| Affiliation: | 1. https://orcid.org/0000-0002-5534-9635;2. Department of Paediatrics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK;3. University of Exeter, Exeter, UK;4. Alexandra J. Childs, Department of Paediatrics, Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK.;5. Clinical Genetics, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK |
| Abstract: | We present the case of a male who shortly after birth developed acute respiratory distress due to bilateral choanal atresia, following which he was found to have rectal stenosis. Genetic testing for CHARGE syndrome was negative, but whole genome sequencing identified heterozygosity for a pathogenic missense variant in TP63 (c.727C > T, p.(Arg243Trp). He also has partial cutaneous syndactyly of the third and fourth fingers of the right hand, and bilateral lacrimal duct stenosis/aplasia. A later maxillofacial review identified a palpable submucousal cleft and his scalp hair is blond and slightly sparse. Choanal atresia and rectal stenosis are recognized features of ectrodactyly‐ectodermal dysplasia‐clefting syndrome, but we believe this is the first report of a case presenting with these features in the absence of the cardinal features. |
