Advertisement
Case Report| Volume 31, ISSUE 5, P533-535, October 2018

Download started.

Ok

Mayer–Rokitansky–Küster–Hauser Syndrome and 16p11.2 Recurrent Microdeletion: A Case Report and Review of the Literature

  • Marta Gatti
    Affiliations
    Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
    Search for articles by this author
  • Gianluca Tolva
    Affiliations
    Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
    Search for articles by this author
  • Silvia Bergamaschi
    Affiliations
    Endocrinology Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
    Search for articles by this author
  • Claudia Giavoli
    Affiliations
    Endocrinology Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
    Search for articles by this author
  • Susanna Esposito
    Affiliations
    Pediatric Unit, Department of Surgical and Biomedical Sciences, Università degli Studi di Perugia, Perugia, Italy
    Search for articles by this author
  • Paola Marchisio
    Affiliations
    Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
    Search for articles by this author
  • Donatella Milani
    Correspondence
    Address correspondence to: Donatella Milani, MD, Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122 Milano, Italy; Phone: +39-02-55032560
    Affiliations
    Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
    Search for articles by this author

      Abstract

      Background

      Mayer–Rokitansky–Küster–Hauser syndrome (MRKH; Online Mendelian Inheritance in Man #277000) is a rare disorder of the female reproductive tract. Its etiology is still unknown for most patients, although the genetic background of this condition has been intensively studied. Chromosome 16p11.2 deletion syndrome (Online Mendelian Inheritance in Man #611913) is a well known recurrent deletion syndrome that can present with various clinical phenotypes, including developmental delay, intellectual disability, autism spectrum disorder, obesity, and an increased frequency of congenital defects.

      Case

      Herein we report a patient with 16p11.2 recurrent microdeletion in whom MRKH syndrome was diagnosed in adolescence.

      Summary and Conclusion

      Our purpose is to underscore the possible presence of gynecological malformations in patients with 16p11.2 microdeletion and highlight the utility of a genetic evaluation in cases of MRKH syndrome.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric and Adolescent Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Griffin J.E.
        • Edwards C.
        • Madden J.D.
        • et al.
        Congenital absence of the vagina. The Mayer-Rokitansky-Küster-Hauser syndrome.
        Ann Intern Med. 1976; 2: 224
        • Duncan P.A.
        • Shapiro L.R.
        • Stangel J.J.
        • et al.
        The MURCS association: Müllerian duct aplasia, renal aplasia, and cervicothoracic somite dysplasia.
        J Pediatr. 1979; 95: 399
        • Rall K.
        • Eisenbeis S.
        • Henninger V.
        • et al.
        Typical and atypical associated findings in a group of 346 patients with Mayer–Rokitansky–Küster–Hauser’ syndrome.
        J Pediatr Adolesc Gynecol. 2015; 28: 362
        • Fontana L.
        • Gentilin B.
        • Fedele L.
        • et al.
        Genetics of Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome.
        Clin Genet. 2017; 91: 233
        • Timmreck L.S.
        • Pan H.A.
        • Reindollar R.H.
        • et al.
        WNT7A mutations in patients with Müllerian duct abnormalities.
        J Pediatr Adolesc Gynecol. 2003; 16: 217
        • Biason-Lauber A.
        • De Filippo G.
        • Konrad D.
        • et al.
        WNT4 deficiency-a clinical phenotype distinct from the classic Mayer–Rokitansky–Küster–Hauser syndrome: a case report.
        Human Reprod. 2007; 1: 224
        • Altchek A.
        • Deligdisch L.
        The unappreciated Wnt-4 gene.
        J Pediatr Adolesc Gynecol. 2010; 23: 187
        • White P.H.
        • Farkas D.R.
        • McFadden E.E.
        • et al.
        Defective somite patterning in mouse embryos with reduced levels of Tbx6.
        Development. 2003; 8: 1681
        • Zufferey F.
        • Sherr E.H.
        • Beckmann N.D.
        • et al.
        A 600 kb deletion syndrome at 16p11.2 leads to energy imbalance and neuropsychiatric disorders.
        J Med Genet. 2012; 49: 660
        • Kaminsky E.B.
        • Kaul V.
        • Paschall J.
        • et al.
        An evidence-based approach to establish the functional and clinical significance of copy number variants in intellectual and developmental disabilities.
        Genet Med. 2011; 13: 777
        • Nik-Zainal S.
        • Strick R.
        • Storer M.
        • et al.
        High incidence of recurrent copy number variants in patients with isolated and syndromic Mullerian aplasia.
        J Med Genet. 2011; 3: 197
        • Sandbacka M.
        • Laivuori H.
        • Freitas É.
        • et al.
        TBX6, LHX1 and copy number variations in the complex genetics of Müllerian aplasia.
        Orphanet J Rare Dis. 2013; 8: 125
        • Watabe-Rudolph M.
        • Schlautmann N.
        • Papaioannou V.E.
        • et al.
        The mouse rib-vertebrae mutation is a hypomorphic Tbx6 allele.
        Mech Dev. 2002; 2: 251