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Characterization of the Beckwith‐Wiedemann spectrum: Diagnosis and management

Authors :
Kathleen H. Wang
Jennifer M. Kalish
Christina X Gonzalez-Gandolfi
Christopher M. Cielo
Matthew A. Deardorff
Arupa Ganguly
Jonida Kupa
Jessica R Griff
Kelly A. Duffy
Jesse A. Taylor
Jennifer L. Cohen
Evan R Hathaway
Source :
Am J Med Genet C Semin Med Genet
Publication Year :
2019
Publisher :
Wiley, 2019.

Abstract

Beckwith-Wiedemann syndrome (BWS) is the most common epigenetic overgrowth and cancer predisposition disorder. Due to both varying molecular defects involving chromosome 11p15 and tissue mosaicism, patients can present with a variety of clinical features, leading to the newly defined Beckwith-Wiedemann spectrum (BWSp). The BWSp can be further divided into three subsets of patients: those presenting with classic features, those presenting with isolated lateralized overgrowth (ILO) and those not fitting into the previous two categories, termed atypical BWSp. Previous reports of patients with BWS have focused on those with the more recognizable, classic features, and limited information is available on those who fit into the atypical and ILO categories. Here, we present the first cohort of patients recruited across the entire BWSp, describe clinical features and molecular diagnostic characteristics, and provide insight into practical diagnosis and management recommendations that we have gained from this cohort.

Details

ISSN :
15524876 and 15524868
Volume :
181
Database :
OpenAIRE
Journal :
American Journal of Medical Genetics Part C: Seminars in Medical Genetics
Accession number :
edsair.doi.dedup.....8928b14043f56244f329a6cbff7e069b
Full Text :
https://doi.org/10.1002/ajmg.c.31740