AI Article Synopsis

  • Gnathodiaphyseal dysplasia (GDD) is a rare skeletal disorder that was initially misdiagnosed as cherubism in patients with jaw lesions.
  • Through advanced genetic sequencing, a new deleterious mutation in the ANO5 gene was identified, confirming the diagnosis of atypical GDD.
  • Literature review indicates a significant misdiagnosis rate of GDD, emphasizing the need for inclusion of GDD in differential diagnoses for similar conditions.

Article Abstract

Background: Gnathodiaphyseal dysplasia (GDD) is a rare skeletal disorder that has not been well studied.

Methods: Sanger sequencing, whole-genome sequencing (WGS), and bioinformatics and structural modeling analyses were performed.

Results: A family with patients with fibro-osseous lesions of the jawbones were initially diagnosed with cherubism. Sequencing of SH3BP2, which is the causal gene of cherubism, revealed no pathogenic mutation. Through WGS, we identified a novel mutation c.1067G>T (p.C356F) in ANO5, and bioinformatics analyses and structural modeling showed that the mutation was deleterious. Because ANO5 is the gene responsible for GDD, we reappraised the clinical data of the patients, and the diagnosis was corrected to atypical GDD. A review of the literature showed that 67% of GDD cases confirmed by molecular testing were initially misdiagnosed.

Conclusions: The novel mutation c.1067G>T (p.C356F) in ANO5 is responsible for the atypical GDD observed in our patients. GDD should be included in the differential diagnosis for patients with fibro-osseous lesions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779835PMC
http://dx.doi.org/10.1002/hed.25516DOI Listing

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