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] |