TABLE I.
Indivuduals With Submicroscopic Isolated Terminal 20p Deletions
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
|---|---|---|---|---|---|---|---|---|---|
| Reference | 1 | 1 | 1 | 1 | 1 | 2 | 3 | 4 | This report |
| Orginally reported as | Case 133 | Case 134 | Case 135 | Case 136 | Case 137 | Patient 11 | Case 6 | Case 5 | Patient 1 |
| Size of deletion | 0.9 Mb del 20p 1.7 Mb dup 20q |
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| Inheritance | var (pat) | de novo | de novo | de novo | de novo | mat | de novo | mat | |
| Sex | M | M | F | M | M | M | M | M | M |
| Age at report (years) | 2 4/12 | 1 11/12 | 3 9/12 | 1 | 1 | 3 | 10 | 10 | 7 5/12 |
| Clinical Indication | Features of SMS | DD | DD, DF, growth delay | Growth delay, hypotonia, kidney hypoplasia | DD | DD, macrocrania | Moderate global intellectual disability (WISC-III) | Moderate MR | ? Mild Cornelia de Lange syndrome Borderline development to mild MR |
| Height | 10th | 25th | short | 5th | |||||
| Weight | 50–75th | 5–10th | |||||||
| Head | >95th | 2nd | 50–75th | ||||||
| Craniofacial dysmorphism | Frontal bossing, high forehead | Microcephaly, long face, deep-set eyes, small mouth, up-slanting palpebral fissures | Trigonocephaly, high nasal bridge | Mild synophrys, long eyelashes, arached/thick eyebrows, thin upper lip | |||||
| External ear anomalies | Large lobes | Thickened superior helicies, slight posterior rotation | |||||||
| Philtrum | Short | prominent | |||||||
| Hand anomaly | Left single palmar crease | BL mild persistence of fetal pads | |||||||
| Foot anomaly | Partial 2,3 syndactyly | Pes planus | Normal | ||||||
| Hypotonia | Y | Y | No | ||||||
| Hirsutism | Y | Mild | |||||||
| Unique features | Prone to diarrhea | Generalized epilepsy, delayed secondary dentition | PDA, dextrocardia, brachydactyly | Multiple sacral dimples |
(1) Ravnan et al. [2006], (2) Roberts et al. [2004], (3) Baker et al. [2002], (4) Baroncini et al. [2005]
Var, variant; SMS, Smith-Magenis syndrome; DD, developmental delay; DF, dysmorphic features; MR, mental retardation; PDA, patent ductus arteriosus; Blank, not reported