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. 2019 Nov 5;10(6):294–305. doi: 10.1159/000503840

a Overview of the demographic, genetic, medical and developmental data

Individuals
1 2 3 4 5 6 7 8
Age, sex 4.7 ys, male 5.11 ys, female 7.2 ys, female 8.2 ys, female 12.5 ys, male 13.5 ys, female 14.4 ys, male 17.10 ys, female

Deletion size 22q13.33ter
48,517,389–51,178,515
2,661 kb
22q13.33ter
51,123,497–51,220,923
97 kb
22q13.33ter
42,979,524–49,567,789
6.6 Mb
22q13.33ter

3 Mb
22q13.33ter
49,284,146–49,501,571
217 kb
22q13.33ter
51,123,497–51,220,923
97 kb
22q13.33ter

3–4 Mb
22q13.33ter
49,236,944–49,496,075
259 kb

Gene content SHANK3, ACR + 44 others SHANK3, ACR, RABL2B + 2 others SHANK3 + unknown SHANK3 + unknown SHANK3 + 11 other genes SHANK3, ACR, RABL2B + 2 others SHANK3 + unknown SHANK3 + unknown

Inheritance De novo De novo De novo De novo De novo Maternal De novo De novo

Other genetic features Dupl3q26.1
126.307.728–163.133.540
826 kb
Paternally inherited
NA
NA
NA
NA
NA
NA
NA
NA
Dupl1q42.2q44
15 Mb
De novo
DelXq27.3, maternally inherited
DuplXp22.33/duplYp11.32
226 kb
Maternally inherited
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Del17q11.2
26.449.432–26.512.223
62 Mb
De novo
Exon 2 and 3 of NF1 deleted

Array platform OGT 180K OGT 180K OGT 180K Illumina Cyto-SNP12 v2.1 chip (SNP array) OGT 180K OGT 180K Platform unknown (UGent) OGT 180K

Dsymorphism Fine blonde hair, pale, long eyelashes, fine nose, small chin, cleft uvula, somewhat larger, low-set ears NA Strabismus NA NA Strabismus NA Macrocrania, café au lait spots

Growth and developmental parameters

Age 4.1 ys NA NA 6.1 ys 5.1 ys 6 ys NA 1.5 ys

Weight, kg (Pc) 17.8 (50–70) NA NA 20 (25–50) 17.7 (25) 19.3 (10) NA NA

Length, cm (Pc) 107 (50–75) NA NA 114 (25–50) 105 (10) 114 (3–10) NA NA

OFC, cm (Pc) 45.5/2.3 ys (3) NA NA 53.4 (90–97) 52 (75) 49.9 (25) NA 48.9 (90–97)

Somatic diagnoses Broad aorta, hypotonia Hearing loss (right/left), juvenile palmoplantar dermatosis Hypotonia NA Nervus sebacceus NA NA NF1

Neuroimaging, age NA NA NA NA NA MRI, 2.8 ys, normal NA NA

Developmental testing, age* BSID-II/18 mo (9 mo)
BSID-III/3.4 ys (11 mo)
BSID-III/4.5 ys (12 mo)
BSID-II/2.11 ys (17 mo)
BSID-III/4 ys (27 mo)
BSID-III/5.10 ys (25 mo)
BSID-II/2 ys (6 mo) NA BSID-II/25 mo (11.5 mo)
BSID-II/3.10 ys (15 mo)
BSID-II/5.4 ys (20 mo)
BSID-III/12.3 ys (21 mo)
BSID-II/23 mo (15 mo)
BSID-II/2.4 ys (16 mo)
BSID-II/3.3 ys (16 mo), OI <55
BSID-III/13.5 ys (13 mo)
NA BSID-II/2. 3 ys (11 mo)

Language testing, age* ODC/3.4 ys (R/E 5–6 mo) BSID-III/3.4 ys (R 5 mo, E 7 mo) NA NA NA NNST/26 mo (R+E <12 mo)
NNST/38 mo (R <12 mo, E 15 mo)
Reynell/3.4 ys (1.5 ys) NNST/4.8 ys (R 12 mo, E <Pc1) NA NA

Motor testing, age* BSID-III/3.4 ys (G 18 mo, F 8 mo) NA NA NA PDMS/26 mo (18 mo)
PDMS/38 mo (G 18 mo, F 36 mo, VMI 16 mo)
NA NA NA

Current level of functioning

ID Severe Severe Profound Severe Severe Severe Profound Severe

Language No speech Short sentences No speech Sounds Short sentences Single words No speech No speech

Motor function Walking Walking Walking with assistance Walking Walking Walking Walking Walking

Psychotic symptoms

Psychiatric diagnosis, age NA NA NA NA NA ADHD, 5 ys PDD, 9 ys NA NA

Current psychiatric medication NA Unknown 3× Depakine 1× Furadentine Unknown NA 1× Equasym XR 10 mg 2 × 7 drops Dipiperon 2 coffee spoons Omeprazole 2 × Seroquel XR 200 mg