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Leg ulcer in Werner syndrome (adult progeria): a case report.
[werner syndrome]
Werner
syndrome
(
WS
;
MIM
#
277700
)
or
adult
progeria
,
is
a
rare
disease
,
associated
with
mutations
of
a
single
gene
(
RECQL
2
or
WRN
)
,
located
on
chromosome
8
(
8
p
12
)
.
It
codes
a
DNA-helicase
,
whose
defects
cause
genomic
instability
.
The
highest
incidences
are
reported
in
Japan
and
Sardinia
(
Italy
)
.
On
this
major
island
of
the
Mediterranean
Basin
,
the
WS
cases
have
been
observed
in
the
northern
areas
.
The
authors
describe
the
apparently
first
case
reported
in
southern
Sardinia
,
a
51
-
year
-old
woman
,
who
was
born
in
and
resides
in
the
province
of
Cagliari
.
She
presented
with
a
9
-
year
history
of
an
intractable
leg
ulcer
and
other
characteristic
symptoms
,
including
"
bird-like
"
face
,
high-pitched
voice
,
premature
greying
,
short
stature
,
abdominal
obesity
in
contrast
with
thin
body
type
,
scleroderma
-like
legs
,
decreased
muscle
mass
,
diabetes
,
atherosclerosis
,
and
premature
menopause
.
A
specialized
genetic
Institute
of
Research
(
IRCCS-IDI
,
Rome
)
confirmed
the
clinical
diagnosis
.
There
is
no
cure
or
specific
treatment
and
patients
must
be
periodically
screened
for
an
increased
risk
of
cardiovascular
and
cerebrovascular
disease
and
malignancies
.
Among
the
many
findings
,
leg
ulcers
significantly
affect
the
patient
's
quality
of
life
.
This
problem
may
send
the
patient
to
the
dermatologist
,
who
finally
suspects
the
diagnosis
.
Poor
response
to
medical
treatment
may
require
aggressive
repeated
surgery
,
with
poor
or
temporary
results
.
Diseases
Validation
Diseases presenting
"short stature"
symptom
22q11.2 deletion syndrome
achondroplasia
alpha-thalassemia
aromatase deficiency
child syndrome
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
cowden syndrome
dentin dysplasia
dentinogenesis imperfecta
fabry disease
hirschsprung disease
holt-oram syndrome
kabuki syndrome
kallmann syndrome
kindler syndrome
monosomy 21
oculocutaneous albinism
oligodontia
omenn syndrome
proteus syndrome
werner syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated