Adults with paternal UPD14 causing Kagami-Ogata syndrome: Case report and review of the literature

Am J Med Genet A. 2024 Sep;194(9):e63625. doi: 10.1002/ajmg.a.63625. Epub 2024 May 13.

Abstract

Kagami-Ogata syndrome (KOS) is a clinically recognizable syndrome in the neonatal period. It is characterized by specific skeletal anomalies and facial dysmorphisms. It is typically caused by paternal uniparental disomy of chromosome 14, while epimutations and microdeletions are less commonly reported causes. In the pediatric setting, KOS is a well delineated syndrome. However, there is a dearth of literature describing the natural history of the condition in adults. Herein, we describe a 35-year-old man, the first adult with KOS reported due to paternal uniparental disomy 14, and review reports of KOS in other affected adults. This highlights the variability in neurocognitive phenotypes, the presence of connective tissue abnormalities, and the uncertainties around long-term cancer risk.

Keywords: aortic dilation; chromosome 14; connective tissue; hypermobility; imprinting; uniparental disomy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple / genetics
  • Abnormalities, Multiple / pathology
  • Adult
  • Chromosomes, Human, Pair 14* / genetics
  • Humans
  • Imprinting Disorders
  • Male
  • Phenotype*
  • Uniparental Disomy* / genetics
  • Uniparental Disomy* / pathology

Supplementary concepts

  • Uniparental disomy, paternal, chromosome 14