MECOM-associated syndrome: a literature review and case reports

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Abstract

Mutations in the MECOM gene (MDS1 and EVI1 complex locus) may be one of the causes of a rare combination of congenital radioulnar synostosis resulting in extremely limited forearm pronation and supination, and amegakaryocytic thrombocytopenia. The clinical spectrum of the disease can range from isolated radioulnar synostosis with or without hematologic manifestations to severe bone marrow failure without skeletal abnormalities. Other phenotypic manifestations include clinodactyly, brachydactyly, cardiac and renal malformations, presenile hearing loss, and B-cell deficiency. In view of the heterogeneity of phenotypic manifestations of the disease, the term “MECOM-associated syndrome” was proposed for all patients with mutations in the MECOM gene. Here we report 3 pediatric cases of MECOM-associated syndrome with different clinical manifestations, diagnostic approaches, therapeutic options, and outcomes. The patient’s parents agreed to use the information, including the child’s photo, in scientific research and publications.

About the authors

M. Kh. Gurzhikhanova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: medina.gurzhihanova@fccho-moscow.ru
ORCID iD: 0000-0002-0411-9485

Medina Kh. Gurzhikhanova, a resident

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

G. I. Shestopalov

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-2410-2867

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

M. S. Vasilyeva

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-9335-5286

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

U. N. Petrova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-1258-8281

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

K. S. Antonova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0001-6603-5749

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

D. V. Fedorova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-4567-1871

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

N. N. Kotskaya

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-2787-6005

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

S. A. Radygina

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-7696-1153

1 Samory Mashela St., Moscow 117997, Russia

Russian Federation

L. B. Lubsanova

Children’s Republican Clinical Hospital of Ministry of Healthcare of the Republic of Buryatia

Ulan-Ude

Russian Federation

E. K. Donyush

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-4252-8829

Moscow

Russian Federation

O. S. Fink

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-1336-9379

Moscow

Russian Federation

E. A. Pristanskova

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-4569-657X

Moscow

Russian Federation

E. V. Skorobogatova

Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-4431-1444

Moscow

Russian Federation

A. V. Pavlova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-3974-5662

Moscow

Russian Federation

M. A. Kurnikova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0003-0900-6874

Moscow

Russian Federation

E. V. Suntsova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0001-8404-1800

Moscow

Russian Federation

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Copyright (c) 2022 Gurzhikhanova M.K., Shestopalov G.I., Vasilyeva M.S., Petrova U.N., Antonova K.S., Fedorova D.V., Kotskaya N.N., Radygina S.A., Lubsanova L.B., Donyush E.K., Fink O.S., Pristanskova E.A., Skorobogatova E.V., Pavlova A.V., Kurnikova M.A., Suntsova E.V.

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