Entry - #613706 - NOONAN SYNDROME 7; NS7 - OMIM
# 613706

NOONAN SYNDROME 7; NS7


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
7q34 Noonan syndrome 7 613706 AD 3 BRAF 164757
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
GROWTH
Height
- Short stature
Other
- Neonatal growth failure
HEAD & NECK
Head
- Dolichocephaly
Face
- Bitemporal narrowing
- Prominent forehead
Ears
- Low-set ears
- Thick helix
Eyes
- Hypertelorism
Nose
- Flat nasal bridge
Neck
- Short neck
- Webbed neck
CARDIOVASCULAR
Heart
- Congenital heart defects (in some patients)
CHEST
External Features
- Broad chest
Ribs Sternum Clavicles & Scapulae
- Pectus carinatum (in some patients)
- Pectus carinatum
ABDOMEN
Gastrointestinal
- Feeding difficulties
- Poor suck
- Poor swallowing
SKELETAL
Spine
- Scoliosis (in some patients)
Hands
- Small joint hyperextensibility
SKIN, NAILS, & HAIR
Skin
- Hyperpigmented cutaneous lesions (in some patients)
NEUROLOGIC
Central Nervous System
- Cognitive deficits, mild to moderate
- Hypotonia
MOLECULAR BASIS
- Caused by mutation in the murine sarcoma viral (v-raf) oncogene homolog B1 gene (BRAF, 164757.0022)

TEXT

A number sign (#) is used with this entry because this form of Noonan syndrome (NS7) is caused by heterozygous mutation in the BRAF gene (164757).

Cardiofaciocutaneous syndrome (CFCS; 115150) and LEOPARD syndrome-3 (613707) can also be caused by mutation in the BRAF gene, indicating that they are allelic disorders.

For a general phenotypic description and a discussion of genetic heterogeneity of Noonan syndrome, see NS1 (163950).


Description

Noonan syndrome is a developmental disorder characterized by reduced postnatal growth, dysmorphic facial features, cardiac defects, and variable cognitive defects (summary by Sarkozy et al., 2009).


Clinical Features

Sarkozy et al. (2009) reported 5 unrelated patients with Noonan syndrome-7. Common clinical features included poor neonatal growth, variable feeding difficulties, short stature, mild to moderate cognitive defects, skeletal anomalies, and hypotonia. Dysmorphic facial features included dolichocephaly, prominent forehead, hypertelorism, and low-set ears with thickened helices. Two patients had congenital cardiac defects, pulmonary stenosis and atrial septal defect, respectively, and 3 had hyperpigmented cutaneous lesions.


Molecular Genetics

In 5 (1.9%) of 270 patients with a clinical diagnosis of Noonan syndrome, Sarkozy et al. (2009) identified 4 different heterozygous de novo mutations in the BRAF gene (164757.0022, 164757.0023, 164757.0025, and 164757.0026).


REFERENCES

  1. Sarkozy, A., Carta, C., Moretti, S., Zampino, G., Digilio, M. C., Pantaleoni, F., Scioletti, A. P., Esposito, G., Cordeddu, V., Lepri, F., Petrangeli, V., Dentici, M. L., and 15 others. Germline BRAF mutations in Noonan, LEOPARD, and cardiofaciocutaneous syndromes: molecular diversity and associated phenotypic spectrum. Hum. Mutat. 30: 695-702, 2009. [PubMed: 19206169, images, related citations] [Full Text]


Creation Date:
Cassandra L. Kniffin : 1/21/2011
terry : 03/03/2011
terry : 3/2/2011
wwang : 2/7/2011
ckniffin : 1/21/2011

# 613706

NOONAN SYNDROME 7; NS7


ORPHA: 648;   DO: 0060585;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
7q34 Noonan syndrome 7 613706 Autosomal dominant 3 BRAF 164757

TEXT

A number sign (#) is used with this entry because this form of Noonan syndrome (NS7) is caused by heterozygous mutation in the BRAF gene (164757).

Cardiofaciocutaneous syndrome (CFCS; 115150) and LEOPARD syndrome-3 (613707) can also be caused by mutation in the BRAF gene, indicating that they are allelic disorders.

For a general phenotypic description and a discussion of genetic heterogeneity of Noonan syndrome, see NS1 (163950).


Description

Noonan syndrome is a developmental disorder characterized by reduced postnatal growth, dysmorphic facial features, cardiac defects, and variable cognitive defects (summary by Sarkozy et al., 2009).


Clinical Features

Sarkozy et al. (2009) reported 5 unrelated patients with Noonan syndrome-7. Common clinical features included poor neonatal growth, variable feeding difficulties, short stature, mild to moderate cognitive defects, skeletal anomalies, and hypotonia. Dysmorphic facial features included dolichocephaly, prominent forehead, hypertelorism, and low-set ears with thickened helices. Two patients had congenital cardiac defects, pulmonary stenosis and atrial septal defect, respectively, and 3 had hyperpigmented cutaneous lesions.


Molecular Genetics

In 5 (1.9%) of 270 patients with a clinical diagnosis of Noonan syndrome, Sarkozy et al. (2009) identified 4 different heterozygous de novo mutations in the BRAF gene (164757.0022, 164757.0023, 164757.0025, and 164757.0026).


REFERENCES

  1. Sarkozy, A., Carta, C., Moretti, S., Zampino, G., Digilio, M. C., Pantaleoni, F., Scioletti, A. P., Esposito, G., Cordeddu, V., Lepri, F., Petrangeli, V., Dentici, M. L., and 15 others. Germline BRAF mutations in Noonan, LEOPARD, and cardiofaciocutaneous syndromes: molecular diversity and associated phenotypic spectrum. Hum. Mutat. 30: 695-702, 2009. [PubMed: 19206169] [Full Text: https://doi.org/10.1002/humu.20955]


Creation Date:
Cassandra L. Kniffin : 1/21/2011

Edit History:
terry : 03/03/2011
terry : 3/2/2011
wwang : 2/7/2011
ckniffin : 1/21/2011