Mild phenotype in two siblings with a missense GHR variant

Author:

Sarıkaya Özdemir Behiye1ORCID,Çetinkaya Semra1ORCID,Güleray Lafcı Naz2ORCID,Şakar Merve1ORCID,Karacan Küçükali Gülin1ORCID,Elmaoğullari Selin1ORCID,Savaş Erdeve Şenay1ORCID

Affiliation:

1. Pediatric Endocrinology Department , Dr. Sami Ulus Obstetrics and Gynecology, Children’s Health and Disease Training and Research Hospital, University of Health Sciences Turkey , Ankara , Turkey

2. Medical Genetics Department , Dr. Sami Ulus Obstetrics and Gynecology, Children’s Health and Disease Training and Research Hospital,University of Health Sciences Turkey , Ankara , Turkey

Abstract

Abstract Objectives  Laron syndrome (LS) is a disease caused by growth hormone receptor (GHR) defects. It is characterized by severe postnatal growth retardation and distinctive facial features. Case presentation In this case report, we describe the clinical and biochemical characteristics of two siblings with LS, a sister and a brother, and identify a homozygous c.344A> C (p.Asn115Thr) variant in GHR. The sister was 11 years 9 months old with a height of 127.5 cm (-3.86 SDS), and the brother was 14 years 10 months old with a height of 139 cm (-4.27 SDS). Their phenotype did not have features suggesting classical LS. Conclusion In the current literature, there are three cases with the same missense variant. Our cases differ from them in clinical (higher height SDS, mild dysmorphism including a broad forehead, malar hypoplasia, prominent columella and chin, thick lips) and biochemical characteristics. Here, we present the variable expressivity in the two siblings.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health

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