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Identification of Homozygous Likely Pathogenic Variant of ALDH3A2 in a Korean Boy with Sjögren–Larsson Syndrome

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초록

Dear Editor, Sjögren–Larsson syndrome (SLS; OMIM 270200) is an autosomal recessive disorder caused by deficiency of fatty aldehyde dehydrogenase (FALDH) owing to mutations in ALDH3A2 [1]. Patients with SLS usually have ichthyosis after birth, spastic paraplegia, and mental retardation. On ocular examination, crystalline macular dystrophy is often observed, which can result in photophobia or reduced visual sensitivity in affected patients [2, 3]. In Korea, there have been a few case reports on SLS but, as far as we know, none was confirmed by genetic testing [4-7]. Although some patients show typical clinical features of SLS, its phenotype can be variable so that genetic testing of ALDH3A2 should be performed to make a diagnosis of SLS. We present clinical and genetic findings of a Korean patient with SLS

Abstract

Dear Editor, Sjögren–Larsson syndrome (SLS; OMIM 270200) is an autosomal recessive disorder caused by deficiency of fatty aldehyde dehydrogenase (FALDH) owing to mutations in ALDH3A2 [1]. Patients with SLS usually have ichthyosis after birth, spastic paraplegia, and mental retardation. On ocular examination, crystalline macular dystrophy is often observed, which can result in photophobia or reduced visual sensitivity in affected patients [2, 3]. In Korea, there have been a few case reports on SLS but, as far as we know, none was confirmed by genetic testing [4-7]. Although some patients show typical clinical features of SLS, its phenotype can be variable so that genetic testing of ALDH3A2 should be performed to make a diagnosis of SLS. We present clinical and genetic findings of a Korean patient with SLS

참고문헌 (10)

  1. Rizzo WB, "The molecular basis of Sjogren-Larsson syndrome: mutation analysis of the fatty aldehyde dehydrogenase gene", Am J Hum Genet, 65, pp.1547~1560 (1999)[DOI]
  2. Willemsen MA, "Juvenile macular dystrophy associated with deficient activity of fatty aldehyde dehydrogenase in Sjogren-Larsson syndrome", Am J Ophthalmol, 130, pp.782~789 (2000)[DOI]
  3. Rizzo WB, "Sjogren-Larsson syndrome: molecular genetics and biochemical pathogenesis of fatty aldehyde dehydrogenase deficiency", Mol Genet Metab, 90, pp.1~9 (2007)[DOI]
  4. Lee KJ, "Case of Sjogren-Larsson syndrome", J Korean Pediatr Soc, 37, pp.1757~1761 (1994)
  5. Lee HJ, "A case of Sjogren-Larsson syndrome", Ann Dermatol, 7, pp.71~74 (1995)[DOI]
  6. Shin WK, "A case of Sjogren-Larsson syndrome", J Korean Ophthalmol Soc, 36, pp.1605~1609 (1995)
  7. Lee JH, "A case of Sjogren-Larsson syndrome", Korean J Dermatol, 36, pp.1078~1082 (1998)
  8. Aoki N, "A novel point mutation of the FALDH gene in a Japanese family with Sjogren-Larsson syndrome", J Invest Dermatol, 114, pp.1065~1066 (2000)[DOI]
  9. Richards S, "Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology", Genet Med, 17, pp.405~424 (2015)[DOI]
  10. Li Q, "InterVar: Clinical interpretation of genetic variants by the 2015 ACMG-AMG guidelines", Am J Hum Genet, 100, pp.267~280 (2017)[DOI]

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