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A case report of Waardenburg syndrome with primary amenorrhea and short stature, and a review of literature
Received date: 2024-11-05
Accepted date: 2025-03-29
Online published: 2025-09-09
This article reports a case of a 17-year-old female patient who presented with absent secondary sexual characteristics and primary amenorrhea. The patient's clinical manifestations included hearing loss, blue irides, and telecanthus, accompanied by short stature, bilateral cubitus valgus, and shield-shaped chest. Laboratory tests indicated hypogonadotropic hypogonadism with partial growth hormone deficiency, and ultrasound revealed a rudimentary uterus. Whole-exome sequencing identified a c.1029dup (p.Thr344Hisfs*58) mutation in the SOX10 gene, confirming the diagnosis of Waardenburg syndrome (WS). Sanger sequencing confirmed that this was a de novo mutation, which has not been reported in public databases. Family investigation showed that the mutation was not detected in peripheral blood samples from the patient's parents. This mutation expands the genetic mutation spectrum and clinical data of WS. In cases of unexplained hearing impairment, abnormal pigmentation, and growth retardation in children, SOX10 gene mutation should be conside-red, and genetic testing should be performed early to establish a diagnosis.
YAO Xin , LI Mengjie , YE Shandong , ZHENG Mao . A case report of Waardenburg syndrome with primary amenorrhea and short stature, and a review of literature[J]. Journal of Diagnostics Concepts & Practice, 2025 , 24(04) : 455 -458 . DOI: 10.16150/j.1671-2870.2025.04.013
| [1] | HUANG S, SONG J, HE C, et al. Genetic insights, di-sease mechanisms,and biological therapeutics for Waardenburg syndrome[J]. Gene Ther, 2022, 29 (9) :479-497. |
| [2] | ROJAS R A, KUTATELADZE A A, PLUMMER L, et al. Phenotypic continuum between Waardenburg syndrome and idiopathic hypogonadotropic hypogonadism in humans with SOX10 variants[J]. Genet Med, 2021; 23(4):629-636. |
| [3] | LI Y, CHEN Y, SUN Y, et al. Waardenburg syndrome type 2 with a de novo variant of the SOX10gene: a case report[J]. BMC Med Genomics, 2024, 17(1):104-111. |
| [4] | 任洁, 闫旭红, 张梦瑶, 等. 瓦登伯格综合征伴性腺功能减退症1例并文献复习[J]. 中国临床案例成果数据库, 2023, 05(01):E02338-E02338. |
| REN J, YAN X H, ZHANG M Y, et al. Vardenberg syndrome with hypogonadism: a case report and literature review[J]. China Clin Case Database, 2023, 5(1):E02338-E02338. | |
| [5] | WANG S Q, CHEN Y, LUO K H, et al. Diagnosis and genetic analysis of a case of Waardenburg syndrome type 2 with hypogonadotropic hypogonadism caused by SOX10 gene deletion[J]. Yi Chuan, 2022, 44(12):1158-1166. |
| [6] | CHEN K, WANG H, LAI Y, et al. Kallmann syndrome due to heterozygous mutation in SOX10 coexisting with Waardenburg syndrome type Ⅱ: case report and review of literature[J]. Front Endocrinol, 2021, 11:592831. |
| [7] | WANG F, ZHAO S, XIE Y, et al. De novo SOX10 Nonsense Mutation in a Patient with Kallmann Syndrome, Deafness, Iris Hypopigmentation, and Hyperthyroidism[J]. Ann Clin Lab Sci, 2018, 48(2):248-252. |
| [8] | IZUMI Y, MUSHA I, SUZUKI E, et al. Hypogonadotropic hypogonadism in a female patient previously diagnosed as having waardenburg syndrome due to a SOX10 mutation[J]. Endocrine, 2015, 49(2):553-556. |
| [9] | SUZUKI E, I IZUMI Y, CHIBA Y, et al. Loss-of-function SOX10 mutation in a patient with Kallmann syndrome, hearing loss, and iris hypopigmentation[J]. Horm Res Paediatr, 2015, 84(3):212-216. |
| [10] | VAARALAHTI K, TOMMISKA J, TILLMANN V, et al. De novo SOX10 nonsense mutation in a patient with Kallmann syndrome and hearing loss[J]. Pediatr Res, 2014, 76(1):115-116. |
| [11] | PARRY D M, SAFYER A W, MULVIHILL J J. Waardenburg-like features with cataracts, small head size, joint abnormalities, hypogonadism, and osteosarcoma[J]. Med Genet, 1978, 15(1):66-69. |
| [12] | KELSH R N. Sorting out SOX10 functions in neural crest development[J]. Bioessays, 2006, 28 (8) :788-798. |
| [13] | PINGAULT V, ZERAD L, BERTANI-TORRES W, et al. SOX10: 20 years of phenotypic plurality and current understanding of its developmental function[J]. J Med Genet, 2022, 59 (2) :105-114. |
| [14] | 王思琪, 陈阳, 罗宽宏, 等. 一例SOX10基因缺失所致的Waardenburg综合征2型合并低促性腺激素性性腺功能减退症的诊断和基因检测分析[J]. 遗传, 2022, 44 (12) :1158-1166. |
| WANG S Q, CHEN Y, LUO K, et al. Diagnosis and gene detection analysis of a case of Waardenburg syndrome type 2 combined with hypogonadotropin hypogonadism caused by SOX10 gene deletion[J]. Heredity, 2022, 44 (12) :1158-1166. | |
| [15] | PINGAULT V, ENTE D, DASTOT-LE MOAL F, et al. Review and update of mutations causing Waardenburg syndrome[J]. Hum Mutat, 2010, 31(4):391-406. |
| [16] | AMATO L G L, MONTENEGRO L R, LERARIO A M, et al. New genetic findings in a large cohort of congenital hypogonadotropic hypogonadism[J]. Eur J Endocrinol, 2019, 181 (2) :103-119. |
| [17] | BOEHM U, BOULOUX P M, DATTANI M T, et al. Expert consensus document: European Consensus Statement on congenital hypogonadotropic hypogonadism--pathogenesis,diagnosis and treatment[J]. Nat Rev Endocrinol, 2015, 11 (9) :547-564. |
| [18] | YOUNG J, XU C, PAPADAKIS G E, et al. Clinical Mana-gement of Congenital Hypogonadotropic Hypogonadism[J]. Endocr Rev, 2019, 40(2):669-710. |
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