25 November 2020>: Articles
Phenotypic Heterogeneity in 5 Family Members with the Mitochondrial Variant m.3243A>G
Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Josef Finsterer A* , Franco Laccone BDOI: 10.12659/AJCR.927938
Am J Case Rep 2020; 21:e927938
Table 1. Phenotypic manifestations in 13 clinically affected family members. Five of them carried the m.3243A>G variant.
Phenotypic manifestation | III/3 | III/2 | III/1 | II/1 | II/2 | II/3 | I/1 | IV/2 | IV/1 | III/9 | III/8 | IV/6 | IV/5 |
Gender | F | F | M | F | M | F | F | F | F | F | F | F | F |
Age (y), age at death (y) | 60 | 53 | 67 | 80 | 81 | 87 | 91 | 32 | 25 | 32 | 75 | 45 | 35 |
Mutation carrier | Y | Y | Y | Nt | Nt | Nt | Nt | Y | Y | Nt | Nt | Nt | Nt |
Brain | |||||||||||||
Cerebellar atrophy | x | x | x | x | x | ||||||||
Cerebral atrophy | x | ||||||||||||
Dementia | x | ||||||||||||
Epilepsy | x | x | |||||||||||
Eyes | |||||||||||||
Retinal dystrophy | x | ||||||||||||
Macula degeneration | x | x | |||||||||||
Visual impairment | x | x | x | ||||||||||
Ears | |||||||||||||
Hypoacusis | x | x | x | x | x | x | x | x | x | x | x | ||
Vestibular dysfunction | x | x | |||||||||||
Endocrine | |||||||||||||
Short stature | x | ||||||||||||
Prediabetes | x | ||||||||||||
Diabetes | x | x | x | x | |||||||||
Thyroid dysfunction | x | x | |||||||||||
Gestosis | x | x | |||||||||||
Heart | |||||||||||||
hCMP | x | x | x | ||||||||||
Short-PQ | x | x | |||||||||||
LAH | x | ||||||||||||
LGE | x | ||||||||||||
AFLU | x | ||||||||||||
Intestines | |||||||||||||
Hepatopathy | x | ||||||||||||
Kidneys | |||||||||||||
Renal failure | x | ||||||||||||
Muscle | |||||||||||||
Myopathy | x | x | |||||||||||
Nerves | |||||||||||||
Neuropathy | x | ||||||||||||
Others | |||||||||||||
Hyperlipidemia | x | ||||||||||||
Carcinoma | x | ||||||||||||
Aneurysm | x | ||||||||||||
AFLU – atrial flutter; hCMP – hypertrophic cardiomyopathy; LAH – left anterior hemiblock; LGE – late gadolinium enhancement; Nt – not tested; * died at indicated age. |