Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?

Craniofrontonasal syndrome (CFNS), also known as craniofrontonasal dysplasia, is an X-linked inherited developmental malformation caused by mutations in the ephrin B1 (<i>EFNB1</i>) gene. The main phenotypic features of the syndrome are coronal synostosis, hypertelorism, bifid nasal tip,...

Full description

Bibliographic Details
Main Authors: Sebla Güneş, Jiangping Wu, Berk Özyılmaz, Reyhan Deveci Sevim, Tolga Ünüvar, Ahmet Anık
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/12/1535
_version_ 1797455796045348864
author Sebla Güneş
Jiangping Wu
Berk Özyılmaz
Reyhan Deveci Sevim
Tolga Ünüvar
Ahmet Anık
author_facet Sebla Güneş
Jiangping Wu
Berk Özyılmaz
Reyhan Deveci Sevim
Tolga Ünüvar
Ahmet Anık
author_sort Sebla Güneş
collection DOAJ
description Craniofrontonasal syndrome (CFNS), also known as craniofrontonasal dysplasia, is an X-linked inherited developmental malformation caused by mutations in the ephrin B1 (<i>EFNB1</i>) gene. The main phenotypic features of the syndrome are coronal synostosis, hypertelorism, bifid nasal tip, dry and curly hair, and longitudinal splitting of nails. A 9-year-and-11-month-old girl with CFNS was admitted due to polyuria, polydipsia, fatigue, and abdominal pain. On physical examination, she had the classical phenotypical features of CFNS. Genetic tests revealed a c.429_430insT (p.Gly144TrpfsTer31) heterozygote variant in the <i>EFNB1</i> coding region. The patient was diagnosed with type 1 diabetes mellitus (T1DM) and autoimmune thyroiditis based on laboratory findings and symptoms. The mother of the patient, who had the same CFNS phenotype and EFNB1 variant, was screened for autoimmune diseases and was also with autoimmune thyroiditis. This is the first report describing the association of CFNS with T1DM and autoimmune thyroiditis in patients with <i>EFNB1</i> mutation.
first_indexed 2024-03-09T15:59:54Z
format Article
id doaj.art-fd341f2398c345f5b33a3937a4b99471
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-09T15:59:54Z
publishDate 2022-12-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-fd341f2398c345f5b33a3937a4b994712023-11-24T17:16:52ZengMDPI AGPharmaceuticals1424-82472022-12-011512153510.3390/ph15121535Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?Sebla Güneş0Jiangping Wu1Berk Özyılmaz2Reyhan Deveci Sevim3Tolga Ünüvar4Ahmet Anık5Division of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine, Aydın Adnan Menderes University, 09100 Aydın, TurkeyCentre de Recherche, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, QU H2X 0A9, CanadaGenetic Diagnosis Center, Tepecik Training and Research Hospital, University of Health Sciences, 35020 Izmir, TurkeyDivision of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine, Aydın Adnan Menderes University, 09100 Aydın, TurkeyDivision of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine, Aydın Adnan Menderes University, 09100 Aydın, TurkeyDivision of Pediatric Endocrinology, Department of Pediatrics, Faculty of Medicine, Aydın Adnan Menderes University, 09100 Aydın, TurkeyCraniofrontonasal syndrome (CFNS), also known as craniofrontonasal dysplasia, is an X-linked inherited developmental malformation caused by mutations in the ephrin B1 (<i>EFNB1</i>) gene. The main phenotypic features of the syndrome are coronal synostosis, hypertelorism, bifid nasal tip, dry and curly hair, and longitudinal splitting of nails. A 9-year-and-11-month-old girl with CFNS was admitted due to polyuria, polydipsia, fatigue, and abdominal pain. On physical examination, she had the classical phenotypical features of CFNS. Genetic tests revealed a c.429_430insT (p.Gly144TrpfsTer31) heterozygote variant in the <i>EFNB1</i> coding region. The patient was diagnosed with type 1 diabetes mellitus (T1DM) and autoimmune thyroiditis based on laboratory findings and symptoms. The mother of the patient, who had the same CFNS phenotype and EFNB1 variant, was screened for autoimmune diseases and was also with autoimmune thyroiditis. This is the first report describing the association of CFNS with T1DM and autoimmune thyroiditis in patients with <i>EFNB1</i> mutation.https://www.mdpi.com/1424-8247/15/12/1535craniofrontonasal syndromeephrin B1autoimmune diseasestype 1 diabetes mellitusautoimmune thyroiditis
spellingShingle Sebla Güneş
Jiangping Wu
Berk Özyılmaz
Reyhan Deveci Sevim
Tolga Ünüvar
Ahmet Anık
Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
Pharmaceuticals
craniofrontonasal syndrome
ephrin B1
autoimmune diseases
type 1 diabetes mellitus
autoimmune thyroiditis
title Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
title_full Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
title_fullStr Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
title_full_unstemmed Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
title_short Cooccurring Type 1 Diabetes Mellitus and Autoimmune Thyroiditis in a Girl with Craniofrontonasal Syndrome: Are <i>EFNB1</i> Variants Associated with Autoimmunity?
title_sort cooccurring type 1 diabetes mellitus and autoimmune thyroiditis in a girl with craniofrontonasal syndrome are i efnb1 i variants associated with autoimmunity
topic craniofrontonasal syndrome
ephrin B1
autoimmune diseases
type 1 diabetes mellitus
autoimmune thyroiditis
url https://www.mdpi.com/1424-8247/15/12/1535
work_keys_str_mv AT seblagunes cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity
AT jiangpingwu cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity
AT berkozyılmaz cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity
AT reyhandevecisevim cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity
AT tolgaunuvar cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity
AT ahmetanık cooccurringtype1diabetesmellitusandautoimmunethyroiditisinagirlwithcraniofrontonasalsyndromeareiefnb1ivariantsassociatedwithautoimmunity