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Table 3 Phenotypes and genotypes of positive cases

From: The Korean undiagnosed diseases program: lessons from a one-year pilot project

No.

Gender/age

Clinical presentation

Diagnostic test

Genotype

Associated disease

(MIM number.)

1

M/7.9

Global developmental delay, microcephaly, facial dysmorphism, photosensitivity

WES, proband

ERCC5, c.1627-2A > G

Cockayne syndrome

(MIM #278780)

2

F/3.9

Developmental delay, myopathic face

Single gene

FKTN, c.165 + 835 T > G/c.49A > C

Muscular dystrophy-dystroglycanopathy

(MIM #253800)

3a

M/5.4

Gait abnormality

Enzyme assay

ARSA, c.1107 + 1delG/c.919A > C

Metachromatic leukodystrophy

(MIM #250100)

4

M/17.8

Seizure gait abnormality, intellectual disability

WES, proband

SLC2A1, c.276-1G > A

GLUT1 deficiency syndrome 2, childhood onset

(MIM #612126)

5a

F/2.2

Global developmental delay

Enzyme assay

GLB1, c.1343A > T/c.517_519del

GM1-gangliosidosis, type I

(MIM #230500)

6

M/1.6

Congenital hypotonia

Single gene

MTM1, c.566A > G

Myotubular myopathy, X-linked

(MIM #310400)

7

M/15.3

Global developmental delay, seizure

CMA

16p22.3 (29673954–30,119,759) 0.44 Mb deletion

 

8

M/9.5

Paroxysmal dyskinesia

Singe gene

PRRT2, c.649dupC

Episodic kinesigenic dyskinesia

(MIM #128200)

9

M/14.4

Progressive dystonia, dysarthria, dysphagia

Single gene

ATP1A3, c.2305A > C

Dystonia-12

(MIM #128235)

10

M/9.0

Congenital hypotonia, motor developmental delay, joint laxity

Targeted multi-gene panel

COL6A1, c.850G > A

Ullrich congenital muscular dystrophy, 1

(MIM #254090)

11

M/3.3

Intrauterine ventriculomegaly, developmental delay, hypotonia

Targeted multi-gene panel

POMGNT1, c.1702T > C/c.9445dupT

Muscular dystrophy-dystroglycanopathy, type A, 3

(MIM #253280)

12

F/2.9

Microcephaly, global developmental delay, hearing loss

CMA

17p13.1 (7138534–8,151,307) 1 Mb deletion

 

13

M/3.0

Global developmental delay, early onset seizure

Targeted multi-gene panel

SCN8A, c.3820G > A

Epileptic encephalopathy, early infantile, 13

(MIM #614558)

14

M/9.8

Global developmental delay, seizure, abnormal skin lesion

WES, trio

RAB11B, c.64G > A

Neurodevelopmental disorder with ataxic gait, absent speech, and decreased cortical white matter

(MIM #617807)

15

M/6.0

Global developmental delay, dysmorphic face, sparse hair, anhydrosis, dental anomaly

WES, proband

EDA, c.1045G > A

Ectodermal dysplasia 1, hypohidrotic, X-linked

(MIM #305100)

16

M/13.8

Developmental regression, seizure, dystonia

WES, proband

CLN6, c.806C > T/c.184C > T

Ceroid lipofuscinosis, neuronal, 6

(MIM #601780)

17

F/11.9

Global developmental delay, stereotyped hands movement, seizure

WES, trio

SLC6A1, c.1070 C > T

Myoclonic-atonic epilepsy

(MIM #616421)

18

F/10.8

Global developmental delay, dysmorphic face

WES, proband

NAA10, c.247C > T

Ogden syndrome

(MIM #300855)

19

F/14.9

Ataxia

WES, trio

POLR1C, c.698insAAG/c.713A > G

Leukodystrophy, hypomyelinating, 11

(MIM #616494)

20

F/7.5

Recurrent infection, asthma, thrombocytopenia

WES, trio

NFKB2, c.2593_2594del

Immunodeficiency, common variable, 10

(MIM #615577)

21

M/3.3

Neonatal seizure, developmental delay

WES, proband

ALDH7A1, c.1279G > C

Epilepsy, pyridoxine dependent

(MIM #266100)

22

F/8.8

Early onset seizure, global developmental delay, dysmorphic face

WES, trio

DNM1, c.709C > T

Epileptic encephalopathy, early infantile, 31

(MIM #616346)

23

F/3.2

Progressive respiratory distress

WES, proband

SFTPC, c.203T > A

Surfactant metabolism dysfunction, pulmonary, 2

(MIM #610913)

24

F8.3

Ataxia, seizure, progressive muscle weakness

mtDNA sequencing

m.8344A > G

 

25

M/22.3

Progressive scoliosis, scapular deformity

Targeted multi-gene panel

GAA, c.T1316A/c.G2238C

Glycogen storage disease II

(MIM #232300)

26

M/12.8

Global developmental delay, failure to thrive, congenital heart disease

WES, trio

POC1A, c.241C > T/c.239C > T

Short stature, onychodysplasia, facial dysmorphism, and hypotrichosis

(MIM #614813)

27

F/8.6

Congenital hypotonia, failure to thrive, bilateral hip dislocation, imperforated anus, congenital heart disease

WES, trio

HSPA9, c.383A > G/c.884_885del

Even-plus syndrome

(MIM #616854)

28

M/15.7

Tip toeing, slurred speech, pathologic reflexes

WES, proband

C19orf12, c.294del

Neurodegeneration with brain iron accumulation, 4

(MIM #614298)

  1. WES whole exome sequencing, CMA chromosomal microarray
  2. aConsequence Sanger sequencing for ARSA and GLB1 was performed after final diagnosis through enzyme assay for genetic counseling