›› 2017, Vol. 35 ›› Issue (4): 286-.doi: 10.3969/j.issn.1000-3606.2017.04.011

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The clinical feature and gene analysis of Cardio-facio-cutaneous syndrome in children: a report of 2 cases and literature review 

 ZHANG Huanhuan 1,2, LI Niu 1, YU Tingting 1, XU Yufei 1, LI Guoqiang 1, WANG Xiumin 1,3, SHEN Yiping 1,4, WANG Jian 1,3   

  1. 1. Department of Medical Genetics (Molecular Diagnostic Laboratory), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. Department of Clinical Laboratory, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China; 3. Department of Endocrine and Genetic Metabolic, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 4.Department of Gene Diagnostic Laboratory, Boston Children's Hospital, Harvard Medical School, Boston, 02115, USA  
  • Received:2017-04-15 Online:2017-04-15 Published:2017-04-15

Abstract: Objective To explore the clinical phenotype and gene variation features of Cardio-facio-cutaneous syndrome (CFC). Method DNA were extracted from peripheral blood in 2 children with CFC and their parents, and the mutation gene were detected by high throughput sequencing of target gene and verified by Sanger sequencing. Results Two patients were Han nationality females and aged 13 months and 7.5years respectively. Both of them showed craniofacial features of epicanthus, flat nose and scant hair, and had history of growth retardation and epileptic seizure. The electrocardiogram in one case showed that there was a change in T wave and P-R interval reached the normal high limit. The electrocardiogram in the other case was normal. Genetic detection revealed that there were two heterozygous missense mutation in the third exon of MAP2K1, c.383G>T, p.Gly128Val and c.389A>G, p.Tyr130Cys, which were new mutations (de novo) and CFC mutation sites reported in the literature. Conclusion The two cases of CFC were first reported in China and both had MAP2K1 mutations. The children with CFC were reported to be mostly complicated with heart disease, thus these 2 patients should be followed up for cardiac function.