Table 2.
Comparison of the clinical features of our patient and the patient described by Caro-Llopis et al. having MED13L c.5695G > A, p.(Gly1899Arg) mutation based on the clinical table created by Tørring et al. (2019)
Clinical feature | Caro-Llopis et al. (2016) | Our patient |
---|---|---|
Intellectual disability | Yes | Yes |
Speech delay | Yes | Yes |
Anomalies of the hands and feet | NA | Yes; fattened eminences, overriding toes, pedes plani, halluces valgi |
Hypotonia | Yes | Yes |
Ophthalmological anomalies | Yes; strabismus, ptosis | No |
Anomalies on cerebral MRI | Yes; ventriculomegaly, mega cisterna magna | No |
Congenital heart defect Complex Simple (PFO/PDA) |
Yes; PDA | Yes; ASD, transposition of the pulmonary veins |
Autistic features | Yes | NA |
Bulbous nasal tip | NA | No; pointed |
Open mouth appearance | Yes | Yes |
Depressed/broad nasal root | Yes; both | No; rather high nasal bridge |
Ear anomalies | Yes; low-set | Yes; prominent |
Macrostomia | NA | Yes |
Upslanting palpebral fissures | No; downslanting | No; downslanting |
Macroglossia | NA | Yes |
Bitemporal narrowing | NA | No; short forehead |
Brachycephaly | NA | NA |
Horizontal eyebrows | NA | NA |
Others | Unilateral hearing loss, atopic dermatitis | Epilepsy, broad-based gait, crowded teeth, maxillary hypoplasia, large frontal incisors, hypotrophic muscles |
(NA) Not assessed, (MRI) magnetic resonance imaging, (PFO) patent foramen ovale, (PDA) patent ductus arteriosus, (ASD) atrial septal defect.