| Literature DB >> 31687262 |
Abraham Urzua1, Sofia Burattini1, Constanza Pinochet2, Felipe Benavides1, Gabriela M Repetto1,2.
Abstract
Beckwith-Wiedemann syndrome (BWS) is characterized by overgrowth and increased risk of embryonic tumors. It results from alterations in genes controlled by imprinting centers H19DMR (Imprinting Center [IC] 1) and KvDMR (IC2). Strategies for diagnostic confirmation include methylation analysis and CDKN1C sequencing. We present a newborn with placentomegaly, hyperinsulinism and adrenal cytomegaly, but no typical external features of BWS. The patient had normal genetic studies in blood. However, adrenal and liver tissues showed hypermethylation of IC1 and hypomethylation of IC2. Microsatellite analysis confirmed mosaic paternal uniparental disomy. This study demonstrates the importance of analyzing additional tissues to reduce underdiagnosis of somatic mosaicism in BWS. © Thieme Medical Publishers.Entities:
Keywords: Beckwith–Wiedemann syndrome; hyperinsulinism; mosaicism; neonatal hypoglycemia; uniparental disomy
Year: 2019 PMID: 31687262 PMCID: PMC6824882 DOI: 10.1055/s-0039-1692197
Source DB: PubMed Journal: J Pediatr Genet ISSN: 2146-460X