14. ULUSAL TIBBİ GENETİK KONGRESİ “Uluslararası Katılımlı”, Ankara, Türkiye, 20 - 22 Kasım 2020, ss.71
Objective: Distal Spinal Muscular Atrophy is a very rare condition that is
presented with muscle weakness and respiratory failure which typically begins
in infancy. So far more than 60 cases presented in the literature.Case: A year
old male infant with growth retardation came under examination. He had feeding
problems and could not gain weight. He had a weak cry, microcephalia, hypotonia
and scoliosis. A metabolic disease was suspected. His brain MRI revealed no
abnormality and ultrasounds were normal. He had a family history with one
hypotonic sister with suspected SMA disease who died at the first age without
being tested. The parents were consanguineous. Whole exome analysis revealed
c.1896_1912del pathogenic variant at IGHMBP2 gene which was a homozygous
frameshift type. The parents and the first child’s blood were also tested to be
heterozygous and homozygous for the variant, respectively.Conclusion: He was
diagnosed with Spinal Muscular Atrophy, Distal, AR 1. In this case we, again,
draw attention to the importance of WES analysis in unsolved neurologic
cases. Keywords: Hypotonia, SMA