Clinical and molecular findings in a Moroccan family with Jervell and Lange-Nielsen syndrome: a case report

• Published in: Journal of medical case reports Vol. 11; no. 1; p. 88
• Main Authors: Adadi, N, Lahrouchi, N, Bouhouch, R, Fellat, I, Amri, R, Alders, M, Sefiani, A, Bezzina, C, Ratbi, I
• Format: Journal Article
• Language: English
• Published: England BioMed Central 02.04.2017; BMC
• Subjects: Adrenergic beta-Antagonists - therapeutic use; Age; Cardiac arrhythmia; Case Report; Case reports; Child; Congenital diseases; Deafness; Deoxyribonucleic acid; DNA; DNA Mutational Analysis; Electrocardiography; Ethics; Families & family life; Genetic Counseling; Heart; Humans; Jervell and Lange-Nielsen syndrome; Jervell-Lange Nielsen Syndrome - diagnosis; Jervell-Lange Nielsen Syndrome - genetics; KCNQ1 Potassium Channel - genetics; Long QT syndrome; Male; Medical screening; Moroccan; Morocco; Mutation; Mutation, Missense - genetics; Patients; Pedigree; Syncope - etiology; Syncope - genetics; Long QT syndrome; Deafness; Mutation; Jervell and Lange-Nielsen syndrome; Moroccan
• ISSN: 1752-1947; 1752-1947
• DOI: 10.1186/s13256-017-1243-1

Jervell and Lange-Nielsen syndrome (Online Mendelian Inheritance in Man 220400) is a rare autosomal recessive cardioauditory ion channel disorder that affects 1/200,000 to 1/1,000,000 children. It is characterized by congenital profound bilateral sensorineural hearing loss, a long QT interval, ventricular tachyarrhythmias, and episodes of torsade de pointes on an electrocardiogram. Cardiac symptoms arise mostly in early childhood and consist of syncopal episodes during periods of stress, exercise, or fright and are associated with a high risk of sudden cardiac death. Jervell and Lange-Nielsen syndrome is caused by homozygous or compound heterozygous mutations in KCNQ1 on 11p15.5 or KCNE1 on 1q22.1-q22.2. We report the case of a 10-year-old Moroccan boy with congenital hearing loss and severely prolonged QT interval who presented with multiple episodes of syncope. His parents are first-degree cousins. We performed Sanger sequencing and identified a homozygous variant in KCNQ1 (c.1343dupC, p.Glu449Argfs*14). The identification of the genetic substrate in this patient confirmed the clinical diagnosis of Jervell and Lange-Nielsen syndrome and allowed us to provide him with appropriate management and genetic counseling to his family. In addition, this finding contributes to our understanding of genetic disease in the Moroccan population.