Pulmonary non-tuberculous mycobacterial infection in congenital contractural arachnodactyly.
Congenital contractural arachnodactyly (CCA) is caused by mutations within the fibrillin-2 gene (FBN2), which is crucial for microfibril structure. Affected individuals may have contractures, chest wall deformities, scoliosis, abnormal ear folding and elongated limbs. We describe a novel FBN2 mutation in a woman with CCA who also had pulmonary non-tuberculous mycobacteria (NTM) infection. The population with pulmonary NTM infections shares phenotypic features with CCA, such as elongated body habitus, scoliosis and pectus deformities. While it is unlikely that FBN2 defects account for susceptibility to NTM infection in the majority of cases, the overlap between these two diseases suggests some shared pathophysiology.
Laboratory of Clinical Infectious Diseases, SAIC-Frederick, Inc. National Cancer Institute-Frederick, Frederick, Maryland, USA.
M L
ML
Paulson
K N
KN
Olivier
S M
SM
Holland
D005260:Female; D000071840:Fibrillin-2; D000071837:Fibrillins; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000382:microbiology / Q000503:physiopathology; D008382:Marfan Syndrome / Q000150:complications* / Q000503:physiopathology; D008840:Microfilament Proteins / Q000235:genetics*; D008875:Middle Aged; D009154:Mutation; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000503:physiopathology; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*
C000605723:FBN2 protein, human; D000071840:Fibrillin-2; D000071837:Fibrillins; D008840:Microfilament Proteins