Entry - #619339 - BARTSOCAS-PAPAS SYNDROME 2; BPS2 - OMIM
# 619339

BARTSOCAS-PAPAS SYNDROME 2; BPS2


Alternative titles; symbols

POPLITEAL PTERYGIUM SYNDROME, BARTSOCAS-PAPAS TYPE 2


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
10q24.31 ?Popliteal pterygium syndrome, Bartsocas-Papas type 2 619339 AR 3 CHUK 600664
Clinical Synopsis
 

INHERITANCE
- Autosomal recessive
HEAD & NECK
Head
- Widened anterior fontanel
- Prominent occiput
Face
- Micrognathia
Ears
- Low-set ears
- Overfolded helices
Eyes
- Absent eyebrows
- Absent eyelashes
- Microphthalmia
- Ankyloblepharon
- Corneal clouding,
Nose
- Absent alae nasi
Mouth
- Cleft lip
- Cleft palate
- Intraoral bands
- Limited mouth opening
- Small tongue
CHEST
Ribs Sternum Clavicles & Scapulae
- Short sternum
Breasts
- Hypoplastic nipples
ABDOMEN
External Features
- Highly positioned umbilical stump
GENITOURINARY
External Genitalia (Female)
- Hypoplastic labia majora
- Hypoplastic labia minora
- Hypoplastic clitoris
SKELETAL
Skull
- Widened cranial sutures
Limbs
- Short limbs (lower > upper)
- Pterygia (axillae, cubital, inguinal, popliteal)
Hands
- Small hands
- Reduced number metacarpals
- Hypoplastic proximal phalanges
- Aplastic distal phalanges
- Complete syndactyly
Feet
- Absent foot (unilateral)
- Hypoplastic phalanges
SKIN, NAILS, & HAIR
Skin
- Skin tags (scalp, eyelid, umbilical cord, vagina)
- Pterygia (axillae, cubital, inguinal, popliteal)
Hair
- Alopecia totalis
- Absent eyebrows
- Absent eyelashes
PRENATAL MANIFESTATIONS
Placenta & Umbilical Cord
- Umbilical cord fused to abdominal wall
MISCELLANEOUS
- Based on report of 1 patient, Patient BPS3 (last curated June 2021)
MOLECULAR BASIS
- Caused by mutation in the component of nuclear factor kappa-B kinase complex gene (CHUK, 600664.0002)

TEXT

A number sign (#) is used with this entry because of evidence that Bartsocas-Papas syndrome-2 (BPS2) is caused by homozygous mutation in the CHUK gene (600664) on chromosome 10q24. One such patient has been reported.


Description

Bartsocas-Papas syndrome-2 (BPS2) is a severe form of popliteal pterygium disorder characterized by cutaneous webbing across one or more joints, cleft lip and/or palate, syndactyly, and genital malformations (summary by Leslie et al., 2015).


Clinical Features

Leslie et al. (2015) reported a female infant with Bartsocas-Papas syndrome who was born at term by cesarean section to first-cousin Saudi parents. The cranial suture and anterior fontanel were wide, and the occiput was prominent with low-set ears with overfolded helices. Eye abnormalities included bilateral microphthalmia, ankyloblepharon, and cloudy corneas. The infant had bilateral cleft lip and palate, and the nose was distorted with absent alae nasi. Micrognathia and intraoral bands limited mouth opening. The upper extremities were short with bilateral cubital webs, and the hands were small with complete syndactyly bilaterally. The lower extremities were very short with popliteal webs extending from the upper thigh to the feet. There were multiple webs in the axillae, cubital, inguinal, and popliteal areas. Hand radiographs revealed the presence of only 3 metacarpals, hypoplasia of the proximal phalanges, and bilateral aplasia of the distal phalanges. Radiographs of the feet demonstrated absence of the left foot bones except the talus, and absence of the calcaneus, tarsal bones, and hypoplasia of the phalanges of the right foot.


Inheritance

The transmission pattern of BPS2 in the family reported by Leslie et al. (2015) was consistent with autosomal recessive inheritance.


Molecular Genetics

By exome sequencing in a Saudi infant, born to first-cousin parents, with Bartsocas-Papas syndrome, Leslie et al. (2015) identified a homozygous splice site mutation in the CHUK gene (600664.0002). Sanger sequencing confirmed that the parents were heterozygous for the mutation.


REFERENCES

  1. Leslie, E. J., O'Sullivan, J., Cunningham, M. L., Singh, A., Goudy, S. L., Ababneh, F., Alsubaie, L., Ch'ng, G.-S., van der Laar, I. M. B. H., Hoogeboom, A. J. M., Dunnwald, M., Kapoor, S., Jiramongkolchai, J., Standley, J., Manak, J. R., Murray, J. C., Dixon, M. J. Expanding the genetic and phenotypic spectrum of popliteal pterygium disorders. Am. J. Med. Genet. 167A: 545-552, 2015. [PubMed: 25691407, images, related citations] [Full Text]


Creation Date:
Kelly A. Przylepa : 5/21/2021
joanna : 06/29/2021
carol : 05/27/2021
carol : 05/26/2021

# 619339

BARTSOCAS-PAPAS SYNDROME 2; BPS2


Alternative titles; symbols

POPLITEAL PTERYGIUM SYNDROME, BARTSOCAS-PAPAS TYPE 2


ORPHA: 1234;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
10q24.31 ?Popliteal pterygium syndrome, Bartsocas-Papas type 2 619339 Autosomal recessive 3 CHUK 600664

TEXT

A number sign (#) is used with this entry because of evidence that Bartsocas-Papas syndrome-2 (BPS2) is caused by homozygous mutation in the CHUK gene (600664) on chromosome 10q24. One such patient has been reported.


Description

Bartsocas-Papas syndrome-2 (BPS2) is a severe form of popliteal pterygium disorder characterized by cutaneous webbing across one or more joints, cleft lip and/or palate, syndactyly, and genital malformations (summary by Leslie et al., 2015).


Clinical Features

Leslie et al. (2015) reported a female infant with Bartsocas-Papas syndrome who was born at term by cesarean section to first-cousin Saudi parents. The cranial suture and anterior fontanel were wide, and the occiput was prominent with low-set ears with overfolded helices. Eye abnormalities included bilateral microphthalmia, ankyloblepharon, and cloudy corneas. The infant had bilateral cleft lip and palate, and the nose was distorted with absent alae nasi. Micrognathia and intraoral bands limited mouth opening. The upper extremities were short with bilateral cubital webs, and the hands were small with complete syndactyly bilaterally. The lower extremities were very short with popliteal webs extending from the upper thigh to the feet. There were multiple webs in the axillae, cubital, inguinal, and popliteal areas. Hand radiographs revealed the presence of only 3 metacarpals, hypoplasia of the proximal phalanges, and bilateral aplasia of the distal phalanges. Radiographs of the feet demonstrated absence of the left foot bones except the talus, and absence of the calcaneus, tarsal bones, and hypoplasia of the phalanges of the right foot.


Inheritance

The transmission pattern of BPS2 in the family reported by Leslie et al. (2015) was consistent with autosomal recessive inheritance.


Molecular Genetics

By exome sequencing in a Saudi infant, born to first-cousin parents, with Bartsocas-Papas syndrome, Leslie et al. (2015) identified a homozygous splice site mutation in the CHUK gene (600664.0002). Sanger sequencing confirmed that the parents were heterozygous for the mutation.


REFERENCES

  1. Leslie, E. J., O'Sullivan, J., Cunningham, M. L., Singh, A., Goudy, S. L., Ababneh, F., Alsubaie, L., Ch'ng, G.-S., van der Laar, I. M. B. H., Hoogeboom, A. J. M., Dunnwald, M., Kapoor, S., Jiramongkolchai, J., Standley, J., Manak, J. R., Murray, J. C., Dixon, M. J. Expanding the genetic and phenotypic spectrum of popliteal pterygium disorders. Am. J. Med. Genet. 167A: 545-552, 2015. [PubMed: 25691407] [Full Text: https://doi.org/10.1002/ajmg.a.36896]


Creation Date:
Kelly A. Przylepa : 5/21/2021

Edit History:
joanna : 06/29/2021
carol : 05/27/2021
carol : 05/26/2021