rss
J Med Genet 39:586-588 doi:10.1136/jmg.39.8.586
  • Letters to JMG

MECP2 gene nucleotide changes and their pathogenicity in males: proceed with caution

Table 1

Clinical findings in two males with the same MECP2 variation

Clinical data Imessaoudene et al17 (G428S) Our case (G428S)
Occurrence Isolated Isolated
Pregnancy/delivery Normal Normal
Developmental delay + +
Severe mental retardation + +
Acquired microcephaly - +
Seizures - Frequent and resistant to treatment (presented first at age of 12 months)
Neurological findings Restless, uncoordinated movements Periodic breathing, dorsal extension of the hands
Hypotonia, hyperlaxity, mild distal muscular atrophy Neurogenic muscular atrophy
Purposeful hand skills + Never acquired
Loss of skills Retained -
Electroencephalogram Bradyarrhythmia (absence of paroxysmal anomalies) Generalised slow waves
Brain imaging (MRI) Normal Marked brain atrophy
Survival Still alive aged 3 years Died of respiratory failure at 18 months

This Article

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of JMG.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

  • Latest genetics jobs

    Latest genetics jobs