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ABSTRACT: Background
Heterozygous mutations of the ACAN gene are a major cause of different evolutive growth defects in the pediatric population, but were never described as a cause of fetal skeletal dysplasia.Case presentation
A G1 at 21w + 3d came to our institution for the second-trimester ultrasound and a skeletal dysplasia with prevalent involvement of limb's rhizomelic tracts was suspected. Amniocentesis followed by CGH-array was performed, with normal results. An examination by NGS of some genes associated with skeletal dysplasias showed a novel pathogenic variant of the ACAN gene: c.2677delG.Conclusion
Sequence variations of ACAN were never described as a possible cause of fetal skeletal anomalies to date. In this case report, we describe the first prenatal diagnosis of skeletal dysplasia associated with a pathogenic variant of ACAN.
SUBMITTER: Toscano P
PROVIDER: S-EPMC8243643 | biostudies-literature | 2021 Jun
REPOSITORIES: biostudies-literature
Toscano Paolo P Di Meglio Lavinia L Lonardo Fortunato F Di Meglio Letizia L Mazzarelli Laura Letizia LL Sica Carmine C Di Meglio Aniello A
BMC pregnancy and childbirth 20210629 1
<h4>Background</h4>Heterozygous mutations of the ACAN gene are a major cause of different evolutive growth defects in the pediatric population, but were never described as a cause of fetal skeletal dysplasia.<h4>Case presentation</h4>A G1 at 21w + 3d came to our institution for the second-trimester ultrasound and a skeletal dysplasia with prevalent involvement of limb's rhizomelic tracts was suspected. Amniocentesis followed by CGH-array was performed, with normal results. An examination by NGS ...[more]