Gene(s) |
NIPBL, SMC1A, SMC3, HDAC8, RAD21
|
CBP
,
EP300
|
KMT2A
|
ANKRD11
|
KMT2D, KDM6A
|
ARID1A
/
B
,
SMARCA4B1/C2/D1/E1, SOX4/11, DPF2, BICRA
|
Disturbance in epigenetic function |
Chromatin remodeling and histone deacetylation (HDAC8) |
Histone acetylation |
Histone methylation |
Histone deacetylation |
Histone methylation and demethylation |
Chromatin remodeling |
Growth |
Pre-and postnatal retardation |
Postnatal growth retardation |
Postnatal growth retardation, short stature |
Height <10
th
centile
|
Short stature |
Postnatal growth retardation |
Head size |
Micro/brachycephaly |
– |
– |
– |
Microcephaly |
– |
Eyes |
Eyebrows |
Arched |
Arched |
Arched, broad |
Bushy, wide |
Arched, broad, laterally sparse |
Bushy eyebrows |
Synophrys |
+ |
– |
+ |
+ |
– |
+ |
Palpebral fissure (PF) |
– |
Downslanted PF |
Vertically narrow PF |
– |
Long PF, eversion of lateral third of lower eyelid |
– |
Hypertelorism |
– |
– |
– |
+ |
– |
– |
Nose |
|
|
|
|
|
|
Nasal ridge |
Short nose |
Convex |
– |
– |
– |
– |
Nasal bridge |
– |
– |
Broad |
Prominent |
– |
– |
Nasal tip |
Upturned |
– |
Bulbous |
Bulbous |
Depressed |
– |
Columella |
– |
Overhanging beyond alae nasi |
– |
– |
Short |
– |
Alae nasi |
Anteverted |
– |
– |
– |
– |
– |
Upper lip |
Philtrum |
Long smooth |
– |
Long smooth |
Long smooth |
– |
– |
Vermillion |
Thin |
– |
Thin |
Thin |
– |
Lower lip thick, everted |
Hirsutism |
+ |
– |
+ |
+ |
+ |
+ |
Generalized/localized hypertrichosis |
+ |
– |
+ |
+ |
+ |
+ |
Skeletal/limb anomalies |
Severe to mild (phocomelia to short index finger/clinodactyly) |
Broad thumb/Hallux |
Puffy hands and tapering fingers or fleshy hands |
Brachydactyly |
Persistent fingertip pads, brachydactyly |
Hypoplasia of nails/digits (most often the fifth) |
Unique feature |
– |
Grimacing smile |
– |
Macrodontia |
Lateral abnormalities in eye |
– |
Others |
Congenital diaphragmatic hernia |
Cryptorchidism |
Immunodeficiency |
Cryptorchidism, seizures, palate abnormality, autism, large AF or delayed closure |
Prominent cupped ears, Immunodeficiency |
– |