Hypertension in Potocki-Shaffer syndrome: A case report

Eur J Med Genet. 2020 Jan;63(1):103633. doi: 10.1016/j.ejmg.2019.02.005. Epub 2019 Feb 20.

Abstract

Potocki-Shaffer syndrome (PSS) is a rare contiguous gene deletion syndrome caused by heterozygous deletion of 11p11.2p12. Typical features described in patients with PSS include developmental delay, intellectual disability, multiple cartilaginous exostoses, biparietal foramina, craniofacial abnormalities, and genitourinary anomalies. While hypertension has been noted in three patients with PSS, it has not been described in most patients with this syndrome. This report details the evaluation and treatment of a teenager with PSS who presented on several occasions during childhood with elevated blood pressure measurements. The renin level was elevated, likely indicating a secondary cause for the HTN. The patient's BP responded to monotherapy with Angiotensin Converting Enzyme Inhibitor (ACEI).

Keywords: Chromosome 11 deletion; Contiguous gene deletion syndrome; Exostoses; Hypertension; Potocki-Shaffer syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Chromosome Deletion
  • Chromosome Disorders / blood
  • Chromosome Disorders / complications
  • Chromosome Disorders / genetics*
  • Chromosome Disorders / pathology
  • Chromosomes, Human, Pair 11 / genetics
  • Developmental Disabilities / blood
  • Developmental Disabilities / complications
  • Developmental Disabilities / genetics*
  • Developmental Disabilities / pathology
  • Exostoses / blood
  • Exostoses / complications
  • Exostoses / genetics*
  • Exostoses / pathology
  • Exostoses, Multiple Hereditary / blood
  • Exostoses, Multiple Hereditary / complications
  • Exostoses, Multiple Hereditary / genetics*
  • Exostoses, Multiple Hereditary / pathology
  • Female
  • Heterozygote
  • Humans
  • Hypertension / blood
  • Hypertension / complications
  • Hypertension / genetics*
  • Hypertension / pathology
  • Phenotype
  • Renin / blood
  • Sequence Deletion / genetics

Substances

  • Renin

Supplementary concepts

  • Potocki-Shaffer syndrome