Clinical aspects of Hyaline Fibromatosis Syndrome and identification of a novel mutation.
Härter BDivision of Pediatric Surgery, Department of Visceral, Transplant and Thoracic Surgery, Center of Operative Medicine, Innsbruck Medical University, Innsbruck, Austria.
Benedicenti FClinical Genetics Service and South Tyrol Coordination Center for Rare Diseases, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy.
Karall DDepartment of Pediatrics I, Innsbruck Medical University, Innsbruck, Austria.
Lausch EPediatric Genetics Section, Department of Pediatrics, University of Freiburg, Freiburg, Germany.
Schweigmann GDepartment of Radiology, Innsbruck Medical University, Innsbruck, Austria.
Stanzial FClinical Genetics Service and South Tyrol Coordination Center for Rare Diseases, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy.
Superti-Furga ADivision of Genetic Medicine, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Scholl-Bürgi SDepartment of Pediatrics I, Innsbruck Medical University, Innsbruck, Austria.
English
BACKGROUND Hyaline fibromatosis syndrome is an autosomal recessive disease caused by mutations in ANTXR2 which leads to loss of function of the transmembrane protein anthrax toxin receptor 2. It is distinguished by characteristic skin lesions, gingival hyperplasia, joint and bone disease, and systemic involvement.
METHODS Based on the case of an 11-year-old female patient with typical features of hyaline fibromatosis syndrome and the underlying pathogenic compound heterozygote variants in ANTXR2 we discuss the genetic and clinical aspects of hyaline fibromatosis syndrome.
RESULTS The novel mutation in ANTXR2 (c.1223T>C, p.Leu408Pro variant) seems to allow for a protracted course of the disease.
CONCLUSION Our findings add to the phenotypic, genetic, and biochemical spectrum of hyaline fibromatosis syndrome.