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Table 1 Clinical manifestation comparison in patients reported with truncating variants in NSD2

From: De novo truncating variant in NSD2gene leading to atypical Wolf-Hirschhorn syndrome phenotype

 

WHSC1 variant

Facial Features

Prenatal onset growth deficiency

Developmental delay/intellectual disability

Seizure disorder

Feeding difficulties

Hypotonia and muscle underdevelopment

Birthweight

“Greek warrior helmet” appearance of the nose

Microcephaly

High anterior hairline with prominent glabella

Craniofacial asymmetry

Abnormal teething

Widely spaced eyes

Epicanthus

Highly arched eyebrows

Short philtrum

Downturned corners of the mouth

Micrognathia

Poorly formed ears with pits/tags

Patient 1a

c.2518 + 1G > A

Yes

Yes

No

Yes (mild)

Yes

Yes (mild)

No

Yes (mild)

Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

Yes

1.5 kg[<P3]

Patient 2a

c.2803C > T p.Arg935*

Yes (mild)

Yes

No

Yes

Yes

No

No

No

Yes

Yes

Yes (mild)

Yes

Yes

Yes

No

Yes

Yes

2.3 kg[P3]

Patient 3b

c.3412C > T p.Arg1138*

No

Yes

Yes

No

Yes

Yes

Yes

No

No

No

No

Yes

No

Yes

No

No

Yes

3.05 kg[P20]

Patient 4c

c.1676_1679del p.Arg559Thrfs*38

No

No

No

No

No

Yes

Yes

Yes

No

No

Yes (mild)

Yes

No

Yes

No

Yes

Yes (mild)

2.58 kg[P6]

Our case

c.4029_4030insAA p.Glu1344Lysfs*49

Yes

No

Yes

No

Yes

Yes

Yes

Yes (mild)

Yes

Yes

Yes

No

Yes

Yes

No

Yes

Yes

2.2 kg[P2]

  1. a Deara et al.; b Lozier et al.; c Boczek et al.