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Published in: BMC Pediatrics 1/2007

Open Access 01-12-2007 | Case report

A case of Cornelia de Lange syndrome from Sudan

Authors: Mona Ellaithi, David Gisselsson, Therese Nilsson, Atif Elagib, Imad Fadl-Elmula, Mashair Abdelgadir

Published in: BMC Pediatrics | Issue 1/2007

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Abstract

Background

Brachmann de Lange syndrome (BDLS) is a multiple congenital anomaly syndrome characterized by a distinctive facial appearance, prenatal and postnatal growth deficiency, psychomotor delay, behavioral problems, and malformations of the upper extremities.

Case presentation

Here we present for the first time a case of BDLS from Sudan, a 7-month-old female infant, who was referred as a case of malnutrition. The patient was from a Sudanese western tribe. Clinical investigation showed that the child was a classical case of BDLS, but with some additional clinical findings not previously reported including crowded ribs and tied tongue.

Conclusion

Reporting BDLS cases of different ethnic backgrounds could add nuances to the phenotypic description of the syndrome and be helpful in diagnosis.
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Literature
1.
go back to reference Brachmann W: Ein fall von symmetrischer monodaktylie durch Ulnadefekt, mit symmetrischer flughautbildung in den ellenbeugen, sowie anderen abnormitaten (zwerghaftogkeit, halsrippen, behaarung). Jarb Kinder Phys Erzie. 1916, 84: 225-235. Brachmann W: Ein fall von symmetrischer monodaktylie durch Ulnadefekt, mit symmetrischer flughautbildung in den ellenbeugen, sowie anderen abnormitaten (zwerghaftogkeit, halsrippen, behaarung). Jarb Kinder Phys Erzie. 1916, 84: 225-235.
2.
go back to reference De Lange C: Sur un type nouveau de degenerescence (typus Amstelodamensis). Arch Med Enfants. 1933, 36: 713-719. De Lange C: Sur un type nouveau de degenerescence (typus Amstelodamensis). Arch Med Enfants. 1933, 36: 713-719.
3.
go back to reference Krantz ID, McCallum J, DeScipio C, Kaur M, Gillis LA, Yaeger D, Jukofsky L, Wasserman N, Bottani A, Morris CA, Nowaczyk MJ, Toriello H, Bamshad MJ, Carey JC, Rappaport E, Kawauchi S, Lander AD, Calof AL, Li HH, Devoto M, Jackson LG: Cornelia de Lange syndrome is caused by mutations in NIPBL, the human homolog of Drosophila melanogaster Nipped-B. Nat Genet. 2004, 36: 631-635. 10.1038/ng1364.CrossRefPubMedPubMedCentral Krantz ID, McCallum J, DeScipio C, Kaur M, Gillis LA, Yaeger D, Jukofsky L, Wasserman N, Bottani A, Morris CA, Nowaczyk MJ, Toriello H, Bamshad MJ, Carey JC, Rappaport E, Kawauchi S, Lander AD, Calof AL, Li HH, Devoto M, Jackson LG: Cornelia de Lange syndrome is caused by mutations in NIPBL, the human homolog of Drosophila melanogaster Nipped-B. Nat Genet. 2004, 36: 631-635. 10.1038/ng1364.CrossRefPubMedPubMedCentral
4.
5.
go back to reference Van Allen MI, Filippi G, Siegel-Bartelt J, Yong SL, McGillivray B, Zuker RM, Smith CR, Magee JF, Ritchie S, Toi A, Reynolds JF: Clinical variability within Brachmann-de Lange syndrome: a proposed classification system. Am J Med Genet. 1993, 47: 947-958. 10.1002/ajmg.1320470704.CrossRefPubMed Van Allen MI, Filippi G, Siegel-Bartelt J, Yong SL, McGillivray B, Zuker RM, Smith CR, Magee JF, Ritchie S, Toi A, Reynolds JF: Clinical variability within Brachmann-de Lange syndrome: a proposed classification system. Am J Med Genet. 1993, 47: 947-958. 10.1002/ajmg.1320470704.CrossRefPubMed
6.
go back to reference Preus M, Rex AP: Definition and diagnosis of the Brachmann–de Lange syndrome. Am J Med Genet. 1983, 16: 301-312. 10.1002/ajmg.1320160303.CrossRefPubMed Preus M, Rex AP: Definition and diagnosis of the Brachmann–de Lange syndrome. Am J Med Genet. 1983, 16: 301-312. 10.1002/ajmg.1320160303.CrossRefPubMed
7.
go back to reference Allanson JE, Hennekam RCM, Ireland M: De Lange syndrome: subjective and objective comparison of the classical and mild phenotypes. J Med Genet. 1997, 34: 645-650.CrossRefPubMedPubMedCentral Allanson JE, Hennekam RCM, Ireland M: De Lange syndrome: subjective and objective comparison of the classical and mild phenotypes. J Med Genet. 1997, 34: 645-650.CrossRefPubMedPubMedCentral
8.
go back to reference DeScipio C, Kaur M, Yaeger D, Innis JW, Spinner NB, Jackson LG, Krantz ID: Chromosome rearrangements in Cornelia de Lange syndrome (CdLS): report of a der(3)t(3;12)(p25.3;p13.3) in two half sibs with features of CdLS and review of reported CdLS cases with chromosome rearrangements. Am J Med Genet. 2005, 137A: 276-282. 10.1002/ajmg.a.30857.CrossRefPubMedPubMedCentral DeScipio C, Kaur M, Yaeger D, Innis JW, Spinner NB, Jackson LG, Krantz ID: Chromosome rearrangements in Cornelia de Lange syndrome (CdLS): report of a der(3)t(3;12)(p25.3;p13.3) in two half sibs with features of CdLS and review of reported CdLS cases with chromosome rearrangements. Am J Med Genet. 2005, 137A: 276-282. 10.1002/ajmg.a.30857.CrossRefPubMedPubMedCentral
9.
go back to reference Ptacek LJ, Opitz JM, Smith DW, Gerritsen T, Waisman HA: The Cornelia de Lange syndrome. J Pediat. 1963, 63: 1000-1020. 10.1016/S0022-3476(63)80234-6.CrossRefPubMed Ptacek LJ, Opitz JM, Smith DW, Gerritsen T, Waisman HA: The Cornelia de Lange syndrome. J Pediat. 1963, 63: 1000-1020. 10.1016/S0022-3476(63)80234-6.CrossRefPubMed
10.
go back to reference Opitz JM: The Brachmann-de Lange syndrome. Am J Med Genet. 1985, 22: 89-102. 10.1002/ajmg.1320220110.CrossRefPubMed Opitz JM: The Brachmann-de Lange syndrome. Am J Med Genet. 1985, 22: 89-102. 10.1002/ajmg.1320220110.CrossRefPubMed
11.
go back to reference Opitz JM: Comment. Year Book of Pediatrics. Edited by: Gellis SS. 1971, Chicago: Year Book Med. Publ. (pub), 489- Opitz JM: Comment. Year Book of Pediatrics. Edited by: Gellis SS. 1971, Chicago: Year Book Med. Publ. (pub), 489-
12.
go back to reference Robinson LK, Jones KL: The de Lange syndrome in a mother and her son. (Abstract). Proc Greenwood Genet Center. 1983, 2: 125- Robinson LK, Jones KL: The de Lange syndrome in a mother and her son. (Abstract). Proc Greenwood Genet Center. 1983, 2: 125-
13.
go back to reference Borghi A, Giusti G, Bigozzi U: Nanismo degenerativo tipo di Amsterdam (typus Amstelodamensis–malattia di Cornelia de Lange): presentazione di un caso e considerazioni di ordine genetico. Acta Genet Med Gemellol. 1954, 3: 365-372. Borghi A, Giusti G, Bigozzi U: Nanismo degenerativo tipo di Amsterdam (typus Amstelodamensis–malattia di Cornelia de Lange): presentazione di un caso e considerazioni di ordine genetico. Acta Genet Med Gemellol. 1954, 3: 365-372.
14.
go back to reference Fryns JP: Hernie diaphragmatique postero-laterale et syndrome de Brachmann-de Lange. (Letter). Arch Franc Pediat. 1987, 44: 473-474. Fryns JP: Hernie diaphragmatique postero-laterale et syndrome de Brachmann-de Lange. (Letter). Arch Franc Pediat. 1987, 44: 473-474.
15.
go back to reference McConnell V, Brown T, Morrison PJ: An Irish three-generation family of Cornelia de Lange syndrome displaying autosomal dominant inheritance. Clin Dysmorphol. 2003, 12: 241-244. 10.1097/00019605-200310000-00006.CrossRefPubMed McConnell V, Brown T, Morrison PJ: An Irish three-generation family of Cornelia de Lange syndrome displaying autosomal dominant inheritance. Clin Dysmorphol. 2003, 12: 241-244. 10.1097/00019605-200310000-00006.CrossRefPubMed
16.
go back to reference Tonkin ET, Wang TJ, Lisgo S, Bamshad MJ, Strachan T: NIPBL, encoding a homolog of fungal Scc2-type sister chromatid cohesion proteins and fly Nipped-B, is mutated in Cornelia de Lange syndrome. Nat Genet. 2004, 36: 636-41. 10.1038/ng1363.CrossRefPubMed Tonkin ET, Wang TJ, Lisgo S, Bamshad MJ, Strachan T: NIPBL, encoding a homolog of fungal Scc2-type sister chromatid cohesion proteins and fly Nipped-B, is mutated in Cornelia de Lange syndrome. Nat Genet. 2004, 36: 636-41. 10.1038/ng1363.CrossRefPubMed
17.
go back to reference Yan J, Saifi GM, Wierzba TH, Withers M, Bien-Willner GA, Limon J, Stankiewicz P, Lupski JR, Wierzba J: Mutational and genotype-phenotype correlation analyses in 28 Polish patients with Cornelia de Lange syndrome. Am J Med Genet. 2006, 140A: 1531-1541. 10.1002/ajmg.a.31305.CrossRef Yan J, Saifi GM, Wierzba TH, Withers M, Bien-Willner GA, Limon J, Stankiewicz P, Lupski JR, Wierzba J: Mutational and genotype-phenotype correlation analyses in 28 Polish patients with Cornelia de Lange syndrome. Am J Med Genet. 2006, 140A: 1531-1541. 10.1002/ajmg.a.31305.CrossRef
18.
go back to reference Bhuiyan ZA, Klein M, Hammond P, van Haeringen A, Mannens MMAM, Van Berckelaer-Onnes I, Hennekam RCM: Genotype-phenotype correlations of 39 patients with Cornelia de Lange syndrome: the Dutch experience. J Med Genet. 2006, 43: 568-575. 10.1136/jmg.2005.038240.CrossRefPubMed Bhuiyan ZA, Klein M, Hammond P, van Haeringen A, Mannens MMAM, Van Berckelaer-Onnes I, Hennekam RCM: Genotype-phenotype correlations of 39 patients with Cornelia de Lange syndrome: the Dutch experience. J Med Genet. 2006, 43: 568-575. 10.1136/jmg.2005.038240.CrossRefPubMed
19.
go back to reference Musio A, Selicorni A, Focarelli ML, Gervasini C, Milani D, Russo S, Vezzoni P, Larizza L: X-linked Cornelia de Lange syndrome owing to SMC1L1 mutations. Nat Genet. 2006, 38: 528-530. 10.1038/ng1779.CrossRefPubMed Musio A, Selicorni A, Focarelli ML, Gervasini C, Milani D, Russo S, Vezzoni P, Larizza L: X-linked Cornelia de Lange syndrome owing to SMC1L1 mutations. Nat Genet. 2006, 38: 528-530. 10.1038/ng1779.CrossRefPubMed
20.
go back to reference Bhuiyan ZA, Zilfalil BA, Hennekam RC: A Malay boy with the Cornelia de Lange syndrome: clinical and molecular findings. Singapore Med J. 2006, 47: 724-7.PubMed Bhuiyan ZA, Zilfalil BA, Hennekam RC: A Malay boy with the Cornelia de Lange syndrome: clinical and molecular findings. Singapore Med J. 2006, 47: 724-7.PubMed
21.
go back to reference Temtamy SA, Shoukry AS: Cornelia de Lange syndrome in an Egyptian child. Birth Defects Orig Artic Ser. 1975, 11: 362-3.PubMed Temtamy SA, Shoukry AS: Cornelia de Lange syndrome in an Egyptian child. Birth Defects Orig Artic Ser. 1975, 11: 362-3.PubMed
22.
go back to reference MJ Barch: Peripheral blood culture. Barch MJ, Lawce HJ, Arsham MS, editors, The ACT Cytogenetics Laboratory Manual. 1991, Raven Press Ltd, New York, 2 MJ Barch: Peripheral blood culture. Barch MJ, Lawce HJ, Arsham MS, editors, The ACT Cytogenetics Laboratory Manual. 1991, Raven Press Ltd, New York, 2
23.
go back to reference F Mitelman: ISCN: An International System for human Cytogenetic Nomenclature. Ed S Karger Base. 1995 F Mitelman: ISCN: An International System for human Cytogenetic Nomenclature. Ed S Karger Base. 1995
24.
go back to reference Ireland M, Donnai D, Burn J: Brachmann-de Lange syndrome: delineation of the clinical phenotype. Am J Med Genet. 1993, 47: 959-964. 10.1002/ajmg.1320470705.CrossRefPubMed Ireland M, Donnai D, Burn J: Brachmann-de Lange syndrome: delineation of the clinical phenotype. Am J Med Genet. 1993, 47: 959-964. 10.1002/ajmg.1320470705.CrossRefPubMed
25.
go back to reference Jackson L, Kline AD, Barr MA, Koch S: de Lange syndrome: a clinical review of 310 individuals. Am J Med Genet. 1993, 47: 940-6. 10.1002/ajmg.1320470703.CrossRefPubMed Jackson L, Kline AD, Barr MA, Koch S: de Lange syndrome: a clinical review of 310 individuals. Am J Med Genet. 1993, 47: 940-6. 10.1002/ajmg.1320470703.CrossRefPubMed
27.
go back to reference Ellaithi M, Gisselsson D, Nilsson T, Abd El-Fatah S, Ali T, Elagib A, Ibrahim ME, Fadl-Elmula I: A del(X)(p11) carrying SRY sequences in an infant with ambiguous genitalia. BMC Pediatr. 2006, 6: 11-10.1186/1471-2431-6-11.CrossRefPubMedPubMedCentral Ellaithi M, Gisselsson D, Nilsson T, Abd El-Fatah S, Ali T, Elagib A, Ibrahim ME, Fadl-Elmula I: A del(X)(p11) carrying SRY sequences in an infant with ambiguous genitalia. BMC Pediatr. 2006, 6: 11-10.1186/1471-2431-6-11.CrossRefPubMedPubMedCentral
Metadata
Title
A case of Cornelia de Lange syndrome from Sudan
Authors
Mona Ellaithi
David Gisselsson
Therese Nilsson
Atif Elagib
Imad Fadl-Elmula
Mashair Abdelgadir
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2007
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-7-6

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