A novel mutation c.1048A>T at codon 350(Lys>Stop) in PROC gene causing neonatal purpura fulminans

Blood Coagul Fibrinolysis. 2013 Dec;24(8):890-2. doi: 10.1097/MBC.0b013e3283651398.

Abstract

Purpura fulminans in the neonatal period due to severe congenital protein C deficiency (protein C activity <1 IU/dl) is a rare autosomal recessive disorder. If untreated, it is fatal. Early identification of such patients may be lifesaving. Acquired deficiency of protein C caused by increased consumption as overt disseminated intravascular coagulation (DIC) and severe infection creates a diagnostic dilemma. Mutation analysis plays a critical role in confirming the diagnosis of the disease and offering prenatal diagnosis. In this report, we describe a newborn who presented with purpura fulminans and DIC, molecular analysis showed a novel c.1048A>T transversion in a homozygous state at codon 350 (Lys>Stop) of protein C (PROC) gene. Prenatal diagnosis in subsequent pregnancy was done which revealed the affected fetus had the same mutation in homozygous form.

Publication types

  • Case Reports

MeSH terms

  • Consanguinity
  • Disseminated Intravascular Coagulation / complications
  • Disseminated Intravascular Coagulation / genetics
  • Disseminated Intravascular Coagulation / pathology*
  • Fatal Outcome
  • Female
  • Homozygote
  • Humans
  • Infant, Newborn
  • Point Mutation
  • Pregnancy
  • Protein C / genetics*
  • Purpura Fulminans / complications
  • Purpura Fulminans / genetics
  • Purpura Fulminans / pathology*

Substances

  • Protein C