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A novel missense mutation of FGFR3 in a Chinese female and her fetus with Hypochondroplasia by next-generation sequencing.
[achondroplasia]
Hypochondroplasia
(
HCH
)
is
a
mild
,
autosomal
dominant
human
skeletal
dysplasias
characterized
by
short
extremities
,
short
stature
and
lumbar
lordosis
.
There
are
three
other
kinds
of
dwarfism
(
Pseudoachondroplasia
,
Achondroplasia
and
Thanatophoric
Syndromes
)
with
similar
clinical
features
,
which
makes
it
difficult
to
give
a
precise
diagnosis
.
Molecular
genetic
analysis
of
related
genes
should
be
employed
.
In
this
study
,
we
reported
a
Chinese
family
diagnosed
as
a
type
of
skeletal
dysplasia
based
on
clinical
and
radiologic
findings
.
To
make
an
accurate
diagnosis
quickly
and
economically
,
we
performed
microarray-based
next
-generation
sequencing
(
NGS
)
to
detect
the
variants
in
the
disease-related
genes
(
FGFR
3
and
COMP
)
.
The
mother
presents
short
limbed
stature
,
short
iliac
bones
,
short
femoral
necks
,
short
stubby
tibia
and
mildly
increased
fibular
length
and
genu
varum
.
Her
fetus
demonstrated
abnormally
short
femur
at
23
and
28
week
's
gestation
by
ultrasound
scan
,
and
was
highly
suspected
with
dwarfism
.
Eventually
,
a
novel
missense
mutation
(
c
.
1024
G
>
T
)
in
FGFR
3
was
identified
by
next
-generation
sequencing
.
The
substitution
is
found
in
both
the
mother
and
her
fetus
.
The
mutation
was
further
confirmed
by
Sanger
sequencing
.
T
his
is
the
first
report
of
missense
mutation
identified
in
the
IgIII
domain
of
the
FGFR
3
gene
using
NGS
.
Our
results
extended
the
mutational
spectrum
of
FGFR
3
and
proved
that
applications
of
NGS
and
bioinformatics
are
effective
methods
for
skeletal
dysplasia
diagnosis
in
clinical
practices
.
Diseases
Validation
Diseases presenting
"first report"
symptom
achondroplasia
alexander disease
aniridia
cadasil
canavan disease
child syndrome
cohen syndrome
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
harlequin ichthyosis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
homocystinuria without methylmalonic aciduria
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
krabbe disease
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
pendred syndrome
pleomorphic liposarcoma
primary hyperoxaluria type 1
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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