TABLE 1.
Clinical features of patients with hemizygous RNF113A variants
Clinical feature | IV-2 (Corbett et al., 2015) | IV-5 (Corbett et al., 2015) | This paper, patient 1 | This paper, patient 2 |
---|---|---|---|---|
Age at last review | 15 years | 9 years | 11 years 10 months | 16 months |
Birth parameters | 2.18 kg/31 cm @36 weeks (<10th/25th centile) | 2.32 kg/29 cm @38 weeks (<3rd centile) | Not known | 1.9 kg @39 weeks (<1st centile) |
Growth parameters | ||||
Height | 112 cm | 117 cm | 121 cm (<1st centile) | 68 cm (<1st centile) |
Weight | 24 kg | 19.5 kg | 24.3 kg (<1st centile) | 5 kg (<1st centile) |
OFC | 44.5 cm (<1st centile) | 44 cm (<1st centile) | 50 cm (5th centile) | 36 cm (<1st centile) |
Development | ||||
Motor | Delayed | Delayed | Walked at 7 years | Delayed |
Speech | Delayed | Delayed | Single words | Delayed |
Gonadal dysgenesis | Microphallus; absent testes | Absent/rudimentary testes | Microphallus/cryptorchidism | Microphallus/cryptorchidism/hypospadias/bifid scrotum |
Endocrine abnormality | High TSH; normal GH | LowT4/high TSH Low ADH Low cortisol Normal GH High LH, FSH Low testosterone |
High TSH, low/Normal T4 High LH, FSH, prolactin Low testosterone Normal IGF1, IGFBP3 Normal cortisol |
Normal T4/TSH Normal ACTH Normal 17 hydroxyprogesterone Normal cortisol |
Infections | Frequent hospitalizations | Frequent infections; chronic diarrhea; low IgG1 | Frequent infections; low IgG1 | Frequent infections |
CNS findings | Cerebellar hypoplasia Cerebral atrophy Absent corpus callosum |
Cerebellar hypoplasia Absent corpus callosum |
Thin corpus callosum | Absent corpus callosum |
Other structural findings | Short esophagus; ureteric obstruction | Duodenal strictures | Multicystic dysplastic kidney | |
Hair analysis | Tiger-tail pattern | Tiger-tail pattern | Atypical bands | Not done |
Photosensitivity | Nil | Nil | Nil | Nil |
Ichthyosis | Nil | Nil | Nil | Nil |
Ocular abnormalities | Nil | Nil | Cortical visual impairment | Nil |
RNF113A variant | p.(Gln301*) | p.(Gln301*) | p.(Gln302fs*12) | p.(Cys299*) |
Abbreviation. CNS, central nervous system.