Case Report: Application of whole exome sequencing for accurate diagnosis of rare syndromes of mineralocorticoid excess [version 2; referees: 2 approved]
Ranjit Narayanan,
Shamsudheen Karuthedath Vellarikkal,
Rijith Jayarajan,
Ankit Verma,
Vishal Dixit,
Vinod Scaria,
Sridhar Sivasubbu
Affiliations
Ranjit Narayanan
Department of Nephrology, KMCT Medical College Hospital, Kerala, India
Shamsudheen Karuthedath Vellarikkal
Academy of Scientific and Innovative Research (AcSIR), CSIR-IGIB South Campus, Delhi, India
Rijith Jayarajan
Genomics and Molecular Medicine, CSIR Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India
Ankit Verma
Genomics and Molecular Medicine, CSIR Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India
Vishal Dixit
Genomics and Molecular Medicine, CSIR Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India
Vinod Scaria
Academy of Scientific and Innovative Research (AcSIR), CSIR-IGIB South Campus, Delhi, India
Sridhar Sivasubbu
Academy of Scientific and Innovative Research (AcSIR), CSIR-IGIB South Campus, Delhi, India
Syndromes of mineralocorticoid excess (SME) are closely related clinical manifestations occurring within a specific set of diseases. Overlapping clinical manifestations of such syndromes often create a dilemma in accurate diagnosis, which is crucial for disease surveillance and management especially in rare genetic disorders. Here we demonstrate the use of whole exome sequencing (WES) for accurate diagnosis of rare SME and report that p.R337C variation in the HSD11B2 gene causes progressive apparent mineralocorticoid excess (AME) syndrome in a South Indian family of Mappila origin.