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Table 1 Clinical features of four adults with 3q13.31 deletions

From: Adult expression of a 3q13.31 microdeletion

 

Current report

Molin et al. Case 1

Molin et al. Case 8

Shuvarikov et al. Case 6

Age (years)

41

19.5

18

42

Sex

Male

Male

Male

Female

Ethnicity

European

NR

NR

NR

OFC (percentile)

97th

90th

97th

50-75th

Height (percentile)

75th-90th

95th

99th

10-25th

Weight (category)

Overweight

NR

NR

Obese

Neurocognitive

Borderline intellectual disability (VIQ 90, PIQ 62)

[Developmental delay]

[Severe intellectual disability] (FSIQ < 50)

[Borderline intellectual disability] (VIQ 94, PIQ 61)

Speech delay

Yes

No

Yes

Yes

Neuropsychiatric

[Schizophrenia], aggressive behaviour

ADHD

ADHD, some repetitive behaviours

Social and emotional immaturity

Neurologic

Delayed motor development, focal hypoplasia of the superior cerebellar vermis (15 y), enuresis

Hypotonia

Hypotonia

Cerebellar agenesis, EEG abnormalities, hypotonia, enuresis

Musculoskeletal

Bilateral L5-S1 disc protrusion, slight kyphosis

Kyphosis

NR

NR

Genitalia

NA

Small testes (8 ml)

Normal

Small introitus

Craniofacial

Broad neck, facial asymmetry, strabismus, narrow palpebral fissures, long philtrum, narrow high arched palate, flat occiput, frontal and occipital hair whorls (Figure 1)

Dolichocephaly, prominent broad forehead, strabismus, myopia, ptosis, antimongoloid slant, short philtrum, high arched palate, large ears, crowded teeth, soft enamel

Prominent/broad forehead, high arched palate, large fleshy ears, pointed chin

Absent eyebrows, epicanthal folds, down slanting palpebral fissures, ptosis, high palate, nystagmus, microstomia, small teeth, large palatine tori

Hands and feet

Cubitus valgus, bilateral short 4th and 5th metacarpals, narrow feet with mild bilateral clinodactyly and camptodactyly of toes

Small hands, long fingers

Tapering fingers

Pes cavus, middle finger clinodactyly bilaterally

Pregnancy and birth

Uneventful pregnancy, birth weight 3941 g (75th-90th percentile)

NR

Birth weight 3430 g (50-85th percentile)

Placental calcifications, marginally small for dates

Other

Insulin dependent Type 2 diabetes mellitus, hypercholesterolemia, hypocalcemia, hypertension

NR

NR

Large angioma in right shoulder, dorsocervical fat pad

  1. OFC, occipital frontal circumference; NR, not reported; NA, not assessed; FSIQ, full scale intelligence quotient; VIQ, verbal intelligence quotient; PIQ, performance intelligence quotient; ADHD, attention deficit hyperactivity disorder; EEG, electroencephalography. Square brackets used to highlight ascertainment feature.