Table 2.
MOPD II | Seckel syndrome | Cases 1 and 2 | |
---|---|---|---|
Anthropometrics | |||
Prenatal growth | IUGR | IUGR | IUGR |
Postnatal growth | Growth retardation | Growth retardation | Growth retardation |
Head size | Microcephaly, severe | Microcephaly, severe | Microcephaly, severe |
Adult height | Short stature, severe | Short stature, severe | Short stature, severe |
Physical characteristics | |||
Facies | Asymmetry | Occassional asymmetry | No asymmetry |
Eyes | Normal | Down-slanting palpebral fissures, strabismus, cataracts | Hypotelorism |
Ears | Normal | Low-set, malformed, lack of lobule | Small |
Nose | Long, prominent tip, hypoplastic alae nasi | Prominent | Prominent |
Jaw | Micrognathia | Micrognathia | Normal |
Teeth | Hypoplasia, partial anodontia, enamel hypoplasia | Partial anodontia | Normal |
Extremities | Short lower arms | Normal | |
Puberty | Premature puberty | Males: cryptorchidism Delayed puberty | Absent thelarche, menarche |
Radiographic | |||
Hand | General brachdactyly, diaphyseal constriction | Clinodactyly fifth fingers, absence of some phalangeal epiphyses | Normal phalangeal length, clinodactyly fifth fingers, abnormal carpal bones |
Wrist | Flat shape distal radius and ulna | Hypoplasia of proximal radius with dislocation of radial head | Foreshortened ulna (Madelung deformity) |
Thorax | 11 ribs | ||
Spine | Scoliosis | Lumbar scoliosis | |
Hip | Dysplasia | Dysplasia | |
Extremities | Hypoplasia of proximal fibula; gap between first and second toes | ||
Other features | |||
Acanthosis nigricans-insulin resistance, type 2 diabetes | Reported | Not reported | Not observed |
Intelligence | Normal | Mild-moderate learning disability | Significant learning disability |
Seizures | Occasional | Present | |
Gene mutations | PCNT | ATR, CENPJ, CEP152, CEP63, RBBP8 | NIN |
IUGR, Intrauterine growth retardation.