Table 1.
Characteristics | Individual | ||||||
---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
Sex (age)a | F (6.9 y) | F (8.4 y) | F (8.4 y) | M (18.3 y) | M (8 mo) | M (4 y) | F (16.4 y) |
Genomic positionb | 17:7213097 | 17:7214714 | 17:7214722 | 17:7214723 | 17:7214723 | 17:7214741 | 17:7214762 |
cDNAc protein consequenced | c.143C>A p.T48N | c.316G>A p.G106R | c.324dupA p.R109Tfs*8 | c.325C>G p.R109G | c.325C>T p.R109* | c.343C>T p.P115S | c.364G>A p.E122K |
Inheritance/zygosity | DN Het | DN Het | DN Het | DN Het | DN Het | DN Het | DN Het |
Perinatal history | |||||||
Congenital microcephaly | Yes | Yes | Yes | Unknown | No | No | Unknown |
IUGR | Yes | Yes | No | Yes | No | No | No |
Feeding difficulties | No | Yes | Yes | Yes | Yes | No | No |
Other | No | Cardiac anomalies |
Cardiac anomalies Cleft palate |
Hypotonia |
Cardiac anomalies Hypotonia |
No | Foetal ascites |
DD/ID | Moderate/severe | Moderate | Mild | Moderate | Moderate | Mild/Moderate | Moderate |
CNS anomalies | No | No | No | Peritrigonal hyperintensities | No | Left lateral ventriculomegaly | No |
Physical anomalies | |||||||
Heart | No | Yes | Yes | Unknown | Yes | Unknown | Unknown |
Craniofacial | Yes | No | Yes | Yes | Yes | No | No |
Other | Hemivertebrae (L3) | No | No |
Cryptorchidism Pes planus |
No | No |
Toe contractures Small toenails Pes planus |
Growth parameters | |||||||
Height (SD) | N (0.53) | SS (−2.82) | N (0.86) | N (−0.45) | N (−1.45) | N (+1 SD), | SS (−2.59) |
Weight (SD) | OW (2) | LW (−2.28) | N (−0.41) | N (0.06) | LW (−3.14) | N (−0.09 SD) | N (−0.69) |
HC (SD) | Mi (−3) | Mi (−7.47) | Mi (−2.11) | Mi (−2.62) | N (−0.45) | N (−1.09) | Mi (−1.94) |
Facial dysmorphisms | |||||||
Broad eyebrows | Yes | Yes | Yes | Yes | No | Yes | No |
Abn. supraorbital ridges | Yes | Yes | Yes | Yes | No | No | No |
Epi/telecanthus | No | Yes | Yes | Yes | Yes | No | Yes |
Bulbous nasal tip | Yes | Yes | Yes | Yes | No | No | No |
Thin upper lip | No | Yes | Yes | Yes | Yes | No | No |
Micrognathia | Yes | Yes | Yes | Yes | No | Yes | No |
Low set ears | Yes | Yes | No | No | No | No | Yes |
Other | Lower eyelid hypoplasia | Hypertelorism | No | Prominent long ears | Plagiocephaly Sparse scalp hair Frontal bossing Downslanting PF Cupped ears | Long PF hypoplastic ala nasi | Deep-set eyes Abn. lower eyelids Small ears |
Other medical issues | |||||||
Joint hypermobility | No | No | Yes | Yes | N/A | No | Yes |
Eye anomalies | Yes | No | No | Yes | No | Yes | Yes |
Others | No | Constipation Gastroesophageal reflux Gastrostomy | Conductive deafness Premature thelarche | Constipation | Dysphagia Gastrostomy Failure to thrive | Hypotonia Flat feet | Autism ADHD Delayed puberty Nasal polyps |
Initial clinical suspicion | Mandibulofacial dysostosis like | Kabuki syndrome like | Kabuki syndrome like | Kabuki syndrome like | Mowat Wilson like | None | None |
Abn abnormal, ADHD attention deficit hyperactivity disorder, CNS central nervous system, DD developmental delay, HC head circumference, Het heterozygous, ID intellectual disability, IUGR intra-uterine growth retardation, LW low weight, Mi microcephaly, N within normal ranges, N/A not applicable, OW overweight, PF palpebral fissures, SD standard deviation, SS short stature.
aAt last examination.
bAccording to hg19.
cGenBank reference NM_001970.5, Ensembl reference ENST00000336458.
dUniProtKB reference P63241-1.