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. 2024 Feb 6;111(3):487–508. doi: 10.1016/j.ajhg.2024.01.007

Table 1.

Summary of demographic and clinical features in individuals with ZFX variants

Demographic and clinical features Frequencya (%)
Missense Frameshift Total
Sex males: 8/11 (73) males: 6/7 (86) males: 14/18 (78)
Mean Age (±SD) 16.04 (±7.95) 12.24 (±5.7) 14.52 (±7.2)
De novo inheritance 6/11 (55) 4/7 (57) 10/18 (56)

Development and neurobehavioral

Developmental delay/intellectual disability 10/11 (91) 7/7 (100) 17/18 (94)
Gross motor delay 9/11 (82) 7/7 (100) 16/18 (89)
Fine motor delay 9/11 (82) 7/7 (100) 16/18 (89)
Speech delay 10/11 (91) 6/7 (86) 16/18 (89)
ADHD 5/11 (45) 1/7 (14) 6/18 (33)
Autism 5/11 (45) 1/7 (14) 6/18 (33)
Autistic traitsb 1/11 (9) 2/7 (29) 3/18 (17)
Other behavioral abnormalities 9/11 (82) 1/7 (14) 10/18 (56)
Therapeutic services or special education 10/11 (91) 7/7 (100) 17/18 (94)

Neurological

Hypotonia 9/11 (82) 4/7 (57) 13/18 (72)
Abnormal brain MRI 4/7 (57) 6/6 (100) 10/13 (77)
Sleep problems 6/11 (55) 2/7 (29) 8/18 (44)
Epilepsy 1/11 (9) 1/7 (14) 2/18 (11)

Growth parameters

Height 10%ile 4/11 (36) 4/7 (57) 7/18 (39)
OFCc> 90%ile 4/10 (40) 2/6 (33) 6/16 (38)

Vision and hearing

Vision/eye abnormalities 7/11 (64) 6/7 (86) 13/18 (72)
Hearing loss 7/11 (64) 2/7 (29) 9/18 (50)

Dysmorphic features

Broad/thick eyebrows ± synophrys 9/11 (82) 6/7 (86) 15/18 (83)
External eye findings 9/11 (82) 6/7 (86) 15/18 (83)
Other face abnormalities 10/11 (91) 5/7 (71) 15/18 (83)
Smooth ± long philtrum 8/11 (72) 6/7 (83) 14/18 (78)
Ear abnormalities 10/11 (91) 4/7 (57) 14/18 (78)
Thin upper lip 10/11 (91) 3/7 (43) 13/18 (72)
Nose abnormalities 6/11(55) 6/7 (86) 12/18 (67)
Forehead abnormalities 6/11 (55) 4/7 (57) 10/18 (56)
Macroglossia 7/11 (64) 1/7 (14) 8/18 (44)

Miscellaneous

Musculoskeletal findings 10/11 (91) 7/7 (100) 17/18 (94)
Inguinal hernia 9/11 (82) 4/7 (57) 13/18 (72)
Umbilical hernia 8/11 (72) 1/7 (14) 9/18 (50)
Genitourinary congenital anomalies (males) 7/8 (88) 3/6 (50) 10/14 (71)
Abnormal echocardiography 4/9 (44) 4/5 (80) 8/14 (57)
Gastrointestinal abnormalities 10/11 (91) 2/7 (29) 12/18 (67)
Abnormal renal ultrasound 5/10 (50) 4/7 (57) 9/17 (53)
Hyperparathyroidism 3/7 (43) 0/5 (0) 3/12 (25)
a

Denominator can vary based on data availability

b

Autistic traits but no formal diagnosis with autism

c

OFC, occipital frontal circumference