Table 1.
22q11.2 proximal deletion syndrome | 22q11.2 distal deletion syndrome | |
---|---|---|
Age | 30 years | 49 years |
Sex | F | M |
Genetic tests | ||
Karyotyping | 46,XX | 46,XY |
MLPA | Deletion in LCR A–D | Deletion in LCR D–F |
aCGH | arr 22q11.21 (18,648,866 – 21,465,659)×1 Deletion of 2.8 Mb in 22q11.21 region |
Deletion of 1.8 Mb in 22q11.21q11.23 region |
Clinical data | ||
Neurodevelopment | Speech delay | Global developmental delay, IQ 72 |
Heart defects | Atrial septal defect | None |
Skeletal defects | Klippel Feil disorder, short stature | None |
Orofacial defects | Submucous cleft palate | None |
Infections | Chronic supurative otitis media, chronic sinusitis, keratitis, several episodes of pneumonia, pulmonary hypertension secondary to lung fibrosis, recurrent urinary tract infections | Ocular HZV infection, recurrent HZV infection in left hemibody (at least 11 episodes) |
Ear | Bilateral conductive hearing loss | Left sensorineural hearing loss |
CNS | Symptomatic focal epilepsy | Arachnoid cyst |
Endocrine | Hypothyroidism, Hypogonadism | Hypothyroidism |
Others | Hypersplenism that required surgical spleen remotion, Von Willebrand type II disease, granulomatous liver disease, epilepsy | Postherpetic neuropathy, IV–VI cranial nerve paralysis |
Results of genetic tests and clinical findings were obtained from medical records. aCGH, array comparative genomic hybridization; CNS, central nervous system; HZV, herpes zoster virus; LCR, low copy repeats; MLPA, multiplex ligation-dependent probe amplification.