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Table 1 Clinical findings of our patient compared with previously reported KS patients and defects in EHMT1

From: Intragenic duplication of EHMT1 gene results in Kleefstra syndrome

Overlapping features

Our patient

Previously reported patients with KS andEHMT1defect (%)

Psychomotoric retardation/ ID

+

100%

Childhood hypotonia

+

100%

Behavioural problems

+ (autistic features)

75%

Facial dysmorphisms:

  

Midface hypoplasia

+

80%

Synophris

+

60%

Dysplastic/posterior rotated ears

+

50%

Short/small nose

+

45%

Brachycephaly

+

40%

Protruding tongue/macroglossia

+

40%

Hypertelorism

+

30%

Anteverted nostrils

+

25%

Tented/cupid-bowed upper lip

+

25%

Thick/everted lower lip

+

25%

Pointed chin

+

25%

Different features

  

Overweight

-

45%

Facial dysmorphisms:

  

Arched eyebrows

-

30%

Pointed chin

-

25%

Prominent forehead

+

n. r.

Neurologic defects:

  

Structural CNS anomalies

-

n. r.

Seizures

-

25%

Renal anomalies

-

15%

Sensorineural hearing loss

-

15%

Deeply creased soles of the feet

+

n. r.

Hairy back

+

n. r.

  1. + denotes present, – denotes absent; n. r. = not reported; KS = Kleefstra syndrome; ID = intellectual disability; Table modified from [11].