Whole-Exome Sequencing Reveals FAT4 Mutations in a Clinically Unrecognizable Patient with Syndromic CAKUT: A Case Report

Amelie T. Van Der Ven, Shirlee Shril, Hadas Ityel, Asaf Vivante, Jing Chen, Daw Yang Hwang, Kristen M. Laricchia, Monkol Lek, Velibor Tasic, Friedhelm Hildebrandt

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

We present the case of a patient of Macedonian origin with unilateral renal agenesis and ureterovesical junction obstruction in combination with further abnormalities including midface hypoplasia, scoliosis as well as camptodactyly of one toe. Whole-exome sequencing analysis revealed compound heterozygous variants in the FAT4 gene. Recessive variants in FAT4 are a known cause of van Maldergem syndrome (VMS) in which congenital anomalies of the kidney and urinary tract are a less characteristic but common feature. The initial presentation of our patient was not clinically recognizable. However, in view of the molecular findings, the most likely diagnosis is a mild manifestation of VMS. Only very few publications have reported patients with VMS and mutations in FAT4 to date. With this case, we hope to provide further insight into the phenotypic variability of this syndrome.

Original languageEnglish
Pages (from-to)272-277
Number of pages6
JournalMolecular Syndromology
Volume8
Issue number5
DOIs
StatePublished - 1 Aug 2017
Externally publishedYes

Funding

FundersFunder number
National Institutes of HealthDK088767, HG008900
Deutsche ForschungsgemeinschaftVE916/1-1

    Keywords

    • FAT4
    • Syndromic CAKUT
    • Van Maldergem syndrome
    • Whole-exome sequencing

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