Table 2.
Clinical Details of the Nine Patients with Marshall-Smith Syndrome
|
Patient |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|---|---|---|---|---|---|---|---|---|---|
| NFIX mutation | c.955+1G>A | c.955+1G>T | c.1011_1012 delTC | c.1037_1038 insT | c.1008_1012 delCTCTC | c.1048_1049 insC | c.1243 delG | c.994_995 insT | c.959_960 insC |
| Epidemiology | |||||||||
| Gender | M | F | M | M | F | F | M | F | M |
| Age at last examination | 3 weeksa | 6 months | 26 months | 3 years | 6 years | 7 years | 7 years | 16 years | 21 years |
| Ethnic origin | Belgium | Croatia | India | Netherlands | Brazil | Portugal | France | UK | UK |
| Growth | |||||||||
| Birth weight (g) | 2600 | 3400 | 2950 | 2975 | 1590 | 3230 | 2800 | 3860 | |
| Present weight (kg) | 2965 | 5 | 9.1 | 15 | 21 | 35 | 41 | ||
| Present height (cm) | 55 | 68 | 82 | 100 | 103 | 120 | 131 | ||
| Development | |||||||||
| Degree of delay | n.a. | Sev | Sev | Mod | Mod-Sev | Mod | Mod | Sev | Sev |
| First words (mths) | n.a. | n.a. | - | - | 60 | 36 | None | None | |
| Neurology | |||||||||
| High tone | - | - | - | - | - | - | N/A | N/A | |
| Brain MRI | dilated ventricles | pachygyria, hypoplasia callosal body | CTscan: N | hypoplasia callosal body | N/A | N/A | N/A | N/A | |
| Craniofacial features | |||||||||
| High forehead | + | + | + | + | + | + | + | + | + |
| Proptosis | + | + | + | + | + | + | + | + | + |
| Underdeveloped midface | + | + | + | + | + | - | + | + | + |
| Short nose | + | + | + | + | - | - | + | + | + |
| Prominent premaxilla | + | + | + | + | + | + | + | + | + |
| Everted lips | - | - | - | + | + | - | + | + | + |
| Gum hypertrophy | - | + | + | + | - | + | - | - | |
| Retrognathia | + | + | + | + | + | + | + | + | - |
| Eyes | |||||||||
| Myopia | - | - | - | −14 | −5/-8 | −12/-9 | - | - | - |
| Blue sclerae | + | + | + | + | + | - | + | + | + |
| Respiratory | |||||||||
| Choanal stenosis | - | + | - | - | - | + | - | - | |
| Respiratory problems | + | + | - | + | + | - | + | - | + |
| Musculo-Skeletal | |||||||||
| Abnormal bone maturation | + | + | + | + | + | + | + | + | + |
| Bone fractures | - | - | - | 1 | - | - | 4 | - | - |
| Scoliosis | - | - | - | - | + | - | + | + | + |
| Kyphosis | - | - | - | - | + | + | + | + | + |
| Umbilical hernia | - | + | - | - | - | + | - | - | |
| Other | |||||||||
| Cardiac defect | - | - | - | - | VSD | - | VSD | - | |
| Hearing loss | + | + | - | + | - | + | N/A | N/A | |
| Hypertrichosis | - | + | + | + | + | + | + | + | |
| Miscellaneous | IgA deficiency; vesico-ureteral reflux; long fingers | abnormal pinnae | hypospadias; glaucoma | long fingers | pyloric stenosis | Wilms tumor aged 4 | |||
Abbreviations: M, male; F, female; n.a., not applicable; N/A, not available; sev, severe; mod, moderate; VSD, ventricular septal defect.
Deceased.