Hormonal and genetical assessment of a Japanese girl with weaver syndrome.
We report a case of Japanese girl with a rare disorder of Weaver syndrome, which was characterized by overgrowth with advanced and disharmonic bone age, craniofacial abnormalities, developmental delay, metaphyseal flaring of the long bones and camptodactyly. The patient was delivered at 38 weeks of gestation with a length of 54.2 cm (+ 2.6 SD), a weight of 3805 g (+ 2.5 SD) and an occipitofrontal circumference (OFC) of 35.0 cm (+ 1.1 SD). She manifested hypertonia and flexion contractures in the first few years. She also had submucosal soft cleft palate and difficulty in swallowing and breathing in early infancy. When she was 5 years and 7 months old, her height and weight were 133.3 cm (+ 5.5 SD) and 32.0 kg (+ 5.1 SD), respectively. We could not detect any endocrinological abnormalities for the cause of overgrowth. According to clinical features, Weaver syndrome was suspected and genetical analysis was performed. Fluorescence in situ hybridization (FISH) and direct sequencing analysis showed neither deletion nor point mutation of the nuclear receptor SET-domain-containing protein 1 (NSD1) gene on 5q35, which is responsible for Sotos syndrome. Therefore, we made a diagnosis of Weaver syndrome for this patient and discussed the differential diagnosis in terms of overgrowth syndrome.
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Yoko
Y
Miyoshi
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Masako
M
Taniike
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Ikuko
I
Mohri
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Sotaro
S
Mushiake
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Shigeo
S
Nakajima
Department of Human Genetics, Nagasaki University School of Medicine, Nagasaki, Japan; Department of Human Genetics Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Naomichi
N
Matsumoto
Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan.
Keiichi
K
Ozono
NSD1 gene; Sotos syndrome; Weaver syndrome; advanced bone age; overgrowth