A child with a novel ACAN missense variant mimicking a septic arthritis

Abstract Heterozygous mutations of the ACAN gene have been associated with a broad spectrum of non-lethal skeletal dysplasias, called Aggrecanopathies. We report a case of a child with severe inflammatory elbow involvement mimicking septic arthritis who carried the new ACAN missense variant c.6970 T...

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Main Authors: Angelo Florio, Riccardo Papa, Roberta Caorsi, Alessandro Consolaro, Roberto Gastaldi, Marco Gattorno, Paolo Picco
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13052-019-0719-6
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spelling doaj-23d7151bef134996b5d8fa77ab79cdb02020-11-25T04:03:18ZengBMCItalian Journal of Pediatrics1824-72882019-11-014511310.1186/s13052-019-0719-6A child with a novel ACAN missense variant mimicking a septic arthritisAngelo Florio0Riccardo Papa1Roberta Caorsi2Alessandro Consolaro3Roberto Gastaldi4Marco Gattorno5Paolo Picco6Pediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniPediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniPediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniPediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniPediatric Endocrinology Clinic, IRCCS Istituto Giannina GasliniPediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniPediatric Rheumatology Clinic, IRCCS Istituto Giannina GasliniAbstract Heterozygous mutations of the ACAN gene have been associated with a broad spectrum of non-lethal skeletal dysplasias, called Aggrecanopathies. We report a case of a child with severe inflammatory elbow involvement mimicking septic arthritis who carried the new ACAN missense variant c.6970 T > C, p.Trp2324Arg. The comprehensive clinical evaluation of the patient and his family, focused on the associated clinical features (facial dysmorphisms, short stature, brachydactily), led us to suspect a hereditary condition. Our findings suggest that Aggrecanopathies should be considered in children with familial short stature, poor growth spurt and joint involvement.http://link.springer.com/article/10.1186/s13052-019-0719-6Pediatric rheumatologyArthritisOsteochondritis dissecansACANAggrecanopathy
collection DOAJ
language English
format Article
sources DOAJ
author Angelo Florio
Riccardo Papa
Roberta Caorsi
Alessandro Consolaro
Roberto Gastaldi
Marco Gattorno
Paolo Picco
spellingShingle Angelo Florio
Riccardo Papa
Roberta Caorsi
Alessandro Consolaro
Roberto Gastaldi
Marco Gattorno
Paolo Picco
A child with a novel ACAN missense variant mimicking a septic arthritis
Italian Journal of Pediatrics
Pediatric rheumatology
Arthritis
Osteochondritis dissecans
ACAN
Aggrecanopathy
author_facet Angelo Florio
Riccardo Papa
Roberta Caorsi
Alessandro Consolaro
Roberto Gastaldi
Marco Gattorno
Paolo Picco
author_sort Angelo Florio
title A child with a novel ACAN missense variant mimicking a septic arthritis
title_short A child with a novel ACAN missense variant mimicking a septic arthritis
title_full A child with a novel ACAN missense variant mimicking a septic arthritis
title_fullStr A child with a novel ACAN missense variant mimicking a septic arthritis
title_full_unstemmed A child with a novel ACAN missense variant mimicking a septic arthritis
title_sort child with a novel acan missense variant mimicking a septic arthritis
publisher BMC
series Italian Journal of Pediatrics
issn 1824-7288
publishDate 2019-11-01
description Abstract Heterozygous mutations of the ACAN gene have been associated with a broad spectrum of non-lethal skeletal dysplasias, called Aggrecanopathies. We report a case of a child with severe inflammatory elbow involvement mimicking septic arthritis who carried the new ACAN missense variant c.6970 T > C, p.Trp2324Arg. The comprehensive clinical evaluation of the patient and his family, focused on the associated clinical features (facial dysmorphisms, short stature, brachydactily), led us to suspect a hereditary condition. Our findings suggest that Aggrecanopathies should be considered in children with familial short stature, poor growth spurt and joint involvement.
topic Pediatric rheumatology
Arthritis
Osteochondritis dissecans
ACAN
Aggrecanopathy
url http://link.springer.com/article/10.1186/s13052-019-0719-6
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