Severe hypotonia and postnatal growth impairment in a girl with a missense mutation in COL1A1: Implication of expanded phenotypic spectrum of type I collagenopathy
- Authors
- Lee, Jin Sook; Seo, Jieun; Cho, Anna; Lim, Byung Chan; Choi, Murim; Kim, Jung-Wook; Kim, Ok-Hwa; Cho, Tae-Joon; Chae, Jong-Hee
- Issue Date
- Oct-2017
- Publisher
- ELSEVIER SCIENCE BV
- Keywords
- Type I collagenopathy; COL1A1; Whole-exome sequencing; Dysmorphism; Osteogenesis imperfecta
- Citation
- BRAIN & DEVELOPMENT, v.39, no.9, pp.799 - 803
- Journal Title
- BRAIN & DEVELOPMENT
- Volume
- 39
- Number
- 9
- Start Page
- 799
- End Page
- 803
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5641
- DOI
- 10.1016/j.braindev.2017.04.020
- ISSN
- 0387-7604
- Abstract
- Background: It is known that type I collagenopathy has a broad-spectrum phenotypic variability. Here, we report a case of a Korean girl with a heterozygous COL1A1 mutation who had an atypical presentation. Case presentation: A 26-month-old girl presented with delayed motor development and failure to thrive. She had severe growth retardation. She exhibited right-sided plagiocephaly, blue sclerae, and facial dysmorphism, including a small pointed chin, frontal bossing, and a triangular face, but had microcephaly. Whole-exome sequencing revealed a novel de 710V0 heterozygous sequence variant in COL1A1 (p.Gly1127Asp), which was validated by Sanger sequencing. Radiological finding showed generalized osteoporosis with progressive scoliosis of the spine without evidence of platyspondyly related to fractures and bowing of the long bones, and markedly delayed carpal bone age. Muscle pathology showed a marked size variation of myofibers and selective type 1 atrophy. Conclusions: This study expanded the clinical and genetic spectrum of type I collagenopathy with a COL1A1 variant. Therefore, we suggest that type I collagenopathy should be considered in the patients who have some features of osteogenesis imperfecta simultaneously with atypical features such as facial dysmorphism. (C) 2017 Published by Elsevier B.V. on behalf of The Japanese Society of Child Neurology.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5641)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.