Session # 399

Microcephaly and Tracheoesophageal Fistula in a newborn with PNKP mutation

• Biallelic loss of function variants in PNKP can cause a disorder that is challenging to diagnose due to non-specific features such as developmental delay, microcephaly, and seizures.
• We present the first report of a patient with a homozygous loss of function variant in PNKP identified via diagnostic exome sequencing (DES) who also presented with birth defects in the VACTERL spectrum including distal type 3 tracheoesophageal fistula. The patient underwent uncomplicated surgical repair for this defect during the 1st week of life.
• Early diagnosis via DES helps understand prognosis, provide appropriate interventions, and inform future family planning for parents.

• Authors: Margo Sheck; Samin Sajan; Sha Tang; Lakshmi Mehta
• Collaborators: Icahn School of Medicine at Mount Sinai
• Conference: American College of Medical Genetics and Genomics (ACMG)
• Date: Thursday, Apr 12, 2018 10:00am - 11:30am