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Exome sequencing reveals blended phenotype of double heterozygous FBN1 and FBN2 variants in a fetus
Authors:Shagun Aggarwal  Aneek Das Bhowmik  Ashwani Tandon  Ashwin Dalal
Affiliation:1. Department of Medical Genetics, Nizam''s Institute of Medical Sciences, Hyderabad, India;2. Diagnostics Division, Centre for DNA Fingerprinting & Diagnostics, Hyderabad, India;3. Department of Pathology, Nizam''s Institute of Medical Sciences, Hyderabad, India;4. Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, India
Abstract:We report a 29 week fetus with arthrogryposis multiplex congenita, multiple joint dislocations, scoliosis and dysmorphism who was detected to be double heterozygote for putatively pathogenic FBN1 (NM_000138.4:c.6004C?>?T; p.Pro2002Ser) and FBN2 (NM_001999.3:c.2945G?>?T; p.Cys982Phe) variants on exome sequencing. The de-novo status of these variants is not confirmed as parental genotypes could not be ascertained. A comparison of the post-mortem findings of the fetus with reported phenotypes of Beals and Marfan syndromes indicated overlapping clinical features suggestive of a blended phenotype.
Keywords:Fetal exome sequencing  Beals syndrome  Marfan syndrome  Blended phenotype  Double heterozygote
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