Neuropathy With Demyelinating Features in a Patient With Biallelic HARS1 Variants.
Christina Del Greco, Allison R Cale, Karl Haeberlein et al.
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Case in brief
A 25-year-old male presented with Charcot-Marie-Tooth disease type 1 and mild intellectual disability. Genetic analysis revealed he was compound heterozygous for two pathogenic HARS1 variants: a maternally inherited p.Q410* and a de novo p.R375C. Functional assays indicated loss-of-function for both variants, supporting their role in the patient's complex neuropathy with demyelinating features.
Diagnostic / clinical pearl
Clinicians should consider the possibility of biallelic HARS1 variants in patients presenting with neuropathy and associated phenotypes, as this case illustrates the genetic complexity and phenotypic variability of HARS1-related disorders.