Anophthalmia-Waardenburg Syndrome With Expanding Phenotype: Does Neural Crest Play a Role?

We describe a child with bilateral anophthalmia, limb anomalies, skin lesions, cerebral malformations, epilepsy, and mental retardation. This patient, according to eponymous classification, should fit into the Anophthalmia-Waardenburg syndrome, although he also presents cutaneous and cerebral manifestations never reported in this syndrome until now. These clinical findings could be explained by the new classification of brain malformations, which takes into account the role of neural crest in Waardenburg syndrome.

[1]  H. Sarnat,et al.  Embryology of the Neural Crest: Its Inductive Role in the Neurocutaneous Syndromes , 2005, Journal of child neurology.

[2]  J. Graw,et al.  Mutation in intron 6 of the hamster Mitf gene leads to skipping of the subsequent exon and creates a novel animal model for the human Waardenburg syndrome type II. , 2003, Genetics.

[3]  P. C. van de Kerkhof,et al.  Klippel-Trenaunay syndrome and Sturge-Weber syndrome: variations on a theme? , 2003, European journal of dermatology : EJD.

[4]  R. Happle Sturge-Weber-Klippel-Trenaunay syndrome: what's in a name? , 2003, European journal of dermatology : EJD.

[5]  E. Traboulsi,et al.  Bilateral microphthalmia with cyst, facial clefts, and limb anomalies: A new syndrome with features of Waardenburg syndrome, cerebro‐oculo‐nasal syndrome, and craniotelencephalic dysplasia , 2003, American journal of medical genetics. Part A.

[6]  A. Read,et al.  SLUG (SNAI2) deletions in patients with Waardenburg disease. , 2002, Human molecular genetics.

[7]  A. Oner,et al.  Ophthalmo-acromelic syndrome in a Turkish infant: case report. , 2002, East African medical journal.

[8]  N. Semerci,et al.  A case report of prenatally diagnosed ophthalmo‐acromelic syndrome type Waardenburg , 2002, Prenatal diagnosis.

[9]  F. Ozkinay,et al.  Waardenburg anophthalmia syndrome: report and review. , 2000, American journal of medical genetics.

[10]  M. Tekin,et al.  Ophthalmo-acromelic syndrome: report and review. , 2000, American journal of medical genetics.

[11]  M. Rivière,et al.  The rat microphthalmia-associated transcription factor gene (Mitf) maps at 4q34-q41 and is mutated in the mib rats , 1998, Mammalian Genome.

[12]  B. Dallapiccola,et al.  A syndrome with true anophthalmia, hand-foot defects and mental retardation. , 1984, Ophthalmic paediatrics and genetics.

[13]  A. Richieri‐Costa,et al.  Brief clinical report: autosomal recessive anophthalmia with multiple congenital abnormalities--type Waardenburg. , 1983, American journal of medical genetics.

[14]  R. Ellsworth Genetics and Ophthalmology: Volumes I and II. , 1964 .