Mowat-Wilson syndrome: growth charts

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Ivanovski, I
  • Djuric, O
  • Broccoli, S
  • Caraffi, SG
  • Accorsi, P
  • Adam, MP
  • Avela, K
  • Badura-Stronka, M
  • Bayat, A
  • Clayton-Smith, J
  • Cocco, I
  • Cordelli, DM
  • Cuturilo, G
  • Di Pisa, V
  • Garcia, JD
  • Gastaldi, R
  • Giordano, L
  • Guala, A
  • Hoei-Hansen, C
  • Inaba, M
  • Iodice, A
  • Nielsen, JEK
  • Kuburovic, V
  • Lazalde-Medina, B
  • Malbora, B
  • Mizuno, S
  • Moldovan, O
  • Moller, RS
  • Muschke, P
  • Otelli, V
  • Pantaleoni, C
  • Piscopo, C
  • Poch-Olive, ML
  • Prpic, I
  • Raviglione, F
  • Ricci, E
  • Scarano, E
  • Simonte, G
  • Smigiel, R
  • Tanteles, G
  • Tarani, L
  • Trimouille, A
  • Valera, ET
  • Vergano, SS
  • Writzl, K
  • Callewaert, B
  • Savasta, S
  • Street, ME
  • Iughetti, L
  • Bernasconi, S
  • Rossi, PG
  • Garavelli, L

Abstract

Background Mowat-Wilson syndrome (MWS; OMIM #235730) is a genetic condition caused by heterozygous mutations or deletions of theZEB2gene. It is characterized by moderate-severe intellectual disability, epilepsy, Hirschsprung disease and multiple organ malformations of which congenital heart defects and urogenital anomalies are the most frequent ones. To date, a clear description of the physical development of MWS patients does not exist. The aim of this study is to provide up-to-date growth charts specific for infants and children with MWS. Charts for males and females aged from 0 to 16 years were generated using a total of 2865 measurements from 99 MWS patients of different ancestries. All data were collected through extensive collaborations with the Italian MWS association (AIMW) and the MWS Foundation. The GAMLSS package for the R statistical computing software was used to model the growth charts. Height, weight, body mass index (BMI) and head circumference were compared to those from standard international growth charts for healthy children. Results In newborns, weight and length were distributed as in the general population, while head circumference was slightly smaller, with an average below the 30th centile. Up to the age of 7 years, weight and height distribution was shifted to slightly lower values than in the general population; after that, the difference increased further, with 50% of the affected children below the 5th centile of the general population. BMI distribution was similar to that of non-affected children until the age of 7 years, at which point values in MWS children increased with a less steep slope, particularly in males. Microcephaly was sometimes present at birth, but in most cases it developed gradually during infancy; many children had a small head circumference, between the 3rd and the 10th centile, rather than being truly microcephalic (at least 2 SD below the mean). Most patients were of slender build. Conclusions These charts contribute to the understanding of the natural history of MWS and should assist pediatricians and other caregivers in providing optimal care to MWS individuals who show problems related to physical growth. This is the first study on growth in patients with MWS.

Datos de la publicación

ISSN/ISSNe:
1750-1172, 1750-1172

ORPHANET JOURNAL OF RARE DISEASES  BIOMED CENTRAL LTD

Tipo:
Article
Páginas:
151-151
PubMed:
32539836
Factor de Impacto:
1,274 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 7

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Mowat-Wilson syndrome; ZEB2; Growth charts; Weight; Length; Height; Head circumference; Body mass index; BMI

Proyectos y Estudios Clínicos

RED DE SALUD MATERNO INFANTIL Y DEL DESARROLLO

Investigador Principal: MÁXIMO VENTO TORRES

RD12/0026/0012 . INSTITUTO DE SALUD CARLOS III; FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2013

NANNYTEX. SISTEMA DE MONITORIZACIÓN NO INTRUSIVA PARA BEBÉS.

Investigador Principal: Mª ISABEL IZQUIERDO MACIÁN

NANNYTEX

Cita

Compartir