MECOM-associated syndrome: a literature review and case reports
- Authors: Gurzhikhanova M.K.1, Shestopalov G.I.1, Vasilyeva M.S.1, Petrova U.N.1, Antonova K.S.1, Fedorova D.V.1, Kotskaya N.N.1, Radygina S.A.1, Lubsanova L.B.2, Donyush E.K.3, Fink O.S.3, Pristanskova E.A.3, Skorobogatova E.V.3, Pavlova A.V.1, Kurnikova M.A.1, Suntsova E.V.1
- 
							Affiliations: 
							- Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation
- Children’s Republican Clinical Hospital of Ministry of Healthcare of the Republic of Buryatia
- Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University of Ministry of Healthcare of the Russian Federation
 
- Issue: Vol 21, No 3 (2022)
- Pages: 65-76
- Section: CLINICAL OBSERVATIONS
- Submitted: 15.10.2022
- Accepted: 15.10.2022
- Published: 15.10.2022
- URL: https://hemoncim.com/jour/article/view/652
- DOI: https://doi.org/10.24287/1726-1708-2022-21-3-65-76
- ID: 652
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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 FederationG. 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 FederationM. 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 FederationU. 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 FederationK. 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 FederationD. 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 FederationN. 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 FederationS. 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 FederationL. B. Lubsanova
Children’s Republican Clinical Hospital of Ministry of Healthcare of the Republic of Buryatia
Ulan-Ude
Russian FederationE. 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 FederationO. 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 FederationE. 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 FederationE. 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 FederationA. 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 FederationM. 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 FederationE. 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 FederationReferences
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