Abstract
Alveolar capillary dysplasia (ACD) is a rare and lethal cause of hypoxic respiratory failure in the neonate. Here we describe a term neonate with ACD that was found with a previously unreported p.Arg86Pro mutation in the FOXF1 (Forkhead Box-F1) gene and coexisting congenital anomalies, including colobomas of the iris and hemihyperplasia. This unique clinical presentation may indicate a novel, yet unconfirmed disease association for mutations in the FOXF1 gene. Rapid mutation analysis in FOXF1 may provide noninvasive early confirmation of ACD in neonates with respiratory failure and can aid in clinical decision making.
MeSH terms
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Coloboma / diagnosis*
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Diagnosis
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Fatal Outcome
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Female
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Forkhead Transcription Factors / genetics*
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Humans
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Hyperplasia* / congenital
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Hyperplasia* / diagnosis
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Hypertension, Pulmonary / diagnosis
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Hypertension, Pulmonary / etiology
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Infant, Newborn
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Iris / abnormalities
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Mutation
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Persistent Fetal Circulation Syndrome* / complications
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Persistent Fetal Circulation Syndrome* / diagnosis
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Persistent Fetal Circulation Syndrome* / genetics
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Persistent Fetal Circulation Syndrome* / physiopathology
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Persistent Fetal Circulation Syndrome* / therapy
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Pulmonary Alveoli / abnormalities*
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Pulmonary Alveoli / physiopathology
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Respiration, Artificial / methods
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Respiratory Insufficiency / etiology
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Respiratory Insufficiency / therapy
Substances
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FOXF1 protein, human
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Forkhead Transcription Factors
Supplementary concepts
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Alveolar capillary dysplasia
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Hemihyperplasia, Isolated