A CASE OF TREACHER COLLINS SYNDROME
Ulusal S1,*, Gürkan H1, Vatansever Ü2, Kürkçü K3, Tozkir H1, Acunaş BA2
*Corresponding Author: Dr. Selma Ulusal, Department of Medical Genetics, Trakya University, Faculty of Medicine, Edirne, Turkey; Tel.: +90-284-235-76-42-2346; Gsm: +90-533-2504116; Fax: +90-284-235-27-30; E-mail: selmaulusal@trakya.edu.tr
page: 77

INTRODUCTION

Treacher Collins syndrome (TCS, OMIM 154500), also known as mandibulofacial dysostosis, is a rare developmental disorder of the craniofacial region and is one of the most severe forms of mandibulofacial dysostosis syndromes [1]. The disease was named after the report of Treacher Collins in 1900 [2] and reviewed in detail by Franceschetti and Klein in 1949 [3]. The estimated incidence is about 1/50,000 live births [1]. Treacher Collins syndrome is transmitted in an autosomal dominant manner, but only 40.0% of cases are familial [1,4]. Mutations of the TCOF1 gene, which is located on 5q32-q33.1, have been found to be responsible for most of the cases. The TCOF1 gene encodes the treacle protein, a serine/alanine rich protein predicted to have an important role in ribosome biogenesis [5]. More than 130 mutations have been reported in the TCOF1 gene. Deletions ranging from 1 to 40 bases are the most common causes of TCS [6]. Clinical manifestations of TCS include downward slanting of palpebral fissures, hypoplasia of the zygomatic complex and the mandible, complete or partial cleft palate, coloboma of the lower eyelids, and atresia of external ear canals with abnormalities of the external ears accompanied by conductive hearing loss [7,8]. The phenotypic variability of the clinical symptoms in TCS is a major obstacle for its diagnosis. Although there is as yet no clear explanation, genotype and phenotype discordance have been reported in some studies [8,9]. Phenotypic expression of the syndrome is so mild in some individuals that they cannot be distinguished physically, while some others experience sudden death after birth due to the respiratory distress [10].



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