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. 2022 Jun 27;13(1):6–14. doi: 10.1055/s-0042-1748019

Table 2. Typical and overlapping features of some common chromatinopathy syndromes.

CdLS RTS WDST KBG Kabuki Coffin-Siris syndrome
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