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Deftereou TE, Karapepera VR, Alexiadi CA, Tologkos S, Papadatou V, Alexiadis G, Karamanidis D, Maria L. A Case of Fibular Aplasia-Tibial Campomelia-Oligosyndactyly (FATCO) Syndrome Associated With Split Hand/Foot Syndrome With Long Bone Deficiency (SHFLD) and Review of the Literature. Cureus 2024; 16:e65162. [PMID: 39176338 PMCID: PMC11339580 DOI: 10.7759/cureus.65162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2024] [Indexed: 08/24/2024] Open
Abstract
Split hand/foot malformation is a heterogeneous congenital disorder mainly presented with a median cleft of hands or/and feet. It can be associated with long bone aplasia, a syndrome also known as split hand/foot syndrome with long bone deficiency (SHFLD), which is a very rare condition. We report a very rare case of a male fetus with SHFLD syndrome combined with fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome. FATCO syndrome is also an extremely infrequent congenital limb defect by itself. Based on our review of the literature, there appears to be no other FATCO case reported in Greece.
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Affiliation(s)
| | - Vaya R Karapepera
- ENT Clinic, General Hospital of Ioannina "G. Hatzikosta", Ioannnina, GRC
| | | | - Stylianos Tologkos
- Laboratory of Histology-Embryology, Democritus University of Thrace, Alexandroupolis, GRC
| | - Vasiliki Papadatou
- Laboratory of Histology-Embryology, Democritus University of Thrace, Alexandroupolis, GRC
| | - Georgios Alexiadis
- Department of Radiology, Private Radiodiagnostic Center, Alexandroupolis, GRC
| | - Dimitrios Karamanidis
- Department of Obstetrics and Gynecology, University General Hospital of Alexandroupolis, Alexandroupolis, GRC
| | - Lambropoulou Maria
- Laboratory of Histology-Embryology, Democritus University of Thrace, Alexandroupolis, GRC
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Syed OA, Tsang B, Petranker R, Gerlai R. A perspective on psychedelic teratogenicity: the utility of zebrafish models. Trends Pharmacol Sci 2023; 44:664-673. [PMID: 37659901 DOI: 10.1016/j.tips.2023.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/03/2023] [Accepted: 08/07/2023] [Indexed: 09/04/2023]
Abstract
Psychedelic drugs have experienced an unprecedented surge in recreational use within the past few years. Among recreational users, the risks of psychedelic use by pregnant and breastfeeding women are severely understudied and there is little information on the potential teratogenic effects of these drugs. We provide an overview of the previous data on psychedelic teratogenicity from rodent studies and human surveys, discuss their limitations, and propose the utility of the zebrafish as a potential effective model for investigating psychedelic teratogenicity. Recent years have validated the use of zebrafish in the study of fetal exposure and developmental biology; we highlight these properties of the zebrafish for its suitability in psychedelic toxicity research.
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Affiliation(s)
- Omer A Syed
- Department of Biology, University of Toronto Mississauga, Ontario, Canada.
| | - Benjamin Tsang
- Department of Cell & Systems Biology, University of Toronto, Ontario, Canada.
| | - Rotem Petranker
- Department of Psychology, Neuroscience, and Behaviour, McMaster University, McMaster University, Ontario, Canada
| | - Robert Gerlai
- Department of Cell & Systems Biology, University of Toronto, Ontario, Canada; Department of Psychology, University of Toronto Mississauga, Ontario, Canada.
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Sifre-Ruiz A, Sagasta A, Santos E, Perez de Nanclares G, Heath KE. New pathogenic variant in DLX5: New clues for a clinical spectrum from split-hand-foot malformation to fibular aplasia, tibial campomelia and oligosyndactyly. Front Genet 2023; 14:1165780. [PMID: 37124614 PMCID: PMC10133553 DOI: 10.3389/fgene.2023.1165780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 04/05/2023] [Indexed: 05/02/2023] Open
Abstract
Introduction: FATCO (Fibular Aplasia, Tibial Campomelia and Oligosyndactyly) is a very infrequent skeletal dysplasia classified within the limb hypoplasia-reduction defects group whose genetic cause has not yet been identified. The advent of next-generation sequencing is enabling the diagnosis of diseases with no previously known genetic cause. Methods: We performed a thorough autopsy on a fetus whose pregnancy was legally terminated due to severe malformations detected by ultrasound. A trio exome was run to identify the genetic cause and risk of recurrence. Previous literature of similar cases was systematically searched. Results: Anatomopathological analyses revealed complete fibular aplasia, shortened and campomelic tibia, absent ankle joint, club right foot and a split foot malformation, leading to the diagnosis of FATCO. Exome sequencing showed that the female fetus carried a de novo nonsense variant in DLX5. The literature search permitted the collection of information on 43 patients with FATCO, the majority of whom were males diagnosed postnatally. In most cases, lower limbs were affected exclusively, but in 39.5% of cases the upper limbs were also affected. Conclusion: The pathologies associated with DLX5 variants encompass a wide spectrum of manifestations ranging from abnormalities exclusively in the hands and feet to long bones such as the tibia and fibula.
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Affiliation(s)
- Anna Sifre-Ruiz
- Pathology Service, Bioaraba Research Health Institute, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Amaia Sagasta
- Pathology Service, Bioaraba Research Health Institute, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Erika Santos
- Radiodiagnostic Service, Araba University Hospital, Vitoria-Gasteiz, Spain
| | - Guiomar Perez de Nanclares
- Rare Diseases Research Group, Molecular (Epi)Genetics Laboratory, Bioaraba Research Health Institute, Araba University Hospital-Txagorritxu, Vitoria-Gasteiz, Araba, Spain
| | - Karen E. Heath
- Institute of Medical and Molecular Genetics (INGEMM), IdiPAZ, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
- Skeletal Dysplasia Multidisciplinary Unit (UMDE), ERN-BOND, Hospital Universitario La Paz, Madrid, Spain
- CIBERER, ISCIII, Madrid, Spain
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Matalon DR, Bhoj EJ, Li D, McDougall C, Schindewolf E, Khalek N, Wilkens A, McManus M, Deardorff MA, Zackai EH. Genomic sequencing in a cohort of individuals with fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome. Am J Med Genet A 2023; 191:977-982. [PMID: 36610046 DOI: 10.1002/ajmg.a.63105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 11/19/2022] [Accepted: 12/16/2022] [Indexed: 01/09/2023]
Abstract
Fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome (MIM 246570) is a rare disorder characterized by specific skeletal findings (fibular aplasia, shortened or bowed tibia, and oligosyndactyly of the foot and/or hand). Typically, no other anomalies, craniofacial dysmorphism, or developmental delays are associated. Here we report three unrelated individuals with limb anomalies consistent with FATCO syndrome who have been followed clinically for 5 years. Genetic testing of previously reported individuals with FATCO syndrome has not revealed a genetic diagnosis. However, no broader sequencing approaches have been reported. We describe the results of the three individuals with FATCO syndrome from exome and genome sequencing, all of which was nondiagnostic. Our study suggests that FATCO syndrome is not the result of a simple monogenic etiology.
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Affiliation(s)
- Dena R Matalon
- Division of Medical Genetics, Stanford University, Stanford, California, USA
| | - Elizabeth J Bhoj
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Dong Li
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Carey McDougall
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Erica Schindewolf
- Center for Fetal Diagnosis and Therapy, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Nahla Khalek
- Center for Fetal Diagnosis and Therapy, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Alisha Wilkens
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Morgan McManus
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Matthew A Deardorff
- Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Elaine H Zackai
- Division of Human Genetics and Molecular Biology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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Marinho M, Nunes S, Lourenço C, Melo M, Godinho C, Nogueira R. Prenatal diagnosis of fibular aplasia-tibial campomelia-oligosyndactyly syndrome: Two case reports and review of the literature. JOURNAL OF CLINICAL ULTRASOUND : JCU 2021; 49:625-629. [PMID: 33330974 DOI: 10.1002/jcu.22969] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 11/05/2020] [Accepted: 12/08/2020] [Indexed: 06/12/2023]
Abstract
Fibular aplasia-tibial campomelia-oligosyndactyly also known as FATCO syndrome is a rare condition characterized by fibular aplasia, shortening and anterior bowing of the lower limb at the tibia with overlying soft tissue dimpling and oligosyndactyly. Its etiology is currently unknown, but there is a male predominance. There are less than 30 cases reported in the literature but only three with prenatal diagnosis. We report two cases of FATCO syndrome with prenatal lower limb malformation diagnosis. Identification of the ultrasound findings of this condition in the prenatal stages allows an adequate parental counselling regarding the clinical features, prognosis, and potential treatments.
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Affiliation(s)
- Márcia Marinho
- Department of Obstetrics and Gynecology, Centro Hospitalar Vila Nova de Gaia, Porto, Portugal
| | - Sara Nunes
- Department of Obstetrics and Gynecology, Centro Hospitalar de Vila Real e Trás-os- Montes e Alto Douro, Vila Real, Portugal
| | - Cátia Lourenço
- Department of Obstetrics and Gynecology, Centro Hospitalar Vila Nova de Gaia, Porto, Portugal
| | - Mónica Melo
- Department of Obstetrics and Gynecology, Centro Hospitalar Vila Nova de Gaia, Porto, Portugal
| | - Cristina Godinho
- Department of Obstetrics and Gynecology, Centro Hospitalar Vila Nova de Gaia, Porto, Portugal
| | - Rosete Nogueira
- Pathology Laboratory of CGC Genetics/Centro de Genética Clínica, Porto, Portugal
- Medical School, University of Minho, and ICVS/3B's-PT Government Associate Laboratory, Guimarães, Portugal
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Prenatal differential diagnosis of fibular agenesis, tibial campomelia and oligosyndactyly. Clin Dysmorphol 2021; 30:147-149. [PMID: 33605603 DOI: 10.1097/mcd.0000000000000366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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7
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The first report of fibular agenesis, tibial campomelia, and oligosyndactyly syndrome with hydrocephaly. Clin Dysmorphol 2019; 28:38-40. [DOI: 10.1097/mcd.0000000000000247] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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8
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Önder Yılmaz H, Topak D, Yılmaz O, Çakmaklı S. A Turkish Female Twin Sister Patient with Fibular Aplasia, Congenital Tibia Pseudoarthrosis, Oligosyndactyly, and Negative WNT7A Gene Mutation. J Pediatr Genet 2018; 8:95-99. [PMID: 31061754 DOI: 10.1055/s-0038-1675837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 10/11/2018] [Indexed: 10/27/2022]
Abstract
We report a rare limb defect named as fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome in a female monozygotic twin with a normal twin sister, presented with anterior tibia pseudarthrosis, oligosyndactyly, and pes equinovarus. Radiographic examination displayed the absence of left fibulae, anterolateral pseudarthrosis of left tibia, and the absence of some metatarsus and phalangeal bones. Our case report is the first to report that only one of the identical twins was affected by FATCO syndrome, which is a significant finding because the pathogenicity of FATCO syndrome is yet to be identified, and this clinical case may provide a new insight for discovering the etiology of FATCO syndrome.
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Affiliation(s)
- Hale Önder Yılmaz
- Department of Medical Genetics, Kahramanmaraş Necip Fazıl City Hospital, Merkez, Turkey
| | - Duran Topak
- Department of Orthopedics and Traumatology, Kahramanmaraş Sütçü İmam University, Merkez, Turkey
| | - Orkun Yılmaz
- Department of Orthopedics and Traumatology, Kahramanmaraş Necip Fazıl City Hospital, Merkez, Turkey
| | - Seda Çakmaklı
- Department of Medical Genetics, Kahramanmaraş Necip Fazıl City Hospital, Merkez, Turkey
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Abdalla EM, El-Beheiry AA. Overlap between Fibular Aplasia, Tibial Campomelia, and Oligosyndactyly and Fuhrmann's Syndromes in an Egyptian Female Infant. J Pediatr Genet 2017; 6:118-121. [PMID: 28497002 DOI: 10.1055/s-0036-1597931] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 11/30/2016] [Indexed: 10/20/2022]
Abstract
We report a rare congenital limb defect with combined features of both fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) and Fuhrmann's syndromes. A female newborn infant, born to nonconsanguineous Egyptian parents, presented with isolated abnormalities of the lower limbs comprising bilateral shortening and anterior bowing of the lower limbs at the distal third of the tibia and split foot. Radiographic examination revealed complete absence of both fibulae, anterolateral bowing and shortening of the tibia, bowing of the femora, and absence of several metatarsal and phalangeal bones. The upper limbs were clinically and radiologically normal, and the infant had neither facial dysmorphism nor other associated visceral anomalies. The presented case highlights an extremely rare limb deficiency syndrome, and together with additional case reports, it could be useful to further delineate this condition.
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Affiliation(s)
- Ebtesam M Abdalla
- Department of Medical Genetics, King Abdulaziz University, Jeddah, Saudi Arabia.,Department of Human Genetics, Medical Research Institute, Alexandria University, Egypt
| | - Ahmed A El-Beheiry
- Department of Diagnostic Radiology, Faculty of Medicine, Alexandria University, Egypt
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A Female Newborn Infant with FATCO Syndrome Variant (Fibular Hypoplasia, Tibial Campomelia, Oligosyndactyly) - A Case Report. J Belg Soc Radiol 2016; 100:41. [PMID: 30151452 PMCID: PMC6100663 DOI: 10.5334/jbr-btr.929] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Congenital limb deficiencies are common birth defects occurring in 1 in 2000 neonates, characterized by the aplasia or hypoplasia of bones of the limbs. Fibular hemimelia is a rare congenital deficiency or absence of the fibula. The disease spectrum ranges from mild fibular hypoplasia to fibular aplasia. Fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO syndrome) are purely descriptive terms for a syndrome of unknown genetic basis and inheritance. We report on a newborn female with malformations consisting of fibular hypoplasia, tibial campomelia, and oligosyndactyly, a second FATCO variant case. We also review previously reported cases. Given the paucity of reports on this rare syndrome and the lack of a standardized treatment approach, it is important that each case of FATCO syndrome is reported.
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Goyal N, Kaur R, Gupta M, Bhatty S, Paul R. FATCO Syndrome Variant - Fibular Hypoplasia, Tibial Campomelia and Oligosyndactyly -- A Case Report. J Clin Diagn Res 2014; 8:LD01-2. [PMID: 25386471 DOI: 10.7860/jcdr/2014/9275.4787] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Accepted: 05/18/2014] [Indexed: 11/24/2022]
Abstract
The word aplasia/hypoplasia is used for partial or total absence of a bone. Fibula, a lower limb bone is one of the most common to be involved with this and its incidence is amongst the highest in long bone deficiencies. FATCO syndrome consisting of fibular aplasia, tibial campomelia and oligosyndactyly has been described in the literature but only one has been reported from India as per our literature review. However, it is important to know multiple regional involvement can occur along with this syndrome and prove to be a major difficulty for the child and the parents both. Due to the rarity of reports on this rare syndrome and difficulty in treatment it is important that each such case should be described to make the management easier.
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Affiliation(s)
- Navendu Goyal
- Consultant, Department of Orthopaedics, Surgeon, SGHS Hospital , Sohana, Mohali, Punjab, India
| | - Randeep Kaur
- Senior Resident, Department of Anesthesia, PGIMER , Chandigarh, India
| | - Manu Gupta
- Consultant, Department of Anesthesia, Surgeon, Panchkula, Haryana, India
| | - Shiraz Bhatty
- Associate Professor, Department of Anesthesia, GGMCH , Faridkot, Punjab, India
| | - Rajesh Paul
- Professor and Head, Department of Anesthesia, GGMCH , Faridkot, Punjab, India
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Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome. EGYPTIAN JOURNAL OF MEDICAL HUMAN GENETICS 2014. [DOI: 10.1016/j.ejmhg.2014.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Abstract
The arterial patterns of the lower extremities of three patients with congenital absence fibulae (hemimelia) were evaluated to determine whether the relationship existed between the absence of peroneal artery and hemimelia. Computerized tomograph angiography revealed the absence of peroneal artery in all the patients with dysplastic limbs and absent fibula.
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Bieganski T, Jamsheer A, Sowinska A, Baranska D, Niedzielski K, Kozlowski K, Czarny-Ratajczak M. Three new patients with FATCO: Fibular agenesis with ectrodactyly. Am J Med Genet A 2012; 158A:1542-50. [DOI: 10.1002/ajmg.a.35369] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2011] [Accepted: 02/05/2012] [Indexed: 11/08/2022]
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Ekbote AV, Danda S. A case report of fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome associated with Klinefelter syndrome and review of the literature. Foot Ankle Spec 2012; 5:37-40. [PMID: 21965580 DOI: 10.1177/1938640011422594] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
UNLABELLED Limb development is a complex regulated development phenomenon involving multiple genes. Fibular Aplasia, Tibial Campomelia and Oligosyndactyly (FATCO) syndrome (MIM#246570) is a syndrome of unknown genetic basis and inheritance with variable expressivity and penetrance. Its counterpart, Fuhrmann syndrome or Femoral-Fibularaplasia-Campomelia and Oligosyndactyly are a result of defect in the WNT7a gene located on the 3p25. Former is proposed to be a development dysplasia of defective dorso-ventral polarity assignment and distal limb development. Ectrodactyly and fibular a/hypoplasia (EFA, MIM# 113310) share the full phenotypic spectrum of FATCO syndrome, whether they are allelic disorders or represent two variable presentations in the spectrum of the same disorder is not an established fact. We report here one Indian patient with findings of FATCO syndrome with associated Klinefelter syndrome. This is the first such report which is likely to be a co-incidental finding and has implications for genetic counseling. LEVELS OF EVIDENCE Therapeutic, Level IV.
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Affiliation(s)
- Alka V Ekbote
- Christian Medical College, Vellore, Tamilnadu, India.
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Aouni S, Bigot J, Petit S, Dieux-Coeslier A, Herbaux B, Gabor F, Cagneaux M, Boutry N. [Prenatal helical CT diagnosis of severe fibular hemimelia]. JOURNAL DE RADIOLOGIE 2011; 92:431-436. [PMID: 21621110 DOI: 10.1016/j.jradio.2011.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2010] [Revised: 06/05/2010] [Accepted: 03/03/2011] [Indexed: 05/30/2023]
Affiliation(s)
- S Aouni
- Service de radiopédiatrie, hôpital Jeanne-de-Flandre, CHU de Lille, université de Lille 2, avenue Oscar-Lambret, Lille cedex, France.
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FATCO syndrome - fibular aplasia, tibial campomelia and oligosyndactyly. Joint Bone Spine 2011; 78:217-8. [DOI: 10.1016/j.jbspin.2010.08.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2010] [Accepted: 08/24/2010] [Indexed: 11/18/2022]
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Kumar D, Krishnamurthy S. A rare association of congenital absence of femur and fibular hemimelia with maternal hyperpyrexia. Indian J Pediatr 2009; 76:1178-9. [PMID: 20072863 DOI: 10.1007/s12098-009-0273-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kitaoka T, Namba N, Kim JY, Kubota T, Miura K, Miyoshi Y, Hirai H, Kogo M, Ozono K. A Japanese male patient with 'fibular aplasia, tibial campomelia and oligodactyly': an additional case report. Clin Pediatr Endocrinol 2009; 18:81-6. [PMID: 23926365 PMCID: PMC3687608 DOI: 10.1297/cpe.18.81] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2008] [Accepted: 03/16/2009] [Indexed: 11/04/2022] Open
Abstract
We report a male infant with FATCO syndrome, an acronym for fibular aplasia, tibial campomelia, and oligosyndactyly. Courtens et al. reported an infant with oligosyndactyly of the left hand, complete absence of the right fibula, bowing of the right tibia, and absence of the right fifth metatarsal and phalanges. They noted 5 patients with similar clinical features, and proposed the FATCO syndrome. Our patient had a left-sided cleft lip, cleft palate, oligosyndactyly of the right hand and bilateral feet, and bilateral anterior bowing of the limbs associated with overlying skin dimpling. Radiographs showed a short angulated tibia with left fibular aplasia and right fibular hypoplasia. We consider our case the 6th patient with FATCO syndrome, and the cleft lip and palate, not reported in the previous 5 patients, may allow us to further understand the development of the extremities and facies.
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Affiliation(s)
- Taichi Kitaoka
- Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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Subhani M, Akangire G, Kulkarni A, Wilson GN. Al-Awadi/Raas-Rothschild/Schinzel (AARRS) phocomelia syndrome: Case report and developmental field analysis. Am J Med Genet A 2009; 149A:1494-8. [DOI: 10.1002/ajmg.a.32890] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Courtens W, Vanhoenacker F. Response to "Letter: Fibular aplasia, tibial campomelia and oligosyndactyly" by Evans and Elliott. Am J Med Genet A 2006; 140:1353. [PMID: 16652359 DOI: 10.1002/ajmg.a.31240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Evans JA, Elliott AM. Letter re: fibula aplasia, tibial campomelia, and oligodactyly. Am J Med Genet A 2006; 140:1127. [PMID: 16619205 DOI: 10.1002/ajmg.a.31228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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