Mowat-Wilson syndrome: A case report

Introduction. Mowat-Wilson syndrome (MWS) is characterised by severe mental retardation and multiple congenital anomalies. Key features for diagnosis are specific facial dysmorphism with uplifted ear lobes and Hirschsprung's disease. Ganglionic disorders of the colon, both the number of ganglio...

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Main Authors: Čuturilo Goran, Stefanović Igor, Jovanović Ida, Miletić-Grković Slobodanka, Novaković Ivana
Format: Article
Language:English
Published: Serbian Medical Society 2009-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908426C.pdf
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author Čuturilo Goran
Stefanović Igor
Jovanović Ida
Miletić-Grković Slobodanka
Novaković Ivana
author_facet Čuturilo Goran
Stefanović Igor
Jovanović Ida
Miletić-Grković Slobodanka
Novaković Ivana
author_sort Čuturilo Goran
collection DOAJ
description Introduction. Mowat-Wilson syndrome (MWS) is characterised by severe mental retardation and multiple congenital anomalies. Key features for diagnosis are specific facial dysmorphism with uplifted ear lobes and Hirschsprung's disease. Ganglionic disorders of the colon, both the number of ganglion cells and the length of the aganglionic segment vary significantly in these patients. The disease is caused by ZFHX1B gene mutation. The management of MWS is symptomatic. Case outline. We report a four-year old boy with mental retardation, specific facial dysmorphy and multiple anomalies. During prenatal follow-up intrauterine growth retardation was revealed. Karyotype was normal. Clinical findings showed that growth and mental retardation, gastrointestinal disturbance and heart defect were predominant. A gastrostoma was inserted. Hypoganglionosis of the colon caused severe obstipation. He had a severe stenosis of the pulmonary artery and was a candidate for cardiac surgery. There were several attempts to establish diagnosis, but so far, without results. Conclusion. Hirschsprung's disease/hypoganglionosis of the colon associated with other congenital anomalies or mental retardation require evaluation for dysmorphic syndromes. One of them is MWS, presented in this report.
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spelling doaj.art-5ef57270d0e64fd98945672d9c2a88eb2022-12-21T20:18:03ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792009-01-011377-842642910.2298/SARH0908426CMowat-Wilson syndrome: A case reportČuturilo GoranStefanović IgorJovanović IdaMiletić-Grković SlobodankaNovaković IvanaIntroduction. Mowat-Wilson syndrome (MWS) is characterised by severe mental retardation and multiple congenital anomalies. Key features for diagnosis are specific facial dysmorphism with uplifted ear lobes and Hirschsprung's disease. Ganglionic disorders of the colon, both the number of ganglion cells and the length of the aganglionic segment vary significantly in these patients. The disease is caused by ZFHX1B gene mutation. The management of MWS is symptomatic. Case outline. We report a four-year old boy with mental retardation, specific facial dysmorphy and multiple anomalies. During prenatal follow-up intrauterine growth retardation was revealed. Karyotype was normal. Clinical findings showed that growth and mental retardation, gastrointestinal disturbance and heart defect were predominant. A gastrostoma was inserted. Hypoganglionosis of the colon caused severe obstipation. He had a severe stenosis of the pulmonary artery and was a candidate for cardiac surgery. There were several attempts to establish diagnosis, but so far, without results. Conclusion. Hirschsprung's disease/hypoganglionosis of the colon associated with other congenital anomalies or mental retardation require evaluation for dysmorphic syndromes. One of them is MWS, presented in this report.http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908426C.pdfMowat-Wilson syndromepsychomotor retardationfacial dysmorphismHirschsprung's disease
spellingShingle Čuturilo Goran
Stefanović Igor
Jovanović Ida
Miletić-Grković Slobodanka
Novaković Ivana
Mowat-Wilson syndrome: A case report
Srpski Arhiv za Celokupno Lekarstvo
Mowat-Wilson syndrome
psychomotor retardation
facial dysmorphism
Hirschsprung's disease
title Mowat-Wilson syndrome: A case report
title_full Mowat-Wilson syndrome: A case report
title_fullStr Mowat-Wilson syndrome: A case report
title_full_unstemmed Mowat-Wilson syndrome: A case report
title_short Mowat-Wilson syndrome: A case report
title_sort mowat wilson syndrome a case report
topic Mowat-Wilson syndrome
psychomotor retardation
facial dysmorphism
Hirschsprung's disease
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908426C.pdf
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AT jovanovicida mowatwilsonsyndromeacasereport
AT mileticgrkovicslobodanka mowatwilsonsyndromeacasereport
AT novakovicivana mowatwilsonsyndromeacasereport