PT - JOURNAL ARTICLE AU - J J Jonsson AU - A Renieri AU - P G Gallagher AU - C E Kashtan AU - E M Cherniske AU - M Bruttini AU - M Piccini AU - F Vitelli AU - A Ballabio AU - B R Pober TI - Alport syndrome, mental retardation, midface hypoplasia, and elliptocytosis: a new X linked contiguous gene deletion syndrome? AID - 10.1136/jmg.35.4.273 DP - 1998 Apr 01 TA - Journal of Medical Genetics PG - 273--278 VI - 35 IP - 4 4099 - http://jmg.bmj.com/content/35/4/273.short 4100 - http://jmg.bmj.com/content/35/4/273.full SO - J Med Genet1998 Apr 01; 35 AB - We describe a family with four members, a mother, two sons, and a daughter, who show clinical features consistent with X linked Alport syndrome. The two males presented with additional features including mental retardation, dysmorphic facies with marked midface hypoplasia, and elliptocytosis. The elliptocytosis was not associated with any detectable abnormalities in red cell membrane proteins; red cell membrane stability and rigidity was normal on ektacytometry. Molecular characterisation suggests a submicroscopic X chromosome deletion encompassing the entire COL4A5 gene. We propose that the additional abnormalities found in the affected males of this family are attributable to deletion or disruption of X linked recessive genes adjacent to the COL4A5 gene and that this constellation of findings may represent a new X linked contiguous gene deletion syndrome.