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      Williams-Beuren Syndrome and Congenital Lobar Emphysema: Uncommon Association with Common Pathology?

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          Abstract

          Introduction

          Congenital lobar emphysema (CLE) and Williams-Beuren Syndrome are two rare conditions that have only been reported together in a single case study.

          Case Presentation

          We report another case of a male Caucasian newborn with nonspecific initial respiratory distress, with detection of CLE on repeat chest X-ray on Day 25 of life and concurrent ventricular septal defect, supravalvular aortic stenosis, and branch pulmonary stenosis, in whom a 7q11.23 deletion consistent with Williams-Beuren Syndrome was made.

          Conclusion

          A diagnosis of congenital lobar emphysema should prompt further screening for congenital heart disease and genetic deletion, and further research is needed to investigate the role of elastin gene mutation in the development of the neonatal lung.

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          Most cited references20

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          Williams-Beuren syndrome.

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            Supravalvular aortic stenosis.

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              Transcription factor pathways and congenital heart disease.

              Congenital heart disease is a major cause of morbidity and mortality throughout life. Mutations in numerous transcription factors have been identified in patients and families with some of the most common forms of cardiac malformations and arrhythmias. This review discusses transcription factor pathways known to be important for normal heart development and how abnormalities in these pathways have been linked to morphological and functional forms of congenital heart defects. A comprehensive, current list of known transcription factor mutations associated with congenital heart disease is provided, but the review focuses primarily on three key transcription factors, Nkx2-5, GATA4, and Tbx5, and their known biochemical and genetic partners. By understanding the interaction partners, transcriptional targets, and upstream activators of these core cardiac transcription factors, additional information about normal heart formation and further insight into genes and pathways affected in congenital heart disease should result. Copyright © 2012 Elsevier Inc. All rights reserved.
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                Author and article information

                Journal
                Case Rep Pediatr
                Case Rep Pediatr
                CRIPE
                Case Reports in Pediatrics
                Hindawi
                2090-6803
                2090-6811
                2017
                24 May 2017
                : 2017
                : 3480980
                Affiliations
                1Monash Newborn, Monash Children's Hospital, Melbourne, VIC, Australia
                2Department of Paediatrics, Monash University, Melbourne, VIC, Australia
                Author notes

                Academic Editor: Georg Singer

                Author information
                http://orcid.org/0000-0001-9664-4182
                Article
                10.1155/2017/3480980
                5463103
                fd9f07cd-55c4-4835-8282-3e9560a04fe9
                Copyright © 2017 Timothy Andrew Walsh et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 2 February 2017
                : 4 May 2017
                Categories
                Case Report

                Pediatrics
                Pediatrics

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