Table 1.
The deleted regions and the clinical manifestations in patients with the 15q24 deletion
| Case 1 | Case 2 | Case 3 | Case 4 | Van Esch et al. (2009) | Klopocki et al. (2008) |
Sharp et al. (2007) IMR349 |
Sharp et al. (2007) C45/06 | Sharp et al. (2007) ID204 | Sharp et al. (2007) IMR371 | |
|---|---|---|---|---|---|---|---|---|---|---|
| del 15q24 (length) | 72.252– 75.937 Mb (3.686 Mb) |
72.130– 76.080 Mb (3.950 Mb) |
70.750– 73.856 Mb (3.106 Mb) |
70.708– 73.856 Mb (3.148 Mb) |
70.6– 73.7 Mb (3.1 Mb) |
72.2– 75.9 Mb (3.7 Mb) |
72.15– 76.01 Mb (3.86 Mb) |
72.15– 76.01 Mb (3.86 Mb) |
72.15– 73.85 Mb (1.7 Mb) |
70.40– 74.21 Mb (3.72 Mb) |
| Inheritance | De novo | Unknown | De novo | De novo | De novo | De novo | De novo | De novo | Unknown | De novo |
| Age and gender | 33 months | 5 months | 14 years | 9 years | 33 years | 10 years | 14 years | 14 years | 33 years | 15 years |
| Male | Female | Male | Male | Male | Male | Male | Male | Male | Male | |
| Growth | Short stature | Short stature | Normal growth | Obesity | Obese Macrocephaly | Obesity | Short stature Microcephaly IUGR |
Short stature Microcephaly IUGR |
Short stature Microcephaly IUGR |
Normal growth |
| Development | Mild delay | MR | Delayed | Moderate MR | Severe MR | Mild MR | Mild MR | Mild MR | Mild MR | Mild MR |
| Face | High anterior hair line | Frontal bossing | Normal appearance | Asymmetry | High anterior hair line |
High anterior hair line |
High anterior hair line |
High anterior hair line |
High anterior hair line |
High anterior hair line |
| Broad forehead | Brachycephaly | Round face | Long face | Long narrow face | Asymmetry | Asymmetry | Asymmetry | |||
| Small maxilla large mandible |
Happy facial expression |
Happy facial expression |
Happy facial expression |
|||||||
| Long narrow face | ||||||||||
| Eye | Sparse eye brows | Normal appearance | Broad medial eyebrows |
Broad medial eyebrows |
Broad medial eyebrows |
Broad medial eyebrows |
Broad medial eyebrows |
Broad medial eyebrows |
||
| Hypertelorism | Hypertelorism | Hypertelorism | Hypertelorism | Hypertelorism | Hypertelorism | |||||
| Down-slanting palpebral fissures |
Down-slanting palpebral fissures |
Down-slanting palpebral fissures |
Down-slanting palpebral fissures |
Down-slanting palpebral fissures |
Down-slanting palpebral fissures |
|||||
| Epicanthus | Epicanthus | Epicanthus | Strabismus | Strabismus | Strabismus | Strabismus Epicanthus | ||||
| Nose | Depressed nasal bridge | Broad upturned nasal tip | Normal appearance | Normal appearance | Broad nasal base | Hypoplastic nostrils | Broad nasal base | Broad nasal base | Small nose | Broad nasal base |
| Flaring alae nasi | Flaring alae nasi | Hypoplastic alae nasi | Flaring alae nasi | |||||||
| Mouth | Long smooth philtrum |
Small mouth | Small mouth | Smooth philtrum | Long smooth philtrum |
Long smooth philtrum |
Long philtrum | Long smooth philtrum |
Long smooth philtrum |
Long philtrum |
| Full lower lip | High palate | Full lower lip | Full lower lip | Full lower lip | Full lower lip | |||||
| Bifid uvula | ||||||||||
| Ear | Ear lobe pit | Normal appearance | Thick, small ears | Cup-shaped protruding ears |
Large ears | NA | Ear abnormalities | Ear abnormalities | Small everted ears | Hearing loss |
| Ear lobe pit | Hearing loss | |||||||||
| Nervous system | Hypotonia | Myelomeningocele Hydrocephalus |
Hypotonia | Hypotonia | Hypotonia | Hypotonia | Wide basal cisterna on brain MRI |
Hypotonia | NA | NA |
| Dysplastic corpus callosum on brain MRI |
NA | NA | ||||||||
| Seizure | ||||||||||
| Genital | Normal | Normal | Hypospadias | Microphallus | Microphallus Cryptorchidism | Microphallus | Normal | Hypospadias | Hypospadias | Hypospadias |
| Skeletal | No abnormalities | Clubfeet | Joint laxity | Joint laxity | Scoliosis | Joint laxity | Joint laxity | Scoliosis | Joint laxity | Joint laxity |
| Pectus carinatum | Pes planus | Clubfeet | Lumbar lordosis Genua valga |
Scoliosis | Narrow chest Pes cavus |
|||||
| Digital anomalies | Small hands | Overriding second toes | Long first toes and short second toes |
Brachymesopalangy II and V | Long slender fingers with distal tapering |
Broad thumb | Long slender fingers | Proximally implanted thumbs |
Small hands | Hypoplastic right thumb |
| Clinodactyly | Clinodactyly | Brachydactyly | Proximally implanted thumbs |
Brachydactyly | Contractures of fingers |
|||||
| Clinodactyly | ||||||||||
| Respiratory | No symptoms | No symptoms | Recurrent ear infections |
Recurrent ear infections |
High pitched voice |
Nasal speech | Recurrent ear infections |
Low tone voice | Recurrent upper airway infections |
Recurrent chest infections |
| Velo-pharyngeal insufficiency |
Hoarse voice | Asthma | ||||||||
| Soft nasal speech | Clinodactyly | |||||||||
| Other | Acute lymphoblastic leukemia |
Tetralogy of Fallot | Café au lait spots | Aggressiveness | Hyperactivity Aggressiveness | Inguinal and umbilical hernia | Attention deficit hyperactivity disorder |
Edema of extremities | Feeding difficulties as child |
Diaphragmatic hernia |
| Feeding difficulties | Feeding difficulties | Cafe-au-lait spots | Diaphragmatic hernia | Skin laxity | Autistic features | GH deficiency | Inguinal hernia | |||
| Hepatomegaly | Acanthosis nigricans | Inguinal hernia | Splenomegaly | GH deficiency | Hypogonado-tropic hypogonadism |
|||||
| Delayed puberty Bowel atresia |
Bowel atresia |
NA not reported, MR mental retardation, IUGR intrauterine growth restriction