Patient | 1 | 2 |
---|---|---|
Variant (DNA) | c.326 T > C + c.3454-488_4182 + 2588dup | c.1565G > A + + c.3454-488_4182 + 2588dup |
Variant (protein) | p.(Leu109Pro) + p.Tyr1152_Thr1394dup | p.(Gly522Glu) + p.Tyr1152_Thr1394dup |
Age at examination | 3 years 6 months | 14 months |
Sex | male | male |
Dolichocephaly | + | + |
Craniosynostosis | + | – |
Frontal bossing | + | + |
Full cheeks | + | + |
Broad nasal bridge | + | + |
Long philtrum | + | + |
Flat philtrum columns | + | – |
Narrow mucus upper lip | + | + |
Everted lower lip | + | – |
Low set ears | + | + |
Protruding ears | + | + |
Narrow chest | + | + |
Pectus excavatum | + | – |
Short ribs | + | + |
Wide ribs | + | + |
Rhizomelic limb shortening | + | + |
Short humeri | + | + |
Short fibulae | + | + |
Flattened epiphyses | + | + |
Brachydactyly of fingers and toes | + | + |
Overlapping toes | + | – |
Joint laxity | + | + |
Fine, sparse hair | + | + |
Small teeth | + | + |
Thin nails | + | + |
Short nails | + | + |
Protuberant abdomen | + | + |
Progressive renal failure | + | + |
Tubulointerstitial nephritis | + | + |
Ophthalmological problems | Hyperopia, strabismus, nystagmus | Hyperopia |
Recurrent respiratory infections | + | + |
Intelligence | Normal | Normal |
Motor development | Normal | Delayed (walking at 22 months) |