Table 1.
Pedigree Number | V-2 | IV-8 | IV-9 | V-1 | V-3 | III-6 | II-2 | III-2 | III-3 | III-4 | III-5 | IV-5 | IV-6 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Relationship | proband | mother | father | Half brother | Full brother | Mat GM | Mat GGM | Mat GU | Mat GA | Mat GA | Mat GU | First cousin once removed | First cousin once removed |
Age at evaluation | 7 ½ mo | 27 yrs | 26 yrs | 7 yrs | 8 mo | 42 yrs | 78 yrs | unknown | 58 yrs | unknown | Died 41 yrs | 18 yrs | 14 yrs |
Sex | M | F | M | M | M | F | F | M | F | F | M | F | M |
MEK2 mutation | P128Q | P128Q | No mutation | P128Q | Not tested | P128Q | P128Q | Not tested | P128Q | No mutation | Not tested | P128Q | P128Q |
Neurocognition a | N/A | LD | normal | ADHD/LD | N/A | LD | LD | LD | Tics | - | LD | LD | LD |
Short stature | - | + | - | - | - | + | + | + | unknown | unknown | unknown | - | - |
Distinctive facies b | + | + | - | + | + | + | + | + | + | - | + | + | + |
Cardiac abnormality | Pulmonic Stenosis | Pulmonic Stenosis | - | - | Pulmonic Stenosis | - | - | - | - | - | - | - | - |
Ectodermal anomalies c | + | + | - | + | + | + | + | + | + | - | + | + | + |
sparse curly hair | + | + | - | + | + | + | + | + | + | - | + | + | + |
sparse/lack of eyebrow | + | + | - | + | + | + | + | + | + | - | + | + | + |
keratosis pilaris | + | - | - | + | + | - | - | unknown | - | - | unknown | + | + |
hemangiomas | + | + | - | - | - | - | - | unknown | - | - | unknown | - | - |
CALM | - | + | - | + | + | - | - | unknown | - | - | unknown | - | - |
nevi | - | 2 | - | - | - | - | - | unknown | - | - | unknown | - | - |
Pectus excavatum | - | - | - | + | - | - | - | unknown | - | - | unknown | - | - |
Ocular abnormality d | - | + | - | + | - | + | + | + | + | - | + | + | + |
Inguinal hernia | - | - | - | + | - | - | - | - | - | - | - | - | - |
Pyloric stenosis | + | - | - | + | - | - | - | - | - | - | - | - | - |
Minor penoscrotal inversion | + | N/A | - | + | + | N/A | N/A | unknown | N/A | N/A | unknown | N/A | + |
Other | Double cervix | Menopause age 40 | infertile | ||||||||||
Dermatoglyphics e | low TRC | unknown | unknown | low TRC, CPL4F | unknown | t”/t | t”/t | unknown | tt”/tt”’ | unknown | unknown | tt”/t” | t’/t’ |
Cancer | - | - | - | - | - | - | Breast age 70 | - | - | - | ALL | - | - |
Neurocognition includes learning disability (LD) requiring special education, attention deficient hyperactivity disorder (ADHD), neuromuscular tics or not applicable (N/A) due to young age.
Characteristic facies may include relative macrocephaly, prominent forehead, bitemporal narrowing, shallow orbital ridges, down-slanting palpebral fissures, ptosis, epicanthal folds, telecanthus, hypertelorism, short nose with a depressed nasal bridge and low-set, posteriorly rotated ears.
Ectodermal anomalies may include sparse, curly and/or friable hair, scant eyebrows and eyelashes, keratosis pilaris and/or ulerythema ophryogenes, nevi and/or hemangiomas.
Ophthalmologic abnormalities may include strabismus, myopia and /or hyperopia.
Abbreviations include: Total Ridge Count (TRC), Central Pocket Loop in 4th Finger (CPL4F)