Case Report

De Novo Heterozygous Mutation in FGFR2 Causing Type II Pfeiffer Syndrome

Table 1

De novo mutation reports of Pfeiffer syndrome type 2 involving the FGFR2 gene.

Author/yearInheritanceSexCraniofacial anomaliesLimb/digital anomaliesOutcomeMutation

Benacerraf et al./2000 [21]de novo mutationMSevere acrocephalic skull, fused sutures, flat facies, frontal bossingSyndactyly of digits of both hands and feet, wide halluxStill bornMutation from G to T at codon 314 leading to alanine to serine amino acid substitution in axon 9 of the gene
Blaumeiser et al./2004 [22]de novo mutationMCloverleaf skull, flattening of the midface, flat and broad nasal bridge, bilateral ocular proptosis, short neckProminent thumbs and great toes, micropenisStillborn1019A > G (Y340 C)
Gomez et al./2013 [23]HeterozygosityN/ACloverleaf cranium, severe proptosisNo observed hand and foot deformitiesPregnancy terminatedc.870 >T p.Trp 290Cys. Presumed de novo
Ohishi et al./2016 (case 5) [16]Sporadic-de novoMCloverleaf, exophthalmos choanal atresiaHumeroradial synostosis, broad 1st toesDevelopmental delayc.870 G > T p.Trp290Cys
Ohishi et al./2016 (case 6) [16]Sporadic-de novoMBrachycephaly, cloverleaf, exophthalmos, high arched palateRadioulnar fusion, radially deviated thumbs, broad 1st toesDevelopmental delayc.870 G > T p.Trp290Cys
Ohishi et al./2016 (case 7) [16]Sporadic-de novoMBrachycephaly, cloverleaf,low-set ears, exophthalmos, saddle noseHumeroradial synostosis, broad 1st toesDevelopmental delayc.870 G > T p.Trp290Cys
Ohishi et al./2016 (case 8) [16]Sporadic-de novoFCloverleaf, exophthalmosHumeroradial synostosis, broad first toes, syndactyly of 1st and 2nd toesDevelopmental delayc.1019 A > G p.Trp340Cys
Giancotti et al./2017 [5]de novo mutation.N/ACloverleaf, dolichocephaly, frontal bossing, depressed nasal bridge, proptosis, severe hypertelorism, upper jaw hypoplasiaShort humerus, 5th finger clinodactyly, many superimposed phalanges. In lower limbs, shorter bones than normal, curved right tibia, clubfeetStillbornc.870G4T(p.Trp290Cys) mutation in exon 7
Torres-canchala et al./2020 [11]Sporadic-de novoFCloverleaf-shaped skull, facial hypoplasia, low ears, exophthalmosWide, broad, and deviated thumbs and hallux.Psychomotor retardation, sleep apneac.940–1G > C