PMID- 21990121 OWN - NLM STAT- MEDLINE DCOM- 20120209 LR - 20200930 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 155A IP - 11 DP - 2011 Nov TI - Cleft palate and ADULT phenotype in a patient with a novel TP63 mutation suggests lumping of EEC/LM/ADULT syndromes into a unique entity: ELA syndrome. PG - 2746-9 LID - 10.1002/ajmg.a.34270 [doi] AB - Acro-dermato-ungual-lacrimal-tooth (ADULT) syndrome is a rare condition belonging to the group of ectodermal dysplasias caused by TP63 mutations. Its clinical phenotype is similar to ectrodactyly-ectodermal dysplasia-cleft lip/palate (EEC) and limb-mammary syndrome (LMS), and differs from these disorders mainly by the absence of cleft lip and/or palate. We report on a 39-year-old patient who was found to be heterozygous for a c.401G > T (p.Gly134Val) de novo mutation of TP63. This patient had the ADULT phenotype associated with cleft palate. Our findings, rather than extend the clinical spectrum of ADULT syndrome, suggest that cleft palate can no longer be considered an element for differential diagnosis for ADULT, EEC, and LMS. Our data, added to other reports on overlapping phenotypes, support the combining of these three phenotypes into a unique entity that we propose to call "ELA syndrome," which is an acronym of ectrodactyly-ectodermal dysplasia-cleft lip and palate, limb-mammary, and ADULT syndromes. CI - Copyright (c) 2011 Wiley Periodicals, Inc. FAU - Prontera, Paolo AU - Prontera P AD - Medical Genetics Unit, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy. FAU - Garelli, Emanuela AU - Garelli E FAU - Isidori, Ilenia AU - Isidori I FAU - Mencarelli, Amedea AU - Mencarelli A FAU - Carando, Adriana AU - Carando A FAU - Silengo, Margherita Cirillo AU - Silengo MC FAU - Donti, Emilio AU - Donti E LA - eng PT - Case Reports PT - Journal Article DEP - 20111011 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 0 (TP63 protein, human) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Proteins) RN - Limb-mammary syndrome RN - Propping Zerres syndrome RN - Zlotogora-Ogur syndrome SB - IM MH - Abbreviations as Topic MH - Adult MH - Anodontia/*genetics MH - Breast/abnormalities MH - Cleft Lip/genetics MH - Cleft Palate/*genetics MH - DNA Mutational Analysis MH - Ectodermal Dysplasia/*genetics MH - Genetic Testing MH - Heterozygote MH - Humans MH - Intellectual Disability/genetics MH - Lacrimal Duct Obstruction/*genetics MH - Limb Deformities, Congenital/*genetics MH - Male MH - Mutation MH - Nails, Malformed/*genetics MH - Phenotype MH - Pigmentation Disorders/*genetics MH - Syndactyly/genetics MH - Transcription Factors/*genetics MH - Tumor Suppressor Proteins/*genetics EDAT- 2011/10/13 06:00 MHDA- 2012/02/10 06:00 CRDT- 2011/10/13 06:00 PHST- 2011/03/17 00:00 [received] PHST- 2011/07/25 00:00 [accepted] PHST- 2011/10/13 06:00 [entrez] PHST- 2011/10/13 06:00 [pubmed] PHST- 2012/02/10 06:00 [medline] AID - 10.1002/ajmg.a.34270 [doi] PST - ppublish SO - Am J Med Genet A. 2011 Nov;155A(11):2746-9. doi: 10.1002/ajmg.a.34270. Epub 2011 Oct 11.