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Trichothiodystrophy (TTD) describes a group of rare genetic disorders of DNA repair, characterized by sulphur-deficient hair, skin anomalies and systemic complications like preterm delivery, neurological impairment, haematological and ophthalmological abnormalities and life-threatening infections. The aim of this case report was to investigate the contribution of the gene mutation to the phenotype. We describe the clinical and molecular characteristics of a family with two TTD-affected siblings who died before the age of 2 years. The causal mutated gene is the ERCC2 gene, and one of the identified mutations is the c.2164C>T (p.Arg722Trp) variant. The association of this mutation with a severe TTD phenotype was suggested earlier in literature, and the present family adds further evidence to this hypothesis. Accurate identification of the underlying genetic defect can guide the clinical follow-up and counselling of patients and their families. © 2019 European Academy of Dermatology and Venereology.

Citation

G Leemans, L De Raeve, K Keymolen. ERCC2 mutations in two siblings with a severe trichothiodystrophy phenotype. Journal of the European Academy of Dermatology and Venereology : JEADV. 2020 Apr;34(4):876-879

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PMID: 31803976

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