Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature

Background: The newborn malformation of primary lymphatic dysplasia (PLD), developed primarily due to PIEZO1 gene autosomal recessive mutation, is known to hinder with the lymphatic system action, causing chyle or lymph effusion into the peritoneal cavity or pleura. Case presentation: A 4-years-old...

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Main Authors: Wedad Alhazmi, Afnan Qurban, Essa Alrashidi
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007123000679
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author Wedad Alhazmi
Afnan Qurban
Essa Alrashidi
author_facet Wedad Alhazmi
Afnan Qurban
Essa Alrashidi
author_sort Wedad Alhazmi
collection DOAJ
description Background: The newborn malformation of primary lymphatic dysplasia (PLD), developed primarily due to PIEZO1 gene autosomal recessive mutation, is known to hinder with the lymphatic system action, causing chyle or lymph effusion into the peritoneal cavity or pleura. Case presentation: A 4-years-old male subject presented with a recurrent chylothorax and bilateral lower limb edema that started at age of 6 months. Lymphoscintigraphy showed lymphangiectasia with chylothorax. The whole exome sequence consisted of Pathogenic variants in PIEZO1 gene associated with lymphatic malformation type 6 (LMPHM6). Conclusion: This is the first reported pediatric case of PIEZO1 gene mutation in Saudi Arabia. This case highlighted the wide differential diagnosis of recurrent chylothorax and lower limb edema, as well as the relative literature on the molecular foundation, clinical scale, pathophysiology, and lymphatic malformation treatment. patients can be improved via application of standardized chylothorax and lymphedema therapies. Overall, awareness of the diseases related to the thoracic lymphatic circulation should be observed as its prognosis may highly promote better approaches for its management.
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spelling doaj.art-e95d005603b040a5875abbac205c43082023-06-16T05:09:39ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0144101872Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literatureWedad Alhazmi0Afnan Qurban1Essa Alrashidi2Department of Pediatric, Maternity and Children Hospital in Makkah, Saudi Arabia; Corresponding author.Department of Pediatric, Maternity and Children Hospital in Makkah, Saudi ArabiaDepartment of Pediatric, King Saud Medical City in Riyadh, Saudi ArabiaBackground: The newborn malformation of primary lymphatic dysplasia (PLD), developed primarily due to PIEZO1 gene autosomal recessive mutation, is known to hinder with the lymphatic system action, causing chyle or lymph effusion into the peritoneal cavity or pleura. Case presentation: A 4-years-old male subject presented with a recurrent chylothorax and bilateral lower limb edema that started at age of 6 months. Lymphoscintigraphy showed lymphangiectasia with chylothorax. The whole exome sequence consisted of Pathogenic variants in PIEZO1 gene associated with lymphatic malformation type 6 (LMPHM6). Conclusion: This is the first reported pediatric case of PIEZO1 gene mutation in Saudi Arabia. This case highlighted the wide differential diagnosis of recurrent chylothorax and lower limb edema, as well as the relative literature on the molecular foundation, clinical scale, pathophysiology, and lymphatic malformation treatment. patients can be improved via application of standardized chylothorax and lymphedema therapies. Overall, awareness of the diseases related to the thoracic lymphatic circulation should be observed as its prognosis may highly promote better approaches for its management.http://www.sciencedirect.com/science/article/pii/S2213007123000679ChylothoraxGeneralized lymphatic dysplasiaLymphangiectasiaPIEZO1
spellingShingle Wedad Alhazmi
Afnan Qurban
Essa Alrashidi
Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
Respiratory Medicine Case Reports
Chylothorax
Generalized lymphatic dysplasia
Lymphangiectasia
PIEZO1
title Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
title_full Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
title_fullStr Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
title_full_unstemmed Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
title_short Case report of generalized lymphatic dysplasia with PIEZO1 mutation and review of the literature
title_sort case report of generalized lymphatic dysplasia with piezo1 mutation and review of the literature
topic Chylothorax
Generalized lymphatic dysplasia
Lymphangiectasia
PIEZO1
url http://www.sciencedirect.com/science/article/pii/S2213007123000679
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