PMID- 32248411 OWN - NLM STAT- MEDLINE DCOM- 20210526 LR - 20210526 IS - 1559-1166 (Electronic) IS - 0895-8696 (Linking) VI - 70 IP - 8 DP - 2020 Aug TI - Overlapping Diseases in a Brazilian Subject with Brain Calcification Linked to Novel Phenotypes. PG - 1255-1256 LID - 10.1007/s12031-020-01534-7 [doi] AB - Primary familial brain calcification (PFBC) is a well-known genetic condition that has recently had a surge of autosomal recessive cases. We recently reported a case of autosomal recessive PFBC on a 54-year-old Brazilian patient with a novel homozygous variant on MYORG. Interestingly, that patient also had a series of uncommon signs and symptoms, including Hashimoto's thyroiditis, polyneuropathy, optic nerve head drusen (ONHD), and persistent anemia. We chose to perform whole exome sequencing (WES) to possibly detect other unknown genetic conditions that could explain the extra-neurological findings reported. WES confirmed the presence of the MYORG variant previously reported by us, and determined the presence of a heterozygous nonsense variant on HBB (c.118C > T, p.Q40*), defining a diagnosis of beta-thalassemia. Based on literature review, the new WES finding explains the persistent anemia and polyneuropathy shown by the patient, while still leaving the ONHD and autoimmune thyroiditis without a clear genetic link. This way, we propose that these novel clinical findings could be linked to MYORG, but still encourage further studies to evaluate this possibility. FAU - Ferreira, Laura D AU - Ferreira LD AUID- ORCID: 0000-0003-3150-8731 AD - Keizo Asami Laboratory, Universidade Federal de Pernambuco, Recife, Brazil. FAU - de Oliveira, Joao Ricardo M AU - de Oliveira JRM AUID- ORCID: 0000-0001-7474-9266 AD - Keizo Asami Laboratory, Universidade Federal de Pernambuco, Recife, Brazil. joao.ricardo@ufpe.br. AD - Neuropsychiatry Department, Universidade Federal de Pernambuco, Av. Professor Moraes Rego, 1235, Cidade Universitaria, Recife, 50670-901, Brazil. joao.ricardo@ufpe.br. LA - eng PT - Comment PT - Journal Article DEP - 20200404 PL - United States TA - J Mol Neurosci JT - Journal of molecular neuroscience : MN JID - 9002991 RN - EC 3.2.1.- (Glycoside Hydrolases) SB - IM CON - Brain. 2019 Sep 1;142(9):e51. PMID: 31332435 MH - Brain MH - *Brain Diseases MH - Brazil MH - Glycoside Hydrolases/genetics MH - Humans MH - Middle Aged MH - Mutation MH - Pedigree MH - Phenotype OTO - NOTNLM OT - Drusen OT - MYORG OT - Primary familial brain calcification OT - Thalassemia OT - Whole exome sequencing EDAT- 2020/04/06 06:00 MHDA- 2021/05/27 06:00 CRDT- 2020/04/06 06:00 PHST- 2020/02/06 00:00 [received] PHST- 2020/03/12 00:00 [accepted] PHST- 2020/04/06 06:00 [pubmed] PHST- 2021/05/27 06:00 [medline] PHST- 2020/04/06 06:00 [entrez] AID - 10.1007/s12031-020-01534-7 [pii] AID - 10.1007/s12031-020-01534-7 [doi] PST - ppublish SO - J Mol Neurosci. 2020 Aug;70(8):1255-1256. doi: 10.1007/s12031-020-01534-7. Epub 2020 Apr 4.