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[Prenatal exclusion of von Hippel-Lindau syndrome in a Mexican family carrying a novel VHL gene mutation].
[von hippel-lindau disease]
von
Hippel-
Lindau
(
VHL
)
disease
is
an
autosomal
dominant
and
familial
multisystemic
syndrome
that
is
caused
by
the
inactivation
of
the
VHL
gene
and
it
is
characterized
by
diverse
types
of
high
vasculated
tumours
of
benign
and
malign
nature
.
In
this
work
we
describe
the
clinical
characteristics
and
the
prenatal
diagnosis
of
a
woman
with
VHL
.
Describe
the
first
exclusion
prenatal
case
by
DNA
analysis
of
the
VHL
syndrome
in
Latinoamerican
population
.
Analysis
of
a
Mexican
familial
pedigree
showed
5
affected
subjects
with
VHL
on
3
consecutive
generations
.
The
proband
was
a
7
weeks
pregnancy
woman
who
was
referred
to
our
service
for
familiar
and
personal
history
of
this
disease
.
Maternal
DNA
was
obtained
from
peripheral
blood
leukocytes
,
while
fetal
DNA
was
isolated
from
amniotic
liquid
cells
on
the
15
th
week
.
The
maternal
and
fetal
DNA
analysis
were
done
by
the
Polymerase
Chain
reaction
(
PCR
)
and
the
direct
nucleotide
sequence
of
the
VHL
gene
.
A
novel
mutation
(
c
.
161
_
168
dup
GGAGGCCG
)
in
the
VHL
gene
was
identified
in
maternal
DNA
.
Fetal
DNA
analysis
indicated
that
the
fetus
inherited
the
wild-
type
allele
from
the
mother
.
A
novel
VHL
gene
mutation
was
identified
in
a
familial
case
of
the
disease
,
expanding
the
mutational
spectrum
in
this
disorder
.
The
molecular
prenatal
testing
in
the
affected
woman
at
15
weeks
of
gestation
,
demonstrated
that
the
fetus
did
nor
inherited
the
mutated
allele
.
To
the
best
of
our
knowledge
,
this
is
the
first
example
of
prenatal
-molecular
exclusion
on
VHL
syndrome
in
Latinoamerica
population
.
Diseases
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Diseases presenting
"it is characterized by diverse types of high vasculated tumours of benign and malign nature"
symptom
von hippel-lindau disease
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