Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia

Hyperphosphatasia with mental disorder (HPMRS) is a rare autosomal recessive disease caused by gene mutations in enzymes involved in the synthesis and remodeling of lipids. Seven-month-old boy diagnosed with bilateral glaucoma had a cleft palate, facial dysmorphism, hypertelorism, a broad nasal brid...

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Main Authors: Osama Obaid, Reem Batawi, Heba Alqurashi, Thana Ewis, Ahmad A. Obaid
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2024/3561555
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author Osama Obaid
Reem Batawi
Heba Alqurashi
Thana Ewis
Ahmad A. Obaid
author_facet Osama Obaid
Reem Batawi
Heba Alqurashi
Thana Ewis
Ahmad A. Obaid
author_sort Osama Obaid
collection DOAJ
description Hyperphosphatasia with mental disorder (HPMRS) is a rare autosomal recessive disease caused by gene mutations in enzymes involved in the synthesis and remodeling of lipids. Seven-month-old boy diagnosed with bilateral glaucoma had a cleft palate, facial dysmorphism, hypertelorism, a broad nasal bridge, and large fleshy earlobes. A brain MRI scan also revealed brain abnormalities. The observed phenotype in a seven-month-old boy is in agreement with the phenotypic features of HPRMS type-4. Whole exome sequencing revealed a possible pathogenic variant of PGAP3 in a homozygous state (c.320C > T, p.Ser107Leu) which supported the diagnosis of HPRMS type-4. We report an unusual presentation for HPMRS and suggest adding this syndrome to the list of differential diagnoses of syndromic congenital glaucoma.
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institution Kabale University
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series Case Reports in Genetics
spelling doaj-art-257754f6fcf94614a2335cb8af688af72025-02-03T01:29:50ZengWileyCase Reports in Genetics2090-65522024-01-01202410.1155/2024/3561555Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated HyperphosphatasiaOsama Obaid0Reem Batawi1Heba Alqurashi2Thana Ewis3Ahmad A. Obaid4Department of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of RadiologyDepartment of Laboratory MedicineHyperphosphatasia with mental disorder (HPMRS) is a rare autosomal recessive disease caused by gene mutations in enzymes involved in the synthesis and remodeling of lipids. Seven-month-old boy diagnosed with bilateral glaucoma had a cleft palate, facial dysmorphism, hypertelorism, a broad nasal bridge, and large fleshy earlobes. A brain MRI scan also revealed brain abnormalities. The observed phenotype in a seven-month-old boy is in agreement with the phenotypic features of HPRMS type-4. Whole exome sequencing revealed a possible pathogenic variant of PGAP3 in a homozygous state (c.320C > T, p.Ser107Leu) which supported the diagnosis of HPRMS type-4. We report an unusual presentation for HPMRS and suggest adding this syndrome to the list of differential diagnoses of syndromic congenital glaucoma.http://dx.doi.org/10.1155/2024/3561555
spellingShingle Osama Obaid
Reem Batawi
Heba Alqurashi
Thana Ewis
Ahmad A. Obaid
Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
Case Reports in Genetics
title Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
title_full Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
title_fullStr Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
title_full_unstemmed Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
title_short Bilateral Glaucoma as Possible Additional Feature for PGAP3-Associated Hyperphosphatasia
title_sort bilateral glaucoma as possible additional feature for pgap3 associated hyperphosphatasia
url http://dx.doi.org/10.1155/2024/3561555
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AT hebaalqurashi bilateralglaucomaaspossibleadditionalfeatureforpgap3associatedhyperphosphatasia
AT thanaewis bilateralglaucomaaspossibleadditionalfeatureforpgap3associatedhyperphosphatasia
AT ahmadaobaid bilateralglaucomaaspossibleadditionalfeatureforpgap3associatedhyperphosphatasia