Five autosomal dominant craniosynostosis syndromes (Apert, Crouzon, Pf
eiffer, Jackson-Weiss and Crouzon syndrome with acanthosis nigricans)
result from mutations in FGFR genes. Fourteen unrelated patients with
FGFR2-related craniosynostosis syndromes were screened for mutations i
n exons IIIa and IIIc of FGFR2. Eight of the nine mutations found have
been reported, but one patient with Pfeiffer syndrome was found to ha
ve a novel Gto-C splice site mutation at -1 relative to the start of e
xon IIIc. Of those mutations previously reported, the mutation C1205G
was unusual in that it was found in two related patients, one with cli
nical features of Pfeiffer syndrome and the other having mild Crouzon
syndrome. This degree of phenotypic variability shows that the clinica
l features associated with a specific mutation do not necessarily bree
d true.