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Case Report
  |   Neonatal Med_24_4_192_196.pdf
Neonatal Med November;24(4):192-196.
Published online 2017 November 30
Copyright ⓒ 2017 Neonatal Medicine Neonatal Medicine
A Case of Ankyloblepharon-Ectodermal Defect-Cleft Lip and/or Palate (AEC) Syndrome with Missense Mutation in TP63 1657th
Young Sun Kim, Tae Ho Hwang*, Su Jin Park, Hae Jung Lee, Sung Hoon Kim, Chul Hong Kim, Jun Hwa Lee, Ju Suk Lee, and Seoheui Choi*
Department of Pediatrics, Sungkyunkwan University School of Medicine, Samsung Changwon Hospital, Changwon, Korea
Department of Pediatrics*, National Medical Center, Seoul, Korea
Corresponding Author: Seoheui Choi , Tel: +82-2-2260-7306 , Fax: +82-2-2260-7142 , Email: taurus.choi@gmail.com
ABSTRACT
Ankyloblepharon-ectodermal defects-cleft lip and/or palate (AEC) syndrome, also known as Hay-Wells syndrome, is a rare autosomal dominant disorder characterized by congenital ectodermal dysplasia. It is caused by mutations in p63 gene. Six isoforms are generated from the TP63 gene mutation and the main isoform expressed in postnatal skin is Np63a, which functions as a key regulator of epidermal integrity. We have experienced a 1-day-old female baby with skin erosions, ankyloblepharosis, and cleft palate that require treatment for skin care and feeding difficulties. Missense mutation in TP63 1657th T → A transition was found in the genetic test performed in the patient, and this genotype has not been reported in a previously variant. The patient was found dead at 91days of birth and the cause of death was estimated by aspiration.
Keywords: Hay-Wells syndrome, Cleft palate, Ectodermal dysplasia
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