PMID- 31428446 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2055-8260 (Print) IS - 2055-8260 (Electronic) IS - 2055-8260 (Linking) VI - 5 DP - 2019 TI - A case report of T-box 1 mutation causing phenotypic features of chromosome 22q11.2 deletion syndrome. PG - 13 LID - 10.1186/s40842-019-0087-6 [doi] LID - 13 AB - BACKGROUND: The heterozygous microdeletion of chromosome 22q11.2 results in a spectrum of disorders, including DiGeorge syndrome (DGS) and velocardiofacial syndrome (VCFS), with phenotypic features that can include the classic triad of congenital heart disease (CHD), thymic aplasia and hypoparathyroidism. Such microdeletions are usually detectable by fluorescence in situ hybridization (FISH). CASE PRESENTATION: We report a case of a twenty-three year-old female who presented with clinical features of chromosome 22q11.2 deletion syndrome including cardiac anomalies, hypoparathyroidism and dysmorphic facial features. FISH did not reveal a 22q11.2 microdeletion. Further genetic analysis showed T box-1 (TBX1) heterozygous mutation. CONCLUSIONS: The TBX1 gene plays a significant role in the development of fourth pharyngeal arch structures. Mutations of TBX1, which is found at chromosome 22q11.21 can be responsible for the development of syndromes classically associated with chromosome 22q11.2 deletions. This case emphasizes that the TBX1 gene, among other genes, can be responsible for the developmental anomalies seen in these syndromes. FAU - Haddad, Raad A AU - Haddad RA AD - Division of Metabolism, Endocrinology, and Diabetes (MEND), Department of Internal Medicine, University of Michigan, 24 Frank Lloyd Wright, G-1500, Ann Arbor, MI 48106 USA. ISNI: 0000000086837370. GRID: grid.214458.e FAU - Clines, Gregory A AU - Clines GA AD - Division of Metabolism, Endocrinology, and Diabetes (MEND), Department of Internal Medicine, University of Michigan, 24 Frank Lloyd Wright, G-1500, Ann Arbor, MI 48106 USA. ISNI: 0000000086837370. GRID: grid.214458.e FAU - Wyckoff, Jennifer A AU - Wyckoff JA AD - Division of Metabolism, Endocrinology, and Diabetes (MEND), Department of Internal Medicine, University of Michigan, 24 Frank Lloyd Wright, G-1500, Ann Arbor, MI 48106 USA. ISNI: 0000000086837370. GRID: grid.214458.e LA - eng PT - Case Reports DEP - 20190813 PL - England TA - Clin Diabetes Endocrinol JT - Clinical diabetes and endocrinology JID - 101669619 PMC - PMC6693207 OTO - NOTNLM OT - 22q11.2 deletion OT - DiGeorge syndrome OT - Hypocalcemia OT - Hypoparathyroidism COIS- Competing interestsThe authors declare that they have no competing interests. EDAT- 2019/08/21 06:00 MHDA- 2019/08/21 06:01 PMCR- 2019/08/13 CRDT- 2019/08/21 06:00 PHST- 2019/06/16 00:00 [received] PHST- 2019/07/30 00:00 [accepted] PHST- 2019/08/21 06:00 [entrez] PHST- 2019/08/21 06:00 [pubmed] PHST- 2019/08/21 06:01 [medline] PHST- 2019/08/13 00:00 [pmc-release] AID - 87 [pii] AID - 10.1186/s40842-019-0087-6 [doi] PST - epublish SO - Clin Diabetes Endocrinol. 2019 Aug 13;5:13. doi: 10.1186/s40842-019-0087-6. eCollection 2019.