Molecular genetic diagnosis of autosomal dominant polycystic kidney disease in a newborn with bilateral cystic kidneys detected prenatally and multiple skeletal malformations.
We report a case of an unusual prenatal presentation of polycystic kidneys associated with multiple skeletal limb defects, including polydactyly, syndactyly, bilateral agenesis of the tibia, and club foot. The ultrasonographic picture was consistent with a diagnosis of polycystic kidney disease, either the adult onset autosomal dominant type (ADPKD) or the early onset autosomal recessive form (ARPKD). However, there was a positive family history for ADPKD. Linkage analysis was performed in 10 family members, of whom four were affected, using six flanking DNA markers tightly linked to the PKD1 locus on chromosome 16p, and one marker linked to the putative PKD2 locus on chromosome 2p. Lod score determinations indicated that the affected gene in the family is most likely PKD1. The patient inherited the disease linked haplotype from his affected mother.
Turco
A E
AE
Institute of Biological Sciences and Genetics, University of Verona School of Medicine, University Hospital Polyclinic B, Roma, Italy.
Padovani
E M
EM
Chiaffoni
G P
GP
Peissel
B
B
Rossetti
S
S
Marcolongo
A
A
Gammaro
L
L
Maschio
G
G
Pignatti
P F
PF
D000328:Adult; D001842:Bone and Bones / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002885:Chromosomes, Human, Pair 16; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000235:genetics; D008040:Genetic Linkage; D005819:Genetic Markers; D005838:Genotype; D006228:Hand Deformities, Congenital / Q000000981:diagnostic imaging / Q000235:genetics; D006239:Haplotypes; D006801:Humans; D007231:Infant, Newborn; D008126:Lod Score; D008297:Male; D010375:Pedigree; D016891:Polycystic Kidney, Autosomal Dominant / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000235:genetics*; D017044:Polycystic Kidney, Autosomal Recessive / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000235:genetics*; D011247:Pregnancy; D011859:Radiography; D016216:Ultrasonography, Prenatal
D005819:Genetic Markers