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Adult progeria: a new mutation in the WRN gene
  1. Margarida Lucas Rocha,
  2. Ana Teodósio Chicharo,
  3. Graça Sequeira and
  4. Vitor Teixeira
  1. Rheumatology, Hospital de Faro, Faro, Faro, Portugal
  1. Correspondence to Mrs Margarida Lucas Rocha; margaridarocha{at}


Werner syndrome (WS), also known as adult progeria, is a rare autosomal recessive inherited progeroid syndrome characterised by multiple features consistent with accelerated ageing. This disease is associated with several rheumatic conditions such as early osteoarthritis and osteoporosis, sarcopenia, soft-tissue calcifications, gout, limb ulcers and scleroderma-like skin features. WS should be included in the differential diagnosis of systemic sclerosis. The diagnosis is clinical, and in 90% of cases, a genetic test reveals a pathogenic variant of the WRN gene.

WRN encodes a member of the RecQ family of DNA helicases and has a role in DNA repair. 86 different pathological WRN mutations have been identified so far. Here we present a case report of a typical WS patient associated with a newly described genetic variant of the WRN gene.

  • Genetics
  • Rheumatology
  • Connective tissue disease

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  • Contributors MLR: planning, conduct, reporting, conception and design, aquisition of data and writing. AITZC, MGHCNS and VAST: planning, conduct, reporting, conception and design, and aquisition of data.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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