Clinical Category | UPD(14)mat [23] | [4] | [21] | [19] patient A | [20] | Present case | |
---|---|---|---|---|---|---|---|
Gender/Race | NA | NA | F/NA | F/NA | F/Dutch | F/Guinean | M/Chinese |
Age at Diagnosis | NA | NA | 5y | 2y | 8.9y | 15y | 10y |
Mother age | NA | NA | NM | NM | NM | NM | 35y |
Mosaic level | NA | NA | Low level | NM | Paternal chr14 in some cells | T14 = 2-49 % | T14 = 15-20 % (SNP array) T14 = 1 % (100 cells) |
De Novo | NA | NA | NM | NM | NM | Â | Y |
Prenatal Manifestation | Premature birth (12/30) | Polyhydramnios (7/24) | NM | NM | 38Â weeks | Full term | Full term; Polyhydramnios; |
Growth | Intrauterine growth retardation (IUGR) (23/29); Low birth weight (24/28); Short stature (30/37); Truncal obesity (15/30); | Growth retardation (17/24) | IUGR; 1,870Â g (<3rd); Short stature; Truncal obesity; | NM | IUGR; 2,340Â g(<3rd); Short stature; Truncal obesity; | IUGR; 2,000Â g(<3rd); Short stature; Truncal obesity; | IUGR; 2,350Â g (<3rd); Short stature; Truncal obesity; |
Head and Neck | Relative macrocephaly (38/68) | Microcephaly (10/40); Short neck(14/24); | NM | NM | NM | Â | Short neck |
Face | Frontal bossing (11/40); Short philtrum (7/40); Micrognathia (7/40); Recurrent otitis media (8/40); Ocular hypertelorism; Broad nose (5/40); Depressed nasal bridge (in some patients); Anteverted nares (in some patients); High arch palate (11/40); | Frontal bossing (12/24); Abnormal palpebral fissures(15/24); hypertelorism(8/24); Palpebral ptosis(4/24); Nose abnormalities(16/24); Anteverted nostrils(4/24); Ears abnormalities(14/24); Mouth abnormalities (32/40); High arch palate(8/24); Micro/retrognathia(18/24); | Upslanting palpebral fissures; Anteverted nares; Narrow palate; | Micrognathia; Low-set ears; Hypertelorism; | Supraorbital fullness; Square and low-set ears; Small up-turned nose; Open-mouth appearance; Recurrent ear infections; | Broad and depressed nasal bridge; Short nose; Upslanting palpebral fissures; | Ocular hypertelorism; Small palpebral fissures; Depressed nasal bridge; |
Gastrointestinal | Feeding difficulty (16/40) | - | Feeding difficulty | NM | NM | Feeding difficulty | Feeding difficulty |
Cardiovascular | - | Congenital heart defect (24/40) | NM | Atrial septal defect | NM | NM | - |
Genitourinary | Cryptorchidism (rare); Small testes (rare); | Micropenis(6/9), Cryptorchidism(7/9) | NM | NM | NM | NM | Cryptorchidism on the right side |
Skeletal | Hyperextensible joints (9/15); Joint contractures (4/51); Scoliosis (6/23); Small hands (25/30) and feet (19/20); Clinodactyly (6/40); | Body asymmetry | Small hands and feet | Left hand agenesis | Loose hand joints; | Hyperextensible joints | Thoraco-lumbar scoliosis; Buffalo bump; barrel chest; Small hands and feet; Inapparent fifth finger; |
Neurologic | Hydrocephalus; Hypotonia (29/32); Motor development delay (26/32); Speech delay (9/20); Mild to moderate intellectual disability (11/26); Fine motor/coordination problems (3/40); | Hypotonia (8/40); Psychomotor retardation; Seisure(5/24); Dandy–Walker malformation; | Hypotonia; language delay; Learning difficulty; Moderate degree developmental disability; | Hypotonia | Hypotonia; Motor development delay; Speech development delay; | Moderate intellectual impairment; Severe learning difficulties; Hypotonia; | Hypotonia; Learning difficulty; Attention deficit; Less communication with his peers; language delay; Moderate to severe intellectual disability; WISC:35-55-38; RSPM:6 %; |
Endocrine Features | Early onset/Premature puberty (13/15); Maturity-onset diabetes of the young (rare); | - | Early puberty | NM | - | Precocious puberty; | - |
Laboratory Abnormalities | Hypercholesterolemia (4/40); Hypertriglyceridemia (rare); | - | NM | NM | NM | Hypercholesterolemia | Low serum GH level |
Skin | - | Abnormal skin pigmentation(11/24) | NM | NM | NM | Abnormal skin pigmentation | Abnormal skin pigmentation |