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Perlman syndrome: report, prenatal findings and review.
- Source :
-
American journal of medical genetics. Part A [Am J Med Genet A] 2008 Oct 01; Vol. 146A (19), pp. 2532-7. - Publication Year :
- 2008
-
Abstract
- Perlman syndrome is a rare overgrowth syndrome characterized by polyhydramnios with neonatal macrosomia, nephromegaly, distinctive facial appearance, renal dysplasia, nephro-blastomatosis, and predisposition to Wilms tumor (WT). We report on a newborn with prenatal sonographic signs of Perlman syndrome, large fetal ascites, nephromegaly and macrosomia. The clinical course was marked by neonatal distress, renal failure and refractory hypoxemia leading to death at 2 days of life. Renal histologic examination showed bilateral nephroblastomatosis. Genetic or epigenetic alterations of the 11p15 region (involved in the BWS), including mutation of the CDKN1C gene were excluded. No mutation of the GPC3 gene was identified. We review the 28 patients who have been reported with Perlman syndrome. The prognosis of Perlman syndrome is poor with a high neonatal mortality rate. Among the infants who survived beyond the neonatal period, 64% developed a WT and all had a developmental delay. Fetal macrosomia, ascites and polyhydramnios are frequent manifestations. Clinical overlaps with other overgrowth syndromes particularly Beckwith-Wiedemann syndrome and Simpson-Golabi-Behmel syndrome have been emphasized. Perlman syndrome is considered as an autosomal recessive condition. We review 19 patients from seven sibships with parental consanguinity in two families only. The other cases were sporadic. The 28 reported patients had only 10 unaffected sibs. The low percentage of consanguinity among parents is also puzzling for a rare recessive condition. The molecular basis of Perlman syndrome is unknown. (Epi)genetic anomalies of 11p15 and mutations in GPC3 were not studied in most of the previous reports.<br /> (Copyright 2008 Wiley-Liss, Inc.)
- Subjects :
- Amniotic Fluid diagnostic imaging
Fatal Outcome
Female
Fetal Macrosomia diagnostic imaging
Humans
Infant, Newborn
Kidney diagnostic imaging
Kidney pathology
Polyhydramnios diagnostic imaging
Pregnancy
Syndrome
Ultrasonography, Prenatal
Wilms Tumor pathology
Fetal Macrosomia diagnosis
Genetic Predisposition to Disease
Kidney abnormalities
Polyhydramnios diagnosis
Prenatal Diagnosis
Wilms Tumor genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1552-4833
- Volume :
- 146A
- Issue :
- 19
- Database :
- MEDLINE
- Journal :
- American journal of medical genetics. Part A
- Publication Type :
- Academic Journal
- Accession number :
- 18780370
- Full Text :
- https://doi.org/10.1002/ajmg.a.32391