Delayed Diagnosis of McCune–Albright Syndrome

Background. McCune–Albright syndrome (MAS) is a rare heterogeneous genetic disorder that is characterized by a triad of polyostotic fibrous dysplasia (FD), café au lait spots (CAL), and multiple hyperfunctional endocrinopathies. In general, it is diagnosed clinically. From the triads, two of the fin...

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Main Authors: Bereket Fantahun, Seblewongel Desta
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2021/2999349
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author Bereket Fantahun
Seblewongel Desta
author_facet Bereket Fantahun
Seblewongel Desta
author_sort Bereket Fantahun
collection DOAJ
description Background. McCune–Albright syndrome (MAS) is a rare heterogeneous genetic disorder that is characterized by a triad of polyostotic fibrous dysplasia (FD), café au lait spots (CAL), and multiple hyperfunctional endocrinopathies. In general, it is diagnosed clinically. From the triads, two of the findings are enough to make the diagnosis, but genetic testing can be done if it is available. Case Presentation. We report a female child who was symptomatic since the neonatal period with skin hyperpigmentation, breast enlargement, and vaginal bleeding. She was diagnosed with MAS at the age of five years. She had pathological fractures at multiple sites and had raised thyroid hormones since the age of 3½ years. The child developed severe morbidity as the result of delayed diagnosis and currently became wheelchair dependent. Conclusion. Thorough patient evaluation and appropriate interpretation of findings are crucial steps for timely diagnosis of MAS and better patient care outcomes.
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spelling doaj-art-9a0022b88ff0427b9b7ed18d8ac701c42025-02-03T07:24:13ZengWileyCase Reports in Genetics2090-65522021-01-01202110.1155/2021/2999349Delayed Diagnosis of McCune–Albright SyndromeBereket Fantahun0Seblewongel Desta1Department of Pediatrics and Child HealthDepartment of Pediatrics and Child HealthBackground. McCune–Albright syndrome (MAS) is a rare heterogeneous genetic disorder that is characterized by a triad of polyostotic fibrous dysplasia (FD), café au lait spots (CAL), and multiple hyperfunctional endocrinopathies. In general, it is diagnosed clinically. From the triads, two of the findings are enough to make the diagnosis, but genetic testing can be done if it is available. Case Presentation. We report a female child who was symptomatic since the neonatal period with skin hyperpigmentation, breast enlargement, and vaginal bleeding. She was diagnosed with MAS at the age of five years. She had pathological fractures at multiple sites and had raised thyroid hormones since the age of 3½ years. The child developed severe morbidity as the result of delayed diagnosis and currently became wheelchair dependent. Conclusion. Thorough patient evaluation and appropriate interpretation of findings are crucial steps for timely diagnosis of MAS and better patient care outcomes.http://dx.doi.org/10.1155/2021/2999349
spellingShingle Bereket Fantahun
Seblewongel Desta
Delayed Diagnosis of McCune–Albright Syndrome
Case Reports in Genetics
title Delayed Diagnosis of McCune–Albright Syndrome
title_full Delayed Diagnosis of McCune–Albright Syndrome
title_fullStr Delayed Diagnosis of McCune–Albright Syndrome
title_full_unstemmed Delayed Diagnosis of McCune–Albright Syndrome
title_short Delayed Diagnosis of McCune–Albright Syndrome
title_sort delayed diagnosis of mccune albright syndrome
url http://dx.doi.org/10.1155/2021/2999349
work_keys_str_mv AT bereketfantahun delayeddiagnosisofmccunealbrightsyndrome
AT seblewongeldesta delayeddiagnosisofmccunealbrightsyndrome