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Table 2 Main features and molecular characterization of 16 Malan syndrome patients

From: A deep phenotyping experience: up to date in management and diagnosis of Malan syndrome in a single center surveillance report

Patients

Priolo 2018

Present report

Present report

Priolo 2012

Gurrieri 2015

Present report

Gurrieri 2015

Present report

Gurrieri 2015

Present report

Priolo 2018

Present report

Priolo 2018

Present report

Present report

Present report

Total N = 16 (%)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Main features of our cohort of Malan syndrome patients and molecular characterization

Nationality

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

Italian

 

Sex

M

M

M

F

M

F

F

M

F

F

F

M

M

F

M

M

9 M and 7 F

Age (in years)

12.5

8.2

14.6

20.2

17.2

25.6

9.9

8.4

8.5

3.7

16.1

14.2

7.1

18.5

17.2

7.4

13.4 median

Auxologic

                 

 BMI (Kg/m2) at last examination

18.5

13.5

15

20.5

22.5

20.5

15.8

17.0

12.0

15.9

22.3

16.5

13.2

17.4

16.0

18.6

17.5 median

Prenatal growth

                 

 Weight > 2SDS

+

+

2 (13%)

 Length > 2SDS

+

+

+

+

4 (25%)

 OFC > 2SDS

+

+

+

+

+

+

+

+

+

9 (56%)

Postnatal growth

                 

 Length > 2SDS

+

+

+

+

+

+

+

7 (44%)

 OFC > 2SDS

+

+

+

+

+

+

+

+

+

+

+

+

+

+

+

+

16 (100%)

Neurological

                 

 Neonatal hypotonia

+

+

+

+

+

+

+

+

8 (50%)

 Intellectual disability

+

++

+

+

+

+

++

++

++

DD

+

++

+

+

++

+

16 (100%)

 Epilepsy

+

+

2 (13%)

 Unspecific isolated EEG anomalies

+

+

+

+

+

+

+

+

8 (50%)

 Behavioral anomalies*

+

+

+

+

+

+

+

+

+

+

+

+

+

+

+

15 (94%)

 Noise sensitivity

+

+

+

+

+

+

+

+

+

+

+

+

+

13 (81%)

 Others (EA, D, NV, PF, WG)

PF, NV

WG

EA

3 (19%)

Brain MRI

                 

 Wide ventricles

+

+

+

+

+

+

+

+

8 (50%)

 Hypoplastic corpus callosum

+

+

+

+

+

+

+

+

8 (50%)

 Brain atrophy

0 (0%)

Chiari malformation type 1

+

+

+

+

+

+

6 (38%)

Ophthalmological

                 

 Refractive disorders M, H, A

M

H

M

M

M, A

M

H, A

M

H

H

M, A

M

M

13 (81%)

 Esotropia

+

+

+

+

+

+

+

+

+

9 (56%)

 Strabismus

+

+

+

+

+

+

+

+

+

+

10 (63%)

 Nystagmus

+

+

+

+

+

5 (31%)

 Blue sclerae

+

+

+

+

+

+

+

+

+

+

+

11 (69%)

 Polar cataract

+

+

2 (13%)

 Optic nerve hypoplasia

+

+

+

+

4 (25%)

 Optic disk pallor

+

+

+

+

4 (25%)

Musculoskeletal

                 

 Slender habitus

+

+

+

+

+

+

+

+

+

+

+

+

+

+

+

+

16 (100%)

 Ligamentous hyperlaxity

+

+

+

3 (19%)

 Long hands

+

+

+

+

+

+

+

+

+

+

10 (63%)

 Hyper-kyphosis

+

+

+

3 (19%)

 Hyper-lordosis

+

+

+

2 (13%)

 Scoliosis

+

+

+

+

+

+

+

+

+

9 (56%)

 Pectus excavatum/carinatum/both

±

−/−

−/+

±

−/−

±

±

−/−

±

±

−/−

−/−

±

−/−

±

+/+

8 (50%) Exc, 1 (6%) Car, 1 (6%) Mix

 Pes Planus

+

+

+

+

+

+

+

+

+

+

+

11 (69%)

 Diaphyseal bones fractures

+

+

+

+

+

5 (31%)

 DXA

+

+

2 (13%)

Cardiovascular

                 

 Aortic root dilatation

0 (0%)

 Mitral valve regurgitation

+

+

+

+

+

5 (31%)

Gastrointestinal

                 

 Hepatomegaly

+

+

+

+

4 (25%)

 Constipation

+

+

+

+

+

+

+

+

8 (50%)

Orodental

                 

 Malocclusion

+

+

+

+

+

+

+

7 (44%)

 Ogival palate/overcrowded teeth

+

+

+

+

+

+

+

+

+

9 (56%)

 Caries

+

+

+

+

+

+

6 (38%)

 Oral apraxia/hypersalivation

+

+

+

+

+

5 (31%)

Cancer

+ (WT)

1 (6%)

ART

+

+

2 (13%)

  1. A astigmatism, ART assisted reproductive technology, D dizziness, DD developmental delay, DXA dual-energy Xray absorptiometry, EA episodic ataxia, H hypermetropia, M myopia, NV nausea or vomiting, PF postural fainting, WG wide-based gait, WT Wilms’s tumor
  2. *Mainly anxiety or autistic-like behaviour. Severity of Intellectual Disability is reported as + for mild to moderate and ++ for moderate to severe