PTPN11 mutations in LEOPARD syndrome: report of four cases in Taiwan.
OBJECTIVE
LEOPARD syndrome (LS) is a rare, autosomal dominant disorder. The typical clinical presentation includes multiple lentigines and cardiac defects. Mutation analysis of the PTPN11 gene is feasible. We report four cases of LS, which were confirmed by molecular genetic study.


METHODS
The clinical features and mutations of the four patients were summarized.


RESULTS
The diagnosis of all four patients was made when lentigines appeared during childhood. Three cases had hypertrophic cardiomyopathy. No electrocardiographic conduction abnormality was noted in any of the cases. Three patients had hypertelorism and three had short stature. Two patients, identical twins, presented with the atypical phenotype of tongue protrusion and hepatosplenomegaly at birth. Twin B had mild mental retardation. Case 4 had moderate hearing impairment. Point mutation of the PTPN11 gene was found in all patients.


CONCLUSIONS
LS has typical skin manifestations. All patients should undergo a comprehensive examination, especially echocardiography and electrocardiography. The diagnosis can be confirmed by genetic study.
Lin
I-Shou
IS
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan.
Wang
Jieh-Neng
JN
Chao
Sheau-Chiou
SC
Wu
Jing-Ming
JM
Lin
Shio-Jean
SJ
D002312:Cardiomyopathy, Hypertrophic / Q000235:genetics; D002648:Child; D004452:Echocardiography; D005260:Female; D006801:Humans; D006972:Hypertelorism / Q000235:genetics; D044542:LEOPARD Syndrome / Q000175:diagnosis / Q000235:genetics* / Q000628:therapy; D008297:Male; D010641:Phenotype; D017354:Point Mutation / Q000235:genetics*; D054592:Protein Tyrosine Phosphatase, Non-Receptor Type 11; D017422:Sequence Analysis, DNA; D013624:Taiwan
C516724:PTPN11 protein, human; D054592:Protein Tyrosine Phosphatase, Non-Receptor Type 11