Proteus Syndrome. A case report

Authors

  • Elayne Esther Santana Hernández Centro Provincial de Genética Médica. Holguín.
  • Yanet Pérez Tejeda Centro Provincial de Genética Médica. Holguín.
  • Anavíes Delsy Peña Hernández Centro Provincial de Genética Médica. Holguín.

Keywords:

segmental growth of a hemibody, hypergrowth of hands and feet, segmental hypergrowth of a limb.

Abstract

Introduction: Proteus syndrome, a rare genetic disease, with isolated appearance in all regions. It is characterized by an overgrowth of a region of the body, which can include bones and soft parts, with a preference for hands and feet. This may be accompanied by pigmented linear nevus, lymphangiomas, and deforming hamartomatous tumors that change over time.

Objective: Describe the representative characteristics of a patient with this very rare syndrome using the clinical method.

Case presentation: We present a 5-year-old girl with hypertrophy of the right hemibody, accompanied by extensive pigmented linear nevus, with deforming tumors in different regions including hands and feet.

Conclusions: Due to its rarity, it is difficult to define it clinically, considering it necessary to discuss these cases by a multidisciplinary team to reach the diagnosis after the correct delineation of the phenotype through the clinical method. The use of this instrument is essential to achieve a timely clinical diagnosis and adequate genetic counseling, allowing to guide the follow-up to improve the quality of life of patients.

 

Downloads

Download data is not yet available.

References

REFERENCIAS BIBLIOGRÁFICAS

1. Sachdeva P, Minocha P, Jain R, Sitaraman S, Goyal M. Proteus Syndrome with Neurological Manifestations: A Rare Presentation. J Pediatr Neurosci. 2017 Jan-Mar; 12[citado 4 Sep 2017];31(1):82-90(1):109-111. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28553400.

2. Ou M, Sun Z, Zhu P, Sun G, Dai Y. Proteus syndrome: A case report and review of the literature. Mol Clin Oncol. 2017 Mar;[citado 4 Sep 2019] 6(3):381-383. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28451417.

3. Asilian A, Kamali AS, Riahi NT, Adibi N, Mokhtari F. Proteus Syndrome with Arteriovenous Malformation. Adv Biomed Res. 2017 Mar 7; [citado 4 Sep 2019] 6:27. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28401074.

4. Wu J, Wang Q, Cui P, Wu X, Yan Z. Recurrent cerebriform connective tissue nevus on the foot of a patient with Proteus syndrome. Cutis. 2016 Oct; [citado 4 Sep 2018]98(4):E16-E19. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27874891.

5. Rawal S, Sharma B, Dabla S, Singh J, Goyal S. Proteus Syndrome. J Assoc Physicians India. 2016 May; [citado 4 Sep 2018]64(5):69-71S. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27735155.

6. Nathan N, Keppler-Noreuil KM, Biesecker LG, Moss J, Darling TN. Mosaic Disorders of the PI3K/PTEN/AKT/TSC/mTORC1 Signaling Pathway. Dermatol Clin. 2017 Jan;[citado 4 Sep 2019]35(1):51-60. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27890237.

7. Muralidharan V, Vaishak UM, Anjali M, Jayaprakash A. A rare case report of Proteus syndrome. J Assoc Physicians India. 2016 Jan; [citado 4 Sep 2019]64(1):155. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27728734.

8. Keppler-Noreuil KM, Baker EH, Sapp JC, Lindhurst MJ, Biesecker LG. Somatic AKT1 mutations cause meningiomas colocalizing with a characteristic pattern of cranial hyperostosis. Am J Med Genet A. 2016 Oct; [citado 4 Sep 2019]170(10):2605-10. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27550858.

9. Polubothu S, Al-Olabi L, Wilson L, Chong WK, Kinsler VA. Extending the spectrum of AKT1 mosaicism: not just the Proteus syndrome. Br J Dermatol. 2016 Sep;[citado 4 Sep 2019]175(3):612-4. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26872686.

10. Doucet ME, Bloomhardt HM, Moroz K, Lindhurst MJ, Biesecker LG. Lack of mutation-histopathology correlation in a patient with Proteus syndrome. Am J Med Genet A. 2016 Jun; [citado 4 Sep 2019]170(6):1422-1432. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27112325.

Published

2022-06-29

How to Cite

1.
Santana Hernández EE, Pérez Tejeda Y, Peña Hernández AD. Proteus Syndrome. A case report. revgencom [Internet]. 2022 Jun. 29 [cited 2025 Jun. 20];13(3). Available from: https://revgenetica.sld.cu/index.php/gen/article/view/129

Issue

Section

Presentaciones de casos