1. A novelRASA1mutation causing capillary malformation-arteriovenous malformation (CM-AVM) presenting during pregnancy
- Author
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Nicholas W. Morrell, David Jayne, Mark Belham, Nigel Burrows, Charlotte Patient, Helen V. Firth, Hannah J. Durrington, and Edwin R. Chilvers
- Subjects
Adult ,Male ,Cutaneous capillary malformations ,Pathology ,medicine.medical_specialty ,Pregnancy Complications, Cardiovascular ,CAPILLARY MALFORMATION-ARTERIOVENOUS MALFORMATION ,Biology ,Frameshift mutation ,Arteriovenous Malformations ,Pregnancy ,Genetics ,medicine ,Humans ,Frameshift Mutation ,Genetics (clinical) ,RASA1 Gene ,p120 GTPase Activating Protein ,medicine.disease ,Capillaries ,Pedigree ,Shunt (medical) ,Mutation (genetic algorithm) ,Female ,Novel mutation - Abstract
Capillary malformation–arteriovenous malformation (CM–AVM) is a newly recognized clinical entity caused by mutation of the RASA1 gene, which encodes p120-RasGAP. Here we describe, for the first time, a patient with CM–AVM presenting during the late stages of pregnancy with pulmonary “capillary level” microvascular shunt, worsening cutaneous capillary malformations, and gross fluid overload. Sequencing revealed a novel mutation of the RASA1 gene involving a frameshift mutation in the RASGAP domain of RASA1. This report extends our current genetic and clinical understanding of CM–AVM. © 2013 Wiley Periodicals, Inc.
- Published
- 2013
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