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. 2021 Mar 19;108(4):749–756. doi: 10.1016/j.ajhg.2021.03.007

Table 1.

Phenotype information for individuals with DDB1 variants

Individual P1 P2 P3 P4 P5 P6 P7 P8
Gender female female male female female male male female
Age at last assessment 17 y 9 y 2 m 10 y 8 m 3 y 13 y 22 m 2 y 11 m 1 y

Molecular data

DDB1 variant (g) Hg19 chr11: 61094361_61094369del chr11: 61094353G>A chr11: 61094352C>T chr11: 61094278C>T chr11: 61083980A>C
DDB1 variant (c) (NM_001923.4) variant (p) (NP_001914.3) c.551_559del (p.Asp184_Gln186del) c.562C>T (p.Arg188Trp) c.563G>A (p.Arg188Gln) c.637G>A (p.Glu213Lys) c.1285T>G (p.Phe429Val)

Phenotypic features

Hypotonia moderate mild nil moderate moderate moderate moderate moderate
Intellectual disability moderate moderate DD mild (IQ = 69) mild mild-moderate mild moderate DD moderate DD
Craniofacial thick, light-blonde eyebrows; deep-set, upslanting palpebral fissures; epicanthic folds; short nose in early childhood; very full cheeks; thin upper vermilion; wide mouth; large ears with large and long ear lobes horizontal, dark eyebrows synophrys; long palpebral fissures with lateral extension; epicanthus inversus; long dark eyelashes; short nose; underdeveloped alae nasi; mid-face hypoplasia; full cheeks; low-set, large ears with long fleshy lobes synophrys; short palpebral fissures; full cheeks; large earlobes horizontal, dark eyebrows with medial broadening; lateral extension; lateral extension to palpebral fissures; short nose; mid-face hypoplasia; thin upper vermilion; large ears with fleshy lobes dark, horizontal, heavy eyebrows; round face; mild midface hypoplasia; full cheeks; protruding upper lip; thin vermillion retrognathia asymmetric; occlusion of teeth; large fleshy ears and earlobes medial broadening of eyebrows; telecanthus; lateral extension to palpebral fissures; epicanthus; long eyelashes; short nose, retrognathia; thin, tented upper vermilion; low set, fleshy ears deep-set eyes; epicanthus; hypotelorismconvergent strabismus; nystagmus; short and upturned nose; underdeveloped alae nasi; full cheeks; large, simple ears medial broadening of eyebrows; telecanthus proptosis epicanthus inversus; flat nasal bridge; mid-face hypoplasia
Malformations anterior anus and recto-vaginal fistula accessory band across left ventricle of heart, horseshoe kidney, anterior ectopic anus, dysgenesis of corpus callosum nil nil horseshoe kidney with left vesico-ureteric reflux, pelvicalyceal dilatation and megaureter nil mild left hydronephrosis metopic cranio-synostosis
Hands and feet small hands and feet, short fourth metacarpals, brachydactyly 2–3 toe syndactyly, brachydactyly short toes short toes short toes NR 2–3 toe partial syndactyly NR
Other joint laxity, ADHD, anxiety, hypothyroidism, recurrent otitis media, obesity joint laxity, truncal obesity frequent otitis media mild joint laxity, bilateral hip dysplasia, obstructive sleep apnea mild joint laxity NR gastro-esophageal reflux NR

NR, not reported; DD, developmental delay.