Menke-Hennekam syndrome 1: A Case Report

Introduction Menke-Hennekam syndrome (MHS) is a relatively new genetic condition characterized by intellectual disabilities, autistic behavior, auditory defects, recurrent upper respiratory tract infections, microcephaly and short stature. Facial characteristics include short palpebral fissures, te...

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Main Authors: M. Trusmei, M. Budisteanu
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822011099/type/journal_article
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author M. Trusmei
M. Budisteanu
author_facet M. Trusmei
M. Budisteanu
author_sort M. Trusmei
collection DOAJ
description Introduction Menke-Hennekam syndrome (MHS) is a relatively new genetic condition characterized by intellectual disabilities, autistic behavior, auditory defects, recurrent upper respiratory tract infections, microcephaly and short stature. Facial characteristics include short palpebral fissures, telecanthus, depressed nasal bridge, short nose, anteverted nares, short columella, and long philtrum. The genetic defect is represented by missense variants of CREBBP gene, located on exons 30 or 31. There are only around 30 cases reported by now. Objectives The aim of the paper is to report a new case of MHS. Methods The case is a 3-year-old boy admitted in our department for developmental delay. The clinical examination revealed dysmorphic features; severe speech delay, mild intellectual disability, autistic behaviour.The patient had a personal history of recurrent respiratory infections, visual defect and bilateral sensorineural hearing loss. Other investigations included EEG, abdominal echography, and cerebral MRI all were normal. The genetic studies included array CGH and WES. Results The array CGH was normal. WES identified a pathogenic heterozygote variant c.5600G>A in the exon 31 of CREBBP gene, confirming MHS. Conclusions Overall, the features of our patient are consistent with those reported in the previous reports, including developmental and speech delay, autistic behavior, dysmorphic features, recurrent upper way infections, sensorineural hearing loss, and visual defects. Other common features, such as growth delay and microcephaly were not present in our patient. Our case contributes to the clinical characterisation of the new syndrome. Funding: The research leading to these results has received funding from the EEA Grant 2014-2021, under the project contract No 6/2019. Disclosure No significant relationships.
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spelling doaj.art-557c3a6f15804644a6be8f265e90eb2a2023-11-17T05:05:49ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S436S43710.1192/j.eurpsy.2022.1109Menke-Hennekam syndrome 1: A Case ReportM. Trusmei0M. Budisteanu1University Titu Maiorescu, Faculty Of Medicine, bucharest, RomaniaUniversity Titu Maiorescu, Faculty Of Medicine, bucharest, Romania Introduction Menke-Hennekam syndrome (MHS) is a relatively new genetic condition characterized by intellectual disabilities, autistic behavior, auditory defects, recurrent upper respiratory tract infections, microcephaly and short stature. Facial characteristics include short palpebral fissures, telecanthus, depressed nasal bridge, short nose, anteverted nares, short columella, and long philtrum. The genetic defect is represented by missense variants of CREBBP gene, located on exons 30 or 31. There are only around 30 cases reported by now. Objectives The aim of the paper is to report a new case of MHS. Methods The case is a 3-year-old boy admitted in our department for developmental delay. The clinical examination revealed dysmorphic features; severe speech delay, mild intellectual disability, autistic behaviour.The patient had a personal history of recurrent respiratory infections, visual defect and bilateral sensorineural hearing loss. Other investigations included EEG, abdominal echography, and cerebral MRI all were normal. The genetic studies included array CGH and WES. Results The array CGH was normal. WES identified a pathogenic heterozygote variant c.5600G>A in the exon 31 of CREBBP gene, confirming MHS. Conclusions Overall, the features of our patient are consistent with those reported in the previous reports, including developmental and speech delay, autistic behavior, dysmorphic features, recurrent upper way infections, sensorineural hearing loss, and visual defects. Other common features, such as growth delay and microcephaly were not present in our patient. Our case contributes to the clinical characterisation of the new syndrome. Funding: The research leading to these results has received funding from the EEA Grant 2014-2021, under the project contract No 6/2019. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822011099/type/journal_articledevelopmentaldelayMenke-Hennekamsyndrome dysmorphicfeaturesautisticbehaviour
spellingShingle M. Trusmei
M. Budisteanu
Menke-Hennekam syndrome 1: A Case Report
European Psychiatry
developmentaldelay
Menke-Hennekamsyndrome
dysmorphicfeatures
autisticbehaviour
title Menke-Hennekam syndrome 1: A Case Report
title_full Menke-Hennekam syndrome 1: A Case Report
title_fullStr Menke-Hennekam syndrome 1: A Case Report
title_full_unstemmed Menke-Hennekam syndrome 1: A Case Report
title_short Menke-Hennekam syndrome 1: A Case Report
title_sort menke hennekam syndrome 1 a case report
topic developmentaldelay
Menke-Hennekamsyndrome
dysmorphicfeatures
autisticbehaviour
url https://www.cambridge.org/core/product/identifier/S0924933822011099/type/journal_article
work_keys_str_mv AT mtrusmei menkehennekamsyndrome1acasereport
AT mbudisteanu menkehennekamsyndrome1acasereport