Table 1. Clinical features of individuals in the literature and this report with deletions involving BP3–BP4 at 15q13.1q13.2.
| Subject ID; age; gender | Deletion; inheritance | Growth percentiles | Development | Neurological | Eyes | Facial features | Other | Family history |
|---|---|---|---|---|---|---|---|---|
| van Bon, pt 19 (reference 7); 2 years 4 months; F | BP3–BP4; paternal | BW: <3rd; Wt: 9th; Ht: <3rd; OFC: <3rd | Delayed | Hypotonia; hearing impairment | NS | Hypertelorism; upslanting palpebral fissures; and prominent nasal root | Brachydactyly | Deletion in normal father, brother, and uncle; deletion not in brother with MR |
| Rosenberg, pt 11 (reference 8); F | BP3–BP4; maternal | Short stature; and microcephaly | Mild MR | NS | NS | Minor dysmorphisms | Premature breast development | NS |
| Sharp 543/06 (reference 2); 11 years 8 months; F | BP3–BP4; paternal | Wt: 97th; Ht: 25th; OFC: 50–75th | Delayed | NS | Coloboma | Flattened midface; anteverted nostrils; and prognathism; synophrys | Ureteral ectasia | Father is normal |
| Subject 1; 13 years 10 months; M | BP3–BP4; maternal | FTT in early childhood; Wt: 25–50th; Ht: 25th; OFC: 90th | IQ 71, speech apraxia | Normal head CT scan; seizures; hypotonia; and mild-moderate conductive hearing loss | Hyperopia; amblyopia/esotropia | Frontal bossing; hypertelorism; broad nasal tip; upturned nares; flat philtrum; large ears; dolichocephaly; bifrontal narrowing; downslanting palpebral fissures; overcrowded teeth; high palate; and low ears | Large anterior fontanel, pectus excavatum; broad fingers and hands | Mother is normal; maternal half brother and 2 maternal first cousins (not tested) with LD; paternal uncle with MR |
| Subject 2; 4 years 5 months; F | BP3–BP4; de novo | Wt: 10–25th; Ht: 25th; OFC: 3rd | Mild delays | Hypotonia; occasional tantrums | Asymmetric optic nerve cupping | Nondysmorphic | NS | NS |
| Subject 3; 6 years 5 months; M | BP3–BP4; maternal | FTT in early childhood; Wt: 50th; Ht: 50th; OFC: 98th | Moderate delays, significant speech delays | Ventricle dilatation; prominent extra-axial CSF spaces; hypotonia; disrupted sleep; and ataxic gait | Nystagmus, resolved | Prominent forehead; bifrontal prominence; long face; and triangular chin | Complex CHD; cryptorchidism; inguinal hernias; finger camptodactyly, and clinodactyly; hyperextensible; severe GERD; frequent infections | Mother is normal |
| Subject 4; 8 years 9 months; F | Atypical, within BP3–BP4; unknown | Wt: 10–25th; Ht: <3rd; OFC: 2nd | Severely delayed | Normal MRI; seizures; severe hypotonia and weakness; and food aversion | Rotary nystagmus/strabismus | Short forehead; deep-set eyes; high palate; and crowded teeth | Fifth finger clinodactyly | Mother with visual problems and strabismus |
| Subject 5; 4 years 2 months; F | BP3–BP5; de novo | FTT in early childhood; Wt: 25–50th; Ht: 10th; OFC: <5th | Delayed | Hypotonia; periventricular leukomalacia; thinning of the corpus callosum; mega cisterna magna; and unusual hand movements | Normal | Natal teeth; small facial structure; prominent ears; and deep-set eyes | Premature breast development | Father with LD |
| van Bon, pt 17 (reference 7); 17 years; M | BP3–BP5; de novo | Wt: 90-95th; Ht: 3-10th; OFC: 3rd | Mild MR, dyspraxia | Hypotonia; profoundly hyperactive; and normal head imaging | NS | Upslanting palpebral fissures; synophrys; short nose with upturned nasal tip; smooth philtrum; and hypotelorism | Pubertas praecox; gynecomastia; shawl scrotum; scoliosis; fifth finger clinodactyly; brachydactyly | Half uncles with LD |
| van Bon, pt 18 (reference 7); 8 years; M | BP3–BP5; unknown | Wt: 9th; Ht: 25th; OFC: 25th | Delayed | Hypotonia; friendly; and poor concentration | NS | Long, downslanting palpebral fissures; long eyelashes; arched eyebrows; large ears; and large mouth | Prominent finger pads and broad fingertips; short fifth fingers | Mother, brother, and half sibs with LD/DD |
| Sharp IMR338 (reference 2); F | BP3–BP5; maternal | Ht: 97th; OFC: >97th | Delayed; speech difficulty | Seizures; white matter changes; and increased appetite | Squint; right optic pit – possible coloboma | Round flat face; upslanting palpebral fissures; epicanthal folds; and posteriorly rotated ears | Lax thumb joint; fifth finger clinodactyly; single-palmar crease; diabetes | Deletion present in mother and half sister, who are dysmorphic, have delays, and are epileptic |
| Helbig 40281601 (reference 20); F | BP3–BP5; unknown | NS | Normal cognition | Seizures | NS | NS | NS | NS |
| Ben-Shachar, pt F1-1 (reference 18) | BP3–BP5; unknown | Ht: 50th; Wt: 30th; OFC ≫97th | DQ 58 | Benign hydrocephalus; mild Chiari I; ASD; and stereotypic behaviors | NS | NS | NS | Adopted |
Abbreviations: ASD, autism spectrum disorder; BW, birth weight; CHD, congenital heart defect; DD, developmental delay; DQ, developmental quotient; F, female; FTT, failure to thrive; GERD, gastroesophogeal reflux disease; Ht, height; IQ, intelligence quotient; LD, learning disabilities; M, male; MR, mental retardation; NS, not specified; OFC, occiptofrontal circumference; pt, patient; Wt, weight.