Table 2.
Audiological, clinical and family histories of biallelic STRC mutation patients
| No. | Onset | Audiological descriptiona | Clinical description | Family history of HL |
|---|---|---|---|---|
| Patients with homozygous STRC deletions | ||||
| 1 | 2 years | HL in all frequencies with mild HL in low- to mid-frequencies until 4 kHz, moderate to severe HL to 8 kHz | No additional symptoms | None; parents are confirmed heterozygous deletion carriers |
| 2 | Childhood | High tone HL, no further description available | Delayed speech and language development | Sister has HL since birth; two additional sisters are without HL; maternal grandmother and paternal grandfather have reported age-related HL |
| 95 | Birth | Auditory brainstem response measurements from the newborn hearing test indicated maximal thresholds of 65 dB | Born in the 35th week of gestation presenting facial dysmorphisms (long eye lashes, flat nasal bridge, and epicanthus), hypoplastic widely spaced nipples, atrial septal defect, and delayed speech development; also diagnosed with hydroxylysinuria, hydroxylysinemia, and severe recurrent infections | No family history of HL; parents are first-degree cousins and confirmed heterozygous deletion carriers; one sibling died at 3 months because of an infection of unknown etiology |
| Patients with STRC deletion and pathogenic DNA sequence mutation | ||||
| 3 | 5 years | Audiogram from age 10 indicated moderate HL, mildly sloping at higher frequencies | Oral motor skills and vocabulary developed normally per age; bifid uvula and sigmatism interdentalis diagnosed at 5 years of age; underwent intensive ambulant therapy for 1 year for dyslalia | Family history of HL |
| 4 | 3 years | High frequency HL with normal hearing thresholds until 1 kHz and mild to moderate HL from 2 to 8 kHz | None available | None |
| 6 | Birth | Mild to middle grade HL; free field and PTA between 2 and 4 years of age demonstrated mild HL in all frequencies and sloping audiometric profiles, more pronounced between 2 and 8 kHz | Hypothyroidism with HL prompted Pendred syndrome screening with SLC26A4 mutation negative result | None |
| Patient with compound heterozygous DNA sequence mutations | ||||
| 24 | 6 years | PTA with sloping high frequency configuration in the right ear and cookie bite pattern in the left ear | No additional symptoms | Father and paternal uncle have mild HL; parents are first-degree cousins with two additional normally hearing children |
HL, hearing loss; PTA, pure tone audiometry.
All patients are bilaterally affected.