Chromosome 6p25 deletion syndrome: A case report and review of ophthalmic features
- PMID: 36941760
- DOI: 10.1002/ajmg.a.63186
Chromosome 6p25 deletion syndrome: A case report and review of ophthalmic features
Abstract
The 6p25 deletion syndrome is a rare genetic disorder characterized by a wide spectrum of congenital anomalies. Ophthalmic abnormalities appear to be highly associated with the syndrome, although this relationship has not been well characterized to date. We conducted a systematic literature review to highlight the ocular features in patients with this deletion syndrome and describe a 7-month-old female who has a 6.07 MB 6p25.1p25.3 deletion and a 4.25 MB 17q25.3 duplication. Our patient presented with multiple congenital anomalies, including macrocephaly, frontal bossing, low set ears, tent-shaped mouth, saddle nose, flat midface, and hearing impairment. Her ophthalmic features included proptosis, down-slanting palpebral fissures, hypertelorism, nystagmus, bilateral posterior embryotoxon, and decentered and abnormally shaped pupils. A systematic review of the published cases with sufficient clinical eye descriptions included 63 cases with a confirmed 6p25 deletion. The most common eye findings observed were posterior embryotoxon, iris hypoplasia, corectopia, cornea opacity, and glaucoma.
Keywords: 6p25 deletion; Axenfeld-Rieger syndrome; FOXC1; anterior segment dysgenesis; corectopia; posterior embryotoxon.
© 2023 The Authors. American Journal of Medical Genetics Part A published by Wiley Periodicals LLC.
References
REFERENCES
-
- Aldinger, K. A., Lehmann, O. J., Hudgins, L., Chizhikov, V. V., Bassuk, A. G., Ades, L. C., Krantz, I. D., Dobyns, W. B., & Millen, K. J. (2009). FOXC1 is required for normal cerebellar development and is a major contributor to chromosome 6p25.3 Dandy-Walker malformation. Nature Genetics, 41(9), 1037-1042. https://doi.org/10.1038/ng.422
-
- Anderlid, B.-M., Schoumans, J., Hallqvist, Å., Ståhl, Y., Wallin, A., Blennow, E., & Nordenskjöld, M. (2003). Cryptic subtelomeric 6p deletion in a girl with congenital malformations and severe language impairment. European Journal of Human Genetics, 11(1), 89-92. https://doi.org/10.1038/sj.ejhg.5200907
-
- Arcot Sadagopan, K., Liu, G. T., Capasso, J. E., Wuthisiri, W., Keep, R. B., & Levin, A. V. (2015). Anirdia-like phenotype caused by 6p25 dosage aberrations. American Journal of Medical Genetics Part A, 167(3), 524-528. https://doi.org/10.1002/ajmg.a.36890
-
- Atli, E. I., Gurkan, H., Atli, E., Vatansever, U., Acunas, B., & Mail, C. (2020). De novo subtelomeric 6p25.3 deletion with duplication of 6q23.3-q27: Genotype-phenotype correlation. Journal of Pediatric Genetics, 9(1), 32-39. https://doi.org/10.1055/s-0039-1694703
-
- Balasubramanian, M., Smith, K., Williams, S., Griffiths, P., Parker, M., & Mordekar, S. (2015). Tigroid pattern of cerebral white matter involvement in chromosome 6p25 deletion syndrome with concomitant 5p15 duplication. Journal of Pediatric Genetics, 01(4), 247-252. https://doi.org/10.3233/PGE-12040