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CASE REPORT
Unique association of multiple endocrine neoplasia 2A and congenital anomalies of the kidney and urinary tract in a child with a RET mutation
  1. Olivia R Wood1,
  2. Tobias Else2 and
  3. Matthew G Sampson3
  1. 1 University of Michigan, Ann Arbor, Michigan, USA
  2. 2 Internal Medicine-Endocrinoloy, University of Michigan, Ann Arbor, Michigan, USA
  3. 3 Pediatric-Nephrology, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Matthew G Sampson, mgsamps{at}umich.edu

Abstract

Pathogenic variants in the RET gene can cause isolated and multi-system diseases. We report a patient diagnosed prenatally with unilateral multicystic dysplastic kidney and genitourinary abnormality whose mother had multiple endocrine neoplasia type 2A (MEN2A). Targeted RET sequencing found the same pathogenic variant p.C618S in the child as her mother. The child is followed by paediatric nephrology for congenital anomalies of the kidney and urinary tract (CAKUT) and by endocrine oncology for surveillance for MEN2A-related endocrine tumours. While implicated in each of these conditions individually, RET variants have never been reported to cause MEN2A and CAKUT together. This child’s family history prompted RET sequencing, resulting in presymptomatic, personalised care for MEN2A. However, this case supports the idea that genetic screening of RET (and many other genes) in patients with CAKUT may lead to molecular diagnoses that potentially improve their health through precision care.

  • genetic screening/counselling
  • endocrine cancer
  • paediatrics
  • congenital disorders
  • renal medicine
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Footnotes

  • Contributors ORW, TE and MGS all participated in the writing of the manuscript. TE and MGS were clinicians for the patient described and ORW was an undergraduate observer.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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