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Article Synopsis
  • The DYNC2H1 gene is linked to short-rib polydactyly syndrome (SRPS) and other skeletal ciliopathies, with two unique cases highlighting distinct phenotypes caused by splicing variants.
  • The first case involved a 14-week-old fetus with severe malformations and two compound heterozygous variants that were initially uncertain but later deemed likely pathogenic after further testing.
  • The second case presented an 11-year-old boy with various physical abnormalities and identified variants in DYNC2H1, underscoring the gene's role in conditions like SRPS and orofaciodigital syndrome, enhancing understanding of splicing variants' impacts.
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Article Synopsis
  • - Oral-facial-digital syndrome type 1 (OFD1) is an X-linked dominant disorder caused by mutations in the OFD1 gene, resulting in various facial, oral, and digital abnormalities.
  • - Skin symptoms occur in about 20%-30% of affected individuals and include evanescent milia (small cysts) and patchy hair loss (alopecia), which can mimic other conditions like tinea capitis.
  • - Diagnosis can be confirmed through genetic testing, especially when clinicians suspect OFD1 due to specific trichoscopic findings, lack of response to antifungal treatments, and presence of midline anomalies.
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Biallelic loss of function variants in FUZ result in an orofaciodigital syndrome.

Eur J Hum Genet

August 2024

Department of Medical Genetics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Orofaciodigital syndrome is a distinctive subtype of skeletal ciliopathies. Disease-causing variants in the genes encoding the CPLANE complex result in a wide variety of skeletal dysplasia with disturbed ciliary functions. The phenotypic spectrum includes orofaciodigital syndrome and short rib polydactyly syndrome.

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Oro-facial-digital syndrome, specifically Mohr syndrome, is an uncommon genetic disorder characterized by predominant oro-facial anomalies and polysyndactyly. While typically associated with autosomal recessive and X-linked dominant inheritance patterns, this case presents an autosomal dominant mode of transmission. This report documents the clinical presentation of three individuals, a 12-year-old male child and two females, 10-year-old and eight-year-old, who have inherited the disorder from their ancestors.

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