Donnai-Barrow Syndrome

Alternative Names

  • Faciooculoacoudticorenal Syndrome
  • DBS/FOAR Syndrome
  • Diaphragmatic Hernia, Exomphalos, Absent Corpus Callosum, Hypertelorism, Myopia, Sensorineural Deafness, and Proteinuria
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Other congenital malformations

OMIM Number

222448

Mode of Inheritance

Autosomal recessive

Gene Map Locus

2q31.1

Description

Donnai-Barrow syndrome (DBS) is a rare autosomal recessive disorder marked by the presence of diaphragmatic hernia, exomphalus, absent corpus callosum, hypertelorism, myopia, and sensorineural deafness. In addition, DBS is characterized by facial dysmorphism, including severe hypertelorism with downslanting palpebral fissures, short bulbous nose, and posteriorly rotated ears. Some patients also have iris coloboma, retinal detachment, and intestinal malrotation. Intellectual impairment is variable. In rare cases, proteinuria is present. This condition is not life-threatening, but the functional prognosis depends on the degree of visual and hearing handicap.

Mutations in the LRP2 gene are known to cause Donnai-Barrow syndrome. LRP2 gene encodes for megalin protein, which is a multi-ligand receptor that regulates levels of diverse circulating compounds.

Epidemiology in the Arab World

View Map
Subject IDCountrySexFamily HistoryParental ConsanguinityHPO TermsVariantZygosityMode of InheritanceReferenceRemarks
222448.1.1QatarFemaleYesYes Congenital diaphragmatic hernia; Omphal...NM_004525.3:c.9358_9359delHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'Pt 1' from ...
222448.1.2QatarFemaleYesYes Hypertelorism; Myopia; Hearing impairm...NM_004525.3:c.9358_9359delHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'Pt 2' from ...
222448.2.1United Arab EmiratesFemaleYesYes Hypertelorism; Myopia; Agenesis of cor...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'IV-5' from ...
222448.2.2United Arab EmiratesFemaleYesYes Pulmonary hypoplasia; Omphalocele; Hyp...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'IV-6' from ...
222448.2.3United Arab EmiratesMaleYesYes Omphalocele; Hypertelorism; Myopia; ...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'IV-2' from ...
222448.2.4United Arab EmiratesMaleYesYes Omphalocele; Hypertelorism; Myopia; ...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKantarci et al. 2007 Patient 'IV-3' from ...
222448.2.5United Arab Emirates; ...FemaleYesYes Hearing impairment; Hypertelorism; Downs...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKantarci et al. 2007; Khan and Ghazi, 2018 Sister of 222448.2.1...
222448.2.6United Arab Emirates; ...MaleYesYes Global developmental delay; Hearing impa...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveKhan and Ghazi, 2018 Double cousin of 222...
222448.3.1United Arab EmiratesFemaleYesYes Hypertelorism; Abnormal facial shape; Hi...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveCharlton et al. 2020
222448.3.2United Arab EmiratesFemaleYesYes Hypertelorism; Abnormal facial shape; Hi...NM_004525.3:c.7564T>CHomozygousAutosomal, RecessiveCharlton et al. 2020 Sister of 222448.3.1

Other Reports

Saudi Arabia

Gripp et al. (1997) described a male infant, the offspring of first-cousin parents from Saudi Arabia, who had wide anterior fontanel and metopic suture with frontal bossing, hypertelorism, downslanting palpebral fissures, bilateral iris coloboma, omphalocele, and bilateral absence of the diaphragm with herniation of internal organs causing pulmonary hypoplasia and death. Autopsy also showed intestinal malrotation.

Yemen

[See: United Arab Emirates > Kantarci et al., 2007].

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