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Journal of Child Neurology
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0883073807309231v1
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Article

Mowat-Wilson Syndrome Affecting 3 Siblings

Motoko Ohtsuka, MD1, Hirokazu Oguni, MD1*, Yasushi Ito, MD1, Tomohiro Nakayama, MD1, Mari Matsuo, MD1, Makiko Osawa, MD1, Kayoko Saito, MD1, Yasukazu Yamada, PhD2, and Nobuaki Wakamatsu, MD2

1 Tokyo Women’s Medical University, Japan
2 Aichi Human Service Center, Kasugai, Japan

* To whom correspondence should be addressed. E-mail: hoguni{at}ped.twmu.ac.jp.


   Abstract
We herein report 3 cases of Mowat-Wilson syndrome, characterized by distinct facial features, severe psychomotor retardation, and epilepsy, recurring in 3 siblings from the same parents. The proband was a 15-month-old boy, the youngest of 3 children (2 elder sisters), who was referred to our hospital for the treatment of severe seizures. The clinical features and course of these 3 siblings were compatible with those of previously reported Mowat-Wilson syndrome patients, and all siblings had the same E87X nonsense mutation in ZFHX1B, whereas their mother did not show the mutation. Because Mowat-Wilson syndrome has been caused by de novo mutation in ZFHX1B, germ-line mosaicism should be considered if recurrence in siblings is observed.

First published on January 29, 2008, doi:10.1177/0883073807309231

Journal of Child Neurology 2008;23:274.

A more recent version of this article appeared on March 1, 2008


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