An adolescent case of ASXL3-related disorder with delayed onset of feeding difficulty

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2024年5月6日

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Yuto Arai,
Tohru Okanishi,
Tetsuya Okazaki,
Hiroyuki Awano,
Rie Seyama,
Yuri Uchiyama,
Naomichi Matsumoto,
Akiko Tamasaki,
Yoshihiro Maegaki

摘要

Background

ASXL3-related disorder, first described in 2013, is a genetic disorder with an autosomal dominant inheritance that is caused by a heterozygous loss-of-function variant in ASXL3. The most characteristic feature is neurodevelopmental delay with consistently limited speech. Feeding difficulty is a main symptom observed in infancy. However, no adolescent case has been reported.

Case presentation

A 14-year-old girl with ASXL3-related syndrome was referred to our hospital with subacute onset of emotional lability. Limbic encephalitis was ruled out by examination; however, the patient gradually showed a lack of interest in eating, with decreased diet volume. Consequently, she experienced significant weight loss. She experienced no symptoms of bulimia, or food allergy; therefore, avoidant/restrictive food intake disorder (ARFID) was clinically suspected.

Conclusions

We reported the first case of ASXL3-related disorder with adolescent onset of feeding difficulty. ARFID was considered a cause of the feeding difficulty.