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10/31/2025 3:02:59 PM | Browse: 9 | Download: 54
Publication Name World Journal of Clinical Pediatrics
Manuscript ID 109874
Country Sudan
Received
2025-05-26 13:07
Peer-Review Started
2025-05-26 13:07
To Make the First Decision
Return for Revision
2025-06-23 01:47
Revised
2025-07-01 19:02
Second Decision
2025-09-10 02:48
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-09-10 12:05
Articles in Press
2025-09-10 12:05
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-10-22 00:24
Publish the Manuscript Online
2025-10-31 15:02
ISSN 2219-2808 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Genetics & Heredity
Manuscript Type Case Report
Article Title Atypical case of Rett syndrome with concurrent MECP2 gene mutation and del(15)(q22qter) karyotype: A case report and review of literature
Manuscript Source Invited Manuscript
All Author List Imad Fadl-Elmula, Sara Y Abdel-Raheem and Rayan Khalid
ORCID
Author(s) ORCID Number
Imad Fadl-Elmula http://orcid.org/0000-0003-3191-9485
Rayan Khalid http://orcid.org/0000-0002-2829-9871
Funding Agency and Grant Number
Corresponding Author Imad Fadl-Elmula, Professor, Department of Clinical Genetics, Al Neelain Stem Cell Center, Al Neelain University, 11121 El gamhuriya avenue, Khartoum 11121, Sudan. imad.assafa@gmail.com
Key Words Rett syndrome; Autism spectrum disorder; Methyl-CpG-binding protein two gene mutation, Chromosome 15 deletion; Atypical presentation; Chromosomal analysis; Case report
Core Tip This report presents a rare atypical case of Rett syndrome with a novel concomitant of a pathogenic methyl-CpG binding protein 2 p.S134F mutation and 15q22-qter karyotype from Sudan. The patient displayed atypical Rett syndrome phenotype, including significant growth regression and pronounced autistic behaviors, stereotypic hand-flapping and chest-pounding, and absence seizures. The terminal 15q22-qter deletion may disrupt critical neurodevelopmental loci (such as ubiquitin-protein ligase E3A and insulin-like growth factor 1 receptor), which could exacerbate autism and growth failure while potentially reducing susceptibility to seizures. This case expands the phenotypic and genotypic heterogeneity of Rett syndrome, enhances our understanding of how synchronous genomic alterations modulate methyl-CpG binding protein 2-related phenotypes, and underscores the imperative for equitable genetic diagnostics in underrepresented populations.
Publish Date 2025-10-31 15:02
Citation <p>Fadl-Elmula I, Abdel-Raheem SY, Khalid R. Atypical case of Rett syndrome with concurrent MECP2 gene mutation and del(15)(q22qter) karyotype: A case report and review of literature. <i>World J Clin Pediatr</i> 2025; 14(4): 109874</p>
URL https://www.wjgnet.com/2219-2808/full/v14/i4/109874.htm
DOI https://dx.doi.org/10.5409/wjcp.v14.i4.109874
Full Article (PDF) WJCP-14-109874-with-cover.pdf
CARE Checklist–2016 109874-CARE-Checklist-2016.pdf
Manuscript File 109874_Auto_Edited_012626.docx
Answering Reviewers 109874-answering-reviewers.pdf
Audio Core Tip 109874-audio.mp3
Conflict-of-Interest Disclosure Form 109874-conflict-of-interest-statement.pdf
Copyright License Agreement 109874-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 109874-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 109874-non-native-speakers.pdf
Video 109874-video.mp4
Peer-review Report 109874-peer-reviews.pdf
Scientific Misconduct Check 109874-scientific-misconduct-check.png
Scientific Editor Work List 109874-scientific-editor-work-list.pdf
CrossCheck Report 109874-crosscheck-report.pdf