Table 1.
Patient Information | Patient ID | NS1 | NS2 | NS3 |
Age at biopsy | 8 years | 2.38 months (0.2 years) | 1.2 months (0.1 years) | |
Gender | Male | Female | Male | |
Genotype | Gene | PTPN11 (NC_000012.12) | ||
Location | 12q24.13 | |||
Nucleotide substitution |
c.922A>G [AAT→GAT] in exon 8 |
c.922A>G [AAT→GAT] in exon 8 |
c.181G>A [GAT→AAT] in exon 3 |
|
Amino acid substitution | p.Asn308Asp [N308D] | p.Asn308Asp [N308D] |
p. Asp61Asn [D61N] |
|
Symptoms | Facial dysmorphism | Typical face and short neck | Typical face, webbed and short neck | Typical face, webbed and short neck |
Stature | Short stature (− 2.7 SD score) | Short stature (− 3.35 SD score) | Short stature (− 1.93 SD score) | |
Congenital heart defects | Pulmonary stenosis | Ventricular septal defect and trial septal defect | Pulmonary stenosis, atrial septal defect, and hypertrophic cardiomyopathy | |
Neurological manifestations |
Borderline mental retardation, learning disability and ADHD *Diagnosed at 8.1 years |
Lower gross movement, social and language problem *Diagnosed at 36 months |
Mild ADHD *Diagnosed at 5 years |
NS Noonan syndrome, PTPN11 protein tyrosine phosphatase, non-receptor type 11, SD standard deviation, ADHD attention deficit hyperactivity disorder