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Table 2 Clinical features

From: Cytogenomic delineation and clinical follow-up of 10 Brazilian patients with Pallister-Killian syndrome

Case

Gender

Maternal/Paternal age at conception

Craniofacial

Dermatological

Gastroin-testinal/Genitourinary

Musculoskeletal

Cardiac

Otologic/Auditory

Ophthalmologic

CNS

Brain image

1

Female

18y/22y

Flat, broad nasal root, upslanting palpebral fissures, hypertelorism, coarse face, anteverted nostrils, retrognathia, small ears

Hypopigmented streaks

Anteriorly placed anus, Umbilical hernia

Normal

Patent ductus arteriosus

NA

Normal

Developmental delay

Periventricular leukomalacia

2

Female

29y/32y

Frontotemporal alopecia, long philtrum, hypertelorism, thin upper lip, anteverted nostrils, sparse eyebrows

Normal

Normal

Normal

Normal

Unilateral hearing loss

Normal

Seizures and developmental delay

Callosum disgenesy, shortage white matter, rarefied myelinization, kyphosis

3

Male

36y /43y

Hypertelorism, flat, broad nasal root, anteverted nostrils, thin upper lip, high-arched palate

Normal

Inguinal and umbilical hernia

Normal

Atrial septal defect (aneurysm of interatrial septum)

NA

NA

Hypotonia

Normal cranial CT

4

Female

36y/37y

Epicanthus, retromicrogna-thia, coarse face, hypertelorism, anteverted nostrils, thin upper lip, frontotempo-ral alopecia

Hypopigmented and hyperpigmen-ted streaks

Normal

Normal

Normal

Otitis and bilateral hearing loss

Hypermetropia and nystagmus

Developmen-tal delay, hypotonia

Normal MRI

5

Female

37y/NA

Hypertelorism, blepharophi-mosis, convex philtrum, high-arched palate, sparse anterior scalp hair

Hypopigmented streaks

Normal

Normal

Atrial septal defect

Bilateral hearing loss

Strabismus, diffuse abnormality of the retinal pigment epithelium

Developmental delay

Enlargement of the arachnoid space and meningeal artery tortuous

6

Female

34y/33y

Hypertelorism, long phlitrum, “Pallister-lip”, upslanting palpebral fissures, sparse eyebrows, macroglossia, bifid uvula

Hypopigmented streaks

Normal

Normal

Patent ductus arterious, atrial septal defect, pulmonary hypertension

NA

NA

Developmental delay and hypotonia

Thin corpus callosum

7

Male

39y/41y

Frontotempo-ral alopecia, hypertelorism, proeminent forehead, long philtrum, sparse eyebrow, flat, broad nasal root, anteverted nostrils, thin upper lip, “Pallister-lip”

Hyperpigmented streaks

Normal

Normal

Atrial septal defect

Unilateral sensorineural hearing loss

Thinning of retinal epithelium

Hypotonia and seizures

Normal cranial CT

8

Male

31y/NA

Upslanting palpebral fissures, ptosis, epicanthal folds, flat, broad nasal root , anteverted nostrils, retromicrogna-thia, long philtrum, frontotemporal alopecia, sparse anterior scalp hair

Normal

Umbilical hernia

Bilateral hip dislocation

Atrial septal defect (aneurysm of interatrial septum)

NA

NA

Hypotonia and seizures

NA

9

Male

16y/NA

Hypertelorism, broad nasal root, cleft lip and palate,

Normal

Imperforate anus, renal agensis - right side, cryptorchidism

Postaxial polydactyly in hands and foot

Ventricular septal defect, Double Outlet Right Ventricle

NA

NA

Hypotonia

Cranial Ultrasound: periventricular hyperechogenic cyst

10

Female

23y/25y

Upslanting palpebral fissures, bitemporal alopecia, “Pallister-lip”, anteverted nostrils, broad nasak root, long philtrum

Hypopigmented and hyperpigmented streaks

Normal

Normal

Normal

NA

Strabismus

Developmen-tal delay, hypotonia

Cranial ultrasound: normal

  1. NA - not applicable.