Abstract:
:A 2-year-old boy with an initial diagnosis of Hunter syndrome (mucopolysaccharidosis II) had a more severe phenotype than expected, which warranted further evaluation. The patient had severe infantile global neurodevelopmental delays, macrocephaly with a prominent forehead, coarse facial features with clear corneas, chronic congestion with snoring, wide-spaced teeth, short thick neck, hepatomegaly, an inguinal hernia repaired, early clawhand deformities, and severe generalized hypotonia. X chromosome microarray revealed a large deletion encompassing the genes IDS, FMR1, and AFF2 (FMR2) confirming the diagnoses of both Hunter and fragile X syndromes. This case is also a reminder to clinicians that for optimum patient care, further diagnostic testing is warranted if there is concern that a patient's phenotype is more severe or complex than would be expected for the initial neurogenetic diagnosis.
journal_name
J Child Neuroljournal_title
Journal of child neurologyauthors
Burruss DM,Wood TC,Espinoza L,Dwivedi A,Holden KRdoi
10.1177/0883073811425860subject
Has Abstractpub_date
2012-06-01 00:00:00pages
786-90issue
6eissn
0883-0738issn
1708-8283pii
0883073811425860journal_volume
27pub_type
杂志文章abstract::Movement disorders, a common problem in children with neurologic impairment, are receiving increasing clinical attention. The differences in movement disorders between adults and children are striking; presentation is frequently insidious and may be characterized by mild hypotonia. The clinical manifestations of extra...
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journal_title:Journal of child neurology
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