Case Report

Volume: 3 | Issue: 1 | Published: Apr 26, 2020 | Pages: 41 - 44 | DOI: 10.24911/JBCGenetics/183-1579263463

Two different homozygous mutations in two Turkish siblings: DGUOK and HPS5


Authors: Muhsin Elmas , Umit Can Yildirim , Dilek Cavusoglu , Evrim Gurhan Tahta , Ebru Elmas , Tolga Altug Sen , Aysegul Bukulmez


Article Info

Authors

Muhsin Elmas

Department of Medical Genetics, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Umit Can Yildirim

Department of Medical Genetics, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Dilek Cavusoglu

Pediatrics Department, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Evrim Gurhan Tahta

Pediatrics Department, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Ebru Elmas

Pediatrics Department, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Tolga Altug Sen

Pediatrics Department, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Aysegul Bukulmez

Pediatrics Department, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

Publication History

Received: January 17, 2020

Revised: March 09, 2020

Accepted: April 07, 2020

Published: April 26, 2020


Abstract


Background: Genetic disorders are enormously diverse both in terms of genotype and phenotype. Each case requires a careful and cautious investigation. Case Presentation: In this paper, we report two siblings who were admitted to our clinic with various symptoms. The older one, a 13-year old boy, presented with mental retardation, lack of speech, autistic behavior, and selfmutilation. And the younger one, a 6-month old girl, presented with growth retardation, dysmorphic face, and strabismus. We used next generation sequencing for our definitive diagnoses and followed a path from genotype to phenotype. Conclusion: We found homozygous changes in DGUOK (NM_080916.2 c.566T>G) and HPS5 (NM_181507.1 c.219G>A) genes in the siblings. In the literature review, we did not find any article that investigates two different autosomal recessive disorders in two siblings. On this aspect, we present a different approach.

Keywords: Intellectual disability, genetic heterogeneity, DNA mutational analysis