Majewski dwarfism type II: an atypical neuroradiological presentation with a novel variant in the PCNT gene

BMJ Case Rep. 2019 May 30;12(5):e224197. doi: 10.1136/bcr-2018-224197.

Abstract

Microcephalic osteodysplastic primordial dwarfism syndrome II (MOPDII) is microcephalic primordial dwarfism and is a very rare form of disproportionate short stature. This disorder shares common features with other forms of microcephalic primordial dwarfism, including severe prenatal and postnatal growth retardation with marked microcephaly. However, it includes characteristic skeletal dysplasia, abnormal dentition and increased risk for cerebrovascular diseases. Recent reports added more features, including café-au-lait lesions, cutis marmorata, astigmatism, Moyamoya disease, insulin resistance, obesity, abnormal skin pigmentation and acanthosis nigricans around the neck. Clearly, the more MOPDII reports that are produced, the more information will be added to the spectrum of MOPDII features that can improve our understanding of this disorder. In this paper, we reported a new case of MOPDII with more severe clinical features, earlier onset of common features, in addition to a homozygous novel variant in the PCNT gene.

Keywords: congenital disorders; developmental paediatrocs; genetics; neonatal health; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Antigens / genetics*
  • Consanguinity
  • Dwarfism / diagnostic imaging
  • Dwarfism / genetics*
  • Feeding and Eating Disorders / congenital
  • Feeding and Eating Disorders / genetics
  • Feeding and Eating Disorders / therapy
  • Fetal Growth Retardation / diagnostic imaging
  • Fetal Growth Retardation / genetics*
  • Homozygote
  • Humans
  • Infant
  • Male
  • Microcephaly / diagnostic imaging
  • Microcephaly / genetics*
  • Nervous System Diseases / congenital
  • Nervous System Diseases / genetics
  • Osteochondrodysplasias / diagnostic imaging
  • Osteochondrodysplasias / genetics*
  • Parenteral Nutrition
  • Rare Diseases

Substances

  • Antigens
  • pericentrin

Supplementary concepts

  • Microcephalic Osteodysplastic Primordial Dwarfism, Type II