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Second Report of the p.Leu874Pro Missense Variant in  EPHB4 in a Family With Capillary Malformation-Arteriovenous Malformation Syndrome (CM-AVM) Syndrome. Am J Med Genet A 2025 Mar;197(3):e63898

Date

10/21/2024

Pubmed ID

39431828

DOI

10.1002/ajmg.a.63898

Scopus ID

2-s2.0-85207295481 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

Capillary malformation-arteriovenous malformation (CM-AVM) syndrome is characterized by the presence of multiple small (1-2 cm in diameter) capillary malformations of the skin. This disorder has been described as two distinct entities: CM-AVM1 and CM-AVM2. The diagnosis of these disorders has been associated with pathogenic variants in the RASA1 gene for RASA1-CM-AVM, formerly known as CM-AVM1, and, more recently, the EPHB4 genes for EPHB4-CM-AVM, formerly known as CM-AVM2. Affected patients with either type may also have arteriovenous malformations and fistulas, which can cause life-threatening bleeding, congestive heart failure, or neurologic consequences such as stroke. These syndromes are typically either sporadic or inherited in an autosomal dominant manner with variable expressivity. We report a case series of a father and three daughters who have clinically diagnosed EPHB4-CM-AVM syndrome who were found to have a variant of uncertain significance (VUS) in EPHB4 that has only been reported once prior.

Author List

Goeser LE, Lalor L, Chiu YE, Muriello M

Authors

Yvonne E. Chiu MD Vice Chair, Professor in the Dermatology department at Medical College of Wisconsin
Leah Lalor MD Associate Professor in the Dermatology department at Medical College of Wisconsin
Michael Muriello MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Arteriovenous Malformations
Capillaries
Female
Humans
Male
Mutation, Missense
Pedigree
Phenotype
Port-Wine Stain
Receptor, EphB4
p120 GTPase Activating Protein