title: GAPO syndrome: three new Brazilian cases, additional osseous manifestations, and review of the literature.
abstract: The GAPO syndrome is an extremely rare autosomal recessive disease that presents as main characteristics evident growth retardation, alopecia, pseudoanodontia, progressive optic atrophy and a typical face. Until now, only 30 patients have been reported in the medical literature (nine of them from Brazil, including the three cases described in the present article). This study describes three siblings with GAPO syndrome, two female and one male, the children of consanguineous parents (first-degree cousins, inbreeding F = 1/16), who are older than the previously described patients, presenting the characteristic phenotype besides serious bone alterations in the lower limbs, which had not yet been observed.
authors.affiliation: Molecular Biology Department, FAMERP-São José do Rio Preto School of Medicine, São José do Rio Preto, SP, Brazil. eny.goloni@famerp.br
authors.forename: Eny Maria
authors.initials: EM
authors.lastname: Goloni-Bertollo
authors.forename: Mariangela Torreglosa
authors.initials: MT
authors.lastname: Ruiz
authors.forename: Cristina B Vendrame
authors.initials: CB
authors.lastname: Goloni
authors.forename: Marcos Pontes
authors.initials: MP
authors.lastname: Muniz
authors.forename: Nelson Iguimar
authors.initials: NI
authors.lastname: Valério
authors.forename: Erika Cristina
authors.initials: EC
authors.lastname: Pavarino-Bertelli
mesh_terms: D000328:Adult; D000505:Alopecia / Q000175:diagnosis* / Q000235:genetics; D000848:Anodontia / Q000175:diagnosis* / Q000235:genetics; D001842:Bone and Bones / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001938:Brazil; D019066:Facies; D005260:Female; D006130:Growth Disorders / Q000175:diagnosis* / Q000235:genetics; D006801:Humans; D038061:Lower Extremity Deformities, Congenital / Q000175:diagnosis* / Q000235:genetics; D008297:Male; D008875:Middle Aged; D009896:Optic Atrophy / Q000175:diagnosis* / Q000235:genetics; D010375:Pedigree; D011859:Radiography; D013577:Syndrome