis, emphasizing the importance of whole genome sequencing in rare conditions.
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