Unilateral segmental presentation and a novel EPHB4 gene variant in capillary malformation-arteriovenous malformation type 2

Pediatr Dermatol. 2024 Mar-Apr;41(2):344-345. doi: 10.1111/pde.15493. Epub 2023 Dec 13.

Abstract

Capillary malformation-arteriovenous malformation is a rare autosomal dominant disorder associated with EPHB4 loss-of-function mutations. We report the unique presentation of a 6-year-old girl with multiple capillary malformations in a unilateral segmental distribution affecting the right hemiface, right upper chest, and right arm associated with overgrowth. Targeted next-generation sequencing on a tissue sample revealed a novel heterozygotic variant in the EPHB4 gene (NM_004444.5 (EPHB4): c.715T>A, p.[Cys239Ser]). This case highlights a distinct presentation of CM-AVM type 2 and showcases a new variant in EPHB4 not previously reported in the literature.

Keywords: EphB4; capillary malformation-arteriovenous malformation; capillary malformations.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Malformations* / diagnosis
  • Arteriovenous Malformations* / genetics
  • Capillaries / abnormalities*
  • Child
  • Female
  • Humans
  • Mutation
  • Port-Wine Stain* / genetics
  • p120 GTPase Activating Protein / genetics

Substances

  • p120 GTPase Activating Protein

Supplementary concepts

  • Capillary Malformation-Arteriovenous Malformation