Transtorno genético raro do desenvolvimento neurológico caracterizado por atraso global do desenvolvimento (DD) e graus variáveis de deficiência intelectual (DI) com desenvolvimento da fala atrasado ou limitado/ausente associado à hipotonia neonatal, dificuldades de alimentação, anomalias cardíacas e características faciais dismórficas, ponta nasal predominantemente larga e lábio superior fino e inclinado. Microcefalia, infecções frequentes, anomalias gastrointestinais e/ou oculares também foram descritas.
Introdução
O que você precisa saber de cara
Transtorno genético raro do desenvolvimento neurológico caracterizado por atraso global do desenvolvimento (DD) e graus variáveis de deficiência intelectual (DI) com desenvolvimento da fala atrasado ou limitado/ausente associado à hipotonia neonatal, dificuldades de alimentação, anomalias cardíacas e características faciais dismórficas, ponta nasal predominantemente larga e lábio superior fino e inclinado. Microcefalia, infecções frequentes, anomalias gastrointestinais e/ou oculares também foram descritas.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 43 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 120 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant.
Histone acetyltransferase that acetylates lysine residues in histone H3 and histone H4 (in vitro) (PubMed:11742995, PubMed:11965546). Component of the MOZ/MORF complex which has a histone H3 acetyltransferase activity (PubMed:11965546). May act as a transcriptional coactivator for RUNX1 and RUNX2 (PubMed:12771199). Acetylates p53/TP53 at 'Lys-120' and 'Lys-382' and controls its transcriptional activity via association with PML (PubMed:23431171). May play a role in leukemogenic gene transcription
NucleusNucleus, nucleolusNucleus, nucleoplasmNucleus, PML body
Variantes genéticas (ClinVar)
439 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
2 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome de perturbação do desenvolvimento intelectual-anomalias craniofaciais-defeitos cardíacos autossômica dominante
Centros de Referência SUS
37 centros habilitados pelo SUS para Síndrome de perturbação do desenvolvimento intelectual-anomalias craniofaciais-defeitos cardíacos autossômica dominante
Centros para Síndrome de perturbação do desenvolvimento intelectual-anomalias craniofaciais-defeitos cardíacos autossômica dominante
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital Infantil Albert Sabin
R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876
Serviço de Referência
Hospital Infantil Albert Sabin
R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital Universitário da UFJF
R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442
Atenção Especializada
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
Hospital Universitário Julio Müller (HUJM)
R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092
Atenção Especializada
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital Universitário Lauro Wanderley (HULW)
R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital Pequeno Príncipe
R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805
Serviço de Referência
Hospital Pequeno Príncipe
R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805
Serviço de Referência
Hospital Universitário Regional de Maringá (HUM)
Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108
Atenção Especializada
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Base de São José do Rio Preto
Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798
Atenção Especializada
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Case Report: A female case of X-linked intellectual disability syndrome type 34 caused by a NONO frameshift variant and literature review.
To characterize the clinical and genetic features of a female infant with X-linked intellectual disability syndrome type 34 (MRXS34) caused by a de novo NONO frameshift variant, expanding the understanding of phenotypic mechanisms in females for this X-linked disorder. Retrospective study of the clinical data of a 10-month-old female infant diagnosed with MRXS34 due to NONO gene variation in June 2024, along with a literature review. The proband presented with global developmental delay, relative macrocephaly, generalized hypotonia, cardiac anomalies (patent foramen ovale, moderate tricuspid regurgitation, pulmonary hypertension), etc. Whole-exome sequencing (WES) identified a de novo heterozygous frameshift variant in NONO (NM_007363.5): c.994del (p.Gln322Lysfs*31), confirmed absent in both parents by Sanger sequencing. X-chromosome inactivation (XCI) analysis revealed extreme skewing (99% inactivation of the paternal X-chromosome). Transcriptome sequencing demonstrated significantly reduced NONO expression (TPM = 20.70 vs. controls 52.34 ± 5.81). Literature review encompassing 27 postnatal MRXS34 cases (all male) consistently reported intellectual disability/developmental delay (100%), craniofacial dysmorphism (100%), cardiac defects (91.3%, predominantly left ventricular non-compaction), and corpus callosum abnormalities (85%). We report the first molecularly confirmed female MRXS34 patient. Her full phenotypic manifestation is attributed to the de novo NONO loss-of-function variant combined with extreme non-random XCI. This case critically expands the clinical spectrum of MRXS34, underscores the diagnostic importance of XCI analysis in females with XLID phenotypes, and provides insights into the mechanisms enabling female expression of X-linked recessive disorders. Down syndrome is the most common viable autosomal trisomy, resulting from an extra copy of chromosome 21, and is the leading genetic cause of intellectual disability. Down syndrome was first described in 1866 by the English physician John Langdon Down, who recognized its distinct constellation of physical and developmental features. The genetic basis of this condition was established in 1959 at the Paris laboratory of pediatrician Raymond Turpin, where trisomy 21 was identified by his students, Marthe Gautier and Jérôme Lejeune. The attribution of this discovery remains debated, particularly concerning the respective contributions of Gautier and Lejeune. Down syndrome, also known as trisomy 21, is characterized by a recognizable pattern of congenital anomalies and neurodevelopmental differences, with variable involvement of multiple organ systems. Although life expectancy has improved significantly in recent decades, individuals with Down syndrome experience unique health needs throughout their lifespan, including heightened risks of heart disease if congenital heart defects are present, hematologic disorders, autoimmune diseases, sleep-disordered breathing, sensory impairments, and neurological conditions such as early-onset Alzheimer disease. Updated guidance emphasizes the importance of family-centered counseling, early detection of comorbidities, and coordinated interprofessional care spanning childhood through adulthood (see Image. Newborn with Down Syndrome). AFF4-related CHOPS syndrome is characterized by coarse facial features / cognitive impairment, heart defects, obesity, pulmonary involvement, and short stature / skeletal abnormalities. All individuals reported to date have mild-to-moderate developmental delay and intellectual disability without regression. Neurobehavioral features include disruptive and self-absorbed behaviors, communication disturbance, and food-seeking behaviors leading to obesity. Characteristic facial features include synophrys, highly arched eyebrows, long eyelashes, proptosis, and anteverted nares. Coarse facies and round face with full cheeks become more noticeable with age. Other common features include growth deficiency, respiratory issues, congenital heart defects, small hands, brachydactyly, ocular abnormalities, genitourinary abnormalities, and gastrointestinal manifestations. The diagnosis of AFF4-related CHOPS syndrome is established in a proband with suggestive clinical findings and a heterozygous pathogenic variant in AFF4 identified by molecular genetic testing. To date, all CHOPS-related pathogenic variants are located in the AFF4 ALF homology domain. Treatment of manifestations: Developmental and educational support; feeding therapy; gastrostomy tube placement as needed; nutritional management for obesity; standard treatments for chronic lung disease and sleep apnea; standard vaccinations; tracheostomy as needed for laryngomalacia; standard treatment for congenital heart defects and vertebral anomalies; treatment of refractive errors and strabismus per ophthalmologist; treatment of cataract per ophthalmic subspecialist; hearing aids as needed for hearing loss; standard treatment of genitourinary anomalies and bowel dysfunction; transitional care plan by age ten years; social work and family support. Surveillance: Assess developmental progress, educational needs, behavior issues, growth, evidence of aspiration or respiratory insufficiency, musculoskeletal manifestations, nutritional status, safety of oral intake, gastrointestinal manifestations, and family needs at each visit. Assess for myopia and strabismus per ophthalmologist and at least annually; annual audiology evaluation. AFF4-related CHOPS syndrome is an autosomal dominant disorder. All probands reported to date with AFF4-related CHOPS syndrome whose parents have undergone molecular genetic testing have the disorder as the result of a de novo pathogenic variant. Risk to the parents of the proband of having another affected pregnancy is presumed to be low for the parents of the proband as the proband most likely has a de novo AFF4 pathogenic variant. There is, however, a recurrence risk (~1%) to sibs based on the possibility of parental gonadal mosaicism. Given this risk, prenatal and preimplantation genetic testing may be considered.
Clinical and genetic characterization of patients with Digeorge syndrome: a single-center, first report from Sudan.
DiGeorge syndrome (DGS; OMIM #188400), also known as 22q11.2 deletion syndrome, is characterized by cardiac defects, abnormal facial features, thymic hypoplasia, cleft palate, and hypocalcemia. The syndrome is ranked as the second most common chromosomal change after Down’s syndrome, accounting for 1 in 2000 newborns. DGS syndrome is typically diagnosed through CGH and/or FISH analysis in developed countries. However, in low-resource healthcare settings, diagnosis often relies primarily on clinical manifestations due to limited access to genetic testing. The present study, the first of its kind, seeks to deepen the understanding of both the clinical and genetic aspects of DGS among Sudanese patients by employing FISH analysis as a confirmatory test. Between 2020 and 2023, 19 patients with DGS as a provisional diagnosis were referred to the Elite Center for Genetic Services for genetic testing and counseling. Cytogenetics and chromosomal analysis were performed following standard protocols, complemented by chromosomal FISH analysis using locus-specific TUPLE1 and α-satellite DNA probes. Of the 19 patients, 9 (47.4%) were male, and 10 (52.6%) were female, with ages ranging from 2 months to 3 years, and a mean of 11 ± 8.6 months. The most common presentations were CHD in 13 (68.4%), dysmorphic features in 12 (63.2%), and recurrent respiratory tract infections in 9 (47.4%). The least common presenting complaint was intellectual disability in only 2 (10.5%) patients. The echocardiogram revealed isolated heart defects in 9 (47.4%) patients, and only 4 (21.1%) had combined cardiac anomalies. Laboratory tests showed hypocalcemia in all four neonatal patients (21.1%) with a previous history of neonatal convulsions. Conventional cytogenetic analyses were suggestive but non-conclusive {46,XY,?del(22) and 46,XX,?del(22)} for DGS. The complementary FISH analysis confirmed the diagnosis by detecting the microdeletion in the DGCR of chromosome 22. Our study highlights the late presentation of DGS for genetic diagnoses. This may be due to limited access to genetic testing, late referrals from treating physicians, or the high cost of the tests. A key area for future research is the environmental factors, such as skin bleaching, that may contribute to DGS in Sudan and other African populations.
Pediatric floating-harbor syndrome: clinical features and treatment outcomes in a cohort of Chinese children.
Floating-Harbor syndrome (FHS) is a rare disorder characterized by facial dysmorphism, short stature, and delayed language development. We evaluated the clinical features and treatment outcomes of 10 Chinese children with FHS who received recombinant human growth hormone (rhGH) therapy or nutritional intervention. We retrospectively extracted the clinical features, height standard deviation score (SDS), genetic characteristics, and treatment outcomes from the medical records of 10 Chinese children with FHS. The treatment response was classified as good, moderate, or poor based on annual height SDS change and height velocity. All patients presented with short stature at diagnosis, distinct facial features, and non-specific skeletal abnormalities. All patients had delayed language development, feeding difficulties, intellectual disability, and diverse organ abnormalities. Whole-exome sequencing (WES) identified pathogenic or likely pathogenic variants in exon 34 of SRCAP, and eight mutations were identified, including three variants (c.7225dupG;p.Ala2409GlyfsTer34, c.7382delC;p.Pro2461GlnfsTer 14, and c.7255C > T;p.Gln2419Ter) that had not been previously reported in case reports. Eight patients were treated with rhGH, six of whom demonstrated good responses, one a moderate response, and one a poor response. One patient with a contraindication to rhGH treatment achieved meaningful height SDS improvement after nutritional therapy. Although FHS is a rare condition, we characterized its clinical features in a Chinese patient cohort. RhGH improved height in most patients, and nutritional optimization appeared to support growth in one child. • Floating-Harbor syndrome (FHS) is a rare genetic disorder characterized by facial dysmorphism and short stature, and it is often treated with growth hormone. The majority of documented cases of FHS have historically been concentrated within Western populations. The number of cases reported in Asian countries remains small. • We report three SRCAP variants that have not been previously documented in case reports among 10 Chinese children with FHS. Most children showed favorable short-term responses to recombinant human growth hormone, and one child demonstrated an improvement in height standard deviation score with structured nutritional therapy alone.
Development of an integrative cross-omics approach for conceptual adverse outcome pathway network construction.
The abilities of recent high throughput techniques to measure biological responses is rapidly growing, therefore methods to analyse and organise these vast amounts of data into meaningful results are needed. Adverse outcome pathways (AOPs) and AOP networks (AOPNs) are an increasingly recognised framework for translating mechanistic information into useable knowledge to support policy decisions. However, many traditional statistical approaches may be ineffective at capturing nuances of high throughput data, particularly from multiple disparate layers of biological organisation. We present a comprehensive method that combines univariate differential expression (UD) analysis and multivariate integrative modeling (MIM) approaches, using transcriptomic and metabolomic data from adipocytes exposed to a classic obesogen, to develop a conceptual AOPN (cAOPN) for metabolic syndrome (MetS). Simpson-Golabi-Behmel syndrome (SGBS) preadipocyte cells were differentiated in tributyltin (TBT) and analysed using whole genome transcriptome and untargeted metabolomics analysis. UD and MIM results were used to identify perturbed features (PFs) for over-representation analysis for pathways and diseases and followed by integrated network and cluster analyses based on Jaccard similarity to reorganise resultant complex biological phenomena into exploratory depictions of cause-and-effect relationships. The resulting cAOPN for MetS was assembled and corroborated with the literature and mechanistic pathway databases that supported the identified disruptions in lipid regulation, iron transport, growth processes, key signalling processes, adipocyte differentiation, and hormonal homeostasis. Overall, by leveraging the strengths of multiple statistical methods in combination with heterogeneous data from multiple layers of biological organisation, this method facilitated the integration and interpretation of complex data into an exploratory mechanistic schema for AOP and AOPN hypothesis generation and prioritisation.
Prenatal Diagnosis and Genotype-Phenotype Correlation in 8q21.11 Microdeletion Syndrome: A Case Report.
8q21.11 microdeletion syndrome is a rare chromosomal disorder characterized by a highly variable phenotype, including mild to moderate intellectual disability, distinctive facial dysmorphisms, and congenital anomalies such as ocular defects, cardiac malformations, and limb abnormalities. The deletion size in 8q21.11 microdeletion syndrome ranges from 0.12 to 13.15 Mb, with a critical small region of overlap (SRO) of 539.77 Kb. The ZFHX4 gene in this region is implicated in neurodevelopmental disorders and ocular anomalies. Other genes, including PEX2 and PMP2, contribute to the complex clinical presentation by affecting metabolic and immune functions. Here, we present a prenatal diagnosis of 8q21.11 microdeletion syndrome in a fetus with increased nuchal translucency detected via ultrasound. This case underscores the importance of high-resolution genomic testing and genetic counseling in the management of 8q21.11 microdeletion syndrome, providing valuable insights into prenatal assessment of this rare condition.
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American journal of medical genetics. Part APredictors of Neurodevelopmental and Mental Health Diagnoses in Congenital Heart Disease: A Danish Population-Based Cohort Study.
Circulation. Cardiovascular quality and outcomesCharacterizing healthcare resource utilization in two rare diseases (Kleefstra syndrome and SLC6A1 epileptic encephalopathy) using multimodal real-world data.
Orphanet journal of rare diseasesA novel heterozygous mutation of ANKRD11 causes KBG syndrome in a preterm neonate: a case report and literature review.
Frontiers in pediatricsCHARGE Syndrome in a Six-Month-Old Male Infant: A Case Report.
Cureus[Clinical and genetic investigation of 4 children with microdeletion KBG syndrome].
Zhonghua er ke za zhi = Chinese journal of pediatricsVariable expressivity of a transmitted pathogenic KAT6B variant.
European journal of medical geneticsPhenotypic Spectrum of KATNIP-Associated Joubert Syndrome: Possible Association with Esophageal Atresia and Review of the Literature.
GenesA Novel Frameshift Variant and a Partial EHMT1 Microdeletion in Kleefstra Syndrome 1 Patients Resulting in Variable Phenotypic Severity and Literature Review.
GenesUnraveling Glypican-3: From Structural to Pathophysiological Roles and Mechanisms-An Integrative Perspective.
CellsKDM2B variants in the CxxC domain impair its DNA-binding ability and cause a distinct neurodevelopmental syndrome.
Human molecular geneticsA new association between Kleefstra syndrome and Panayiotopoulos epilepsy.
Italian journal of pediatricsCharacterisation of Challenging Behaviours and Associated Genetic and Neurological Features in Cardiofaciocutaneous Syndrome.
Journal of intellectual disability research : JIDRPrenatal diagnosis and counseling of Emanuel syndrome: Two case reports.
Taiwanese journal of obstetrics & gynecologyLong term follow-up of multiorgan disease in Kleefstra syndrome 2 in an adult - case report.
BMC neurologyCardiological Manifestations in Males and Females Affected by NAA10 -Related Disease.
American journal of medical genetics. Part AThe Cardiovascular Manifestations and Management Recommendations for Ogden Syndrome.
Pediatric cardiologyPhenotypic Characterization of Seven Pediatric Patients Diagnosed With KAT6B -Related Disorders: Case Series and Review of the Literature.
American journal of medical genetics. Part ANeuroanatomical features of NAA10 and NAA15-related neurodevelopmental syndromes.
Journal of neuroradiology = Journal de neuroradiologieRespiratory and airway disorders in children with Down Syndrome: a review of the clinical challenges and management.
Frontiers in pediatricsSudden infant death in a neonate with X-linked intellectual disability type Nascimento because of UBE2A deletion.
Clinical dysmorphologyImpact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy.
JACC. Basic to translational scienceBi-allelic MED16 variants cause a MEDopathy with intellectual disability, motor delay, and craniofacial, cardiac, and limb malformations.
American journal of human geneticsHighlighting cardiovascular manifestations of kleefstra syndrome: literature review and clinical insights.
BMC cardiovascular disordersDe Novo Deletion in the 12q24.23q24.31 Chromosomal Region Causing a Neurodevelopmental Syndrome in a Female Saudi Patient: A Case Report.
CureusAxonal motor polyneuropathy in a 13 years old Girl with a de Novo variant in ADNP.
Neurogenetics[Duplication of the X-chromosomal Xq28 region containing the MECP2 gene in X-linked intellectual disability syndrome Lubs-type].
Orvosi hetilapEstablishment of a human induced pluripotent stem cell line, KMUGMCi008-A, from a patient with A Say-Barber-Biesecker-Young-Simpson variant of Ohdo syndrome bearing heterozygous frameshift mutation in the KAT6B gene.
Stem cell researchUnmasking a Recessive Allele by a Rare Interstitial Deletion at 10q26.13q26.2: Prenatal Diagnosis of MMP21 -Related Disorder and Further Refine INSYN2A Involvement in the Postnatal Cognitive Phenotype.
Molecular genetics & genomic medicineCDK13-Related Disorder: Novel Insights From A Series of 27 Cases and Recommendations for Clinical Management.
Clinical geneticsKabuki and CHARGE syndromes: overlapping symptoms and diagnostic challenges.
Einstein (Sao Paulo, Brazil)Aberrant ERK signaling in astrocytes impairs learning and memory in RASopathy-associated BRAF mutant mouse models.
The Journal of clinical investigationA Novel Missense Mutation of the ABL1 Gene in a Child With Congenital Heart Defects and Skeletal Malformations Syndrome.
American journal of medical genetics. Part AVitamin D modulates the content of inflammatory microRNAs in extracellular vesicles from human adipocyte cells in inflammatory context.
BioFactors (Oxford, England)Simpson-Golabi-Behmel syndrome type 1 in a neonate with central hepatoblastoma.
BMJ case reportsExpanding the clinical spectrum of 19p13.3 microduplication syndrome: a case report highlighting nephrotic syndrome and literature review.
BMC pediatricsValidation of a hypomorphic variant in CDK13 as the cause of CHDFIDD with autosomal recessive inheritance through determination of an episignature.
Clinical epigeneticsAarskog-Scott syndrome: a clinical study based on a large series of 111 male patients with a pathogenic variant in FGD1 and management recommendations.
Journal of medical geneticsA Case of a Newborn Presenting With a VACTERL-Like Association.
CureusCase report: Kabuki syndrome and persistent hypoglycemia in neonates.
Journal of family medicine and primary careLong read Nanopore sequencing identifies precise breakpoints of a de novo paracentric inversion that disrupt the MEIS2 gene in a Chinese girl with syndromic developmental delay.
BMC pediatricsQ241R mutation of Braf causes neurological abnormalities in a mouse model of cardio-facio-cutaneous syndrome, independent of developmental malformations.
Human molecular geneticsExpanding the Genotypic and Phenotypic Spectrum of OFD1-Related Conditions: Three More Cases.
GenesNovel Phenotypes and Genotype-Phenotype Correlations in a Large Clinical Cohort of Patients With Kleefstra Syndrome.
Clinical geneticsFrom growth hormone deficiency to Kleefstra-2 syndrome: diagnostic reassessment of treatment-refractory short stature.
Pediatric endocrinology, diabetes, and metabolismDysmorphic syndromes with overgrowth - systematic review. Part 1 - monogenic syndromes.
Pediatric endocrinology, diabetes, and metabolismPhenotypic traits and family history in patients with 22q11.2 deletion syndrome and generalized epilepsy: A multicenter case-control study.
EpilepsiaDevelopment and validation of a multiplex chip-based droplet digital PCR method for detecting CNVs in 7q11.2 and 22q11.2 regions.
Clinica chimica acta; international journal of clinical chemistryNONO-related X-linked intellectual disability syndrome: Further clinical and molecular delineation.
European journal of medical geneticsClinical characteristics and genetic analysis of four pediatric patients with Kleefstra syndrome.
BMC medical genomicsEHMT2 as a Candidate Gene for an Autosomal Recessive Neurodevelopmental Syndrome.
Molecular neurobiologyCHIME Syndrome in a Child With Homozygous PIGL p.Leu167Pro Variant.
American journal of medical genetics. Part ACardiovascular Findings in Klippel-Feil Syndrome: A Systematic Review.
CureusCyclin-dependent kinase 13 is indispensable for normal mouse heart development.
Journal of anatomyAMOTL1 -Associated Multiple Congenital Anomalies (Craniofaciocardiohepatic Syndrome, CFCHS): A Novel Clinical Spectrum Including Craniofacial, Heart and Liver Abnormalities.
Clinical geneticsFactors contributing to severe scoliosis after open chest surgery for congenital heart disease: a case-control analysis.
Spine deformity20p chromosome inverted duplication syndrome with phenotypes of congenital heart disease, anorectal malformation and megacolon.
BMJ case reportsPrenatal diagnosis of 9q34.3 microdeletion-associated Kleefstra syndrome in a pregnancy complicated by polyhydramnios: A case report and literature review.
Taiwanese journal of obstetrics & gynecologyImpact of Persistent Pulmonary Hypertension of the Newborn in Neonates with Dextro-transposition of the Great Arteries.
Journal of cardiothoracic and vascular anesthesiaPrenatal Sonographic Features of Noonan Syndrome: Case Series and Literature Review.
Journal of clinical medicineIdentification of a Novel Frameshift variant of the ATRX gene: a Case Report and Review of the genotype-phenotype relationship.
BMC pediatricsApproach to the Patient: Diagnosis and Treatment With Growth Hormone of Turner Syndrome and Its Variants.
The Journal of clinical endocrinology and metabolismPhenome-wide profiling identifies genotype-phenotype associations in Phelan-McDermid syndrome using family-sourced data from an international registry.
Molecular autism[Genetic analysis of a child with 18q terminal deletion and aortic regurgitation and a literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsEstablishment of human pluripotent stem cell-derived cortical neurosphere model to study pathomechanisms and chemical toxicity in Kleefstra syndrome.
Scientific reportsExploring Kleefstra syndrome cohort phenotype characteristics: Prevalence insights from caregiver-reported outcomes.
European journal of medical geneticsThe overlapping of phenotypes in Wiedemann-Steiner, Kleefstra and Coffin-Siris syndromes: a study of eleven patients.
Italian journal of pediatricsTurner syndrome and neuropsychological abnormalities: a review and case series.
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao PauloMED12 Loss-of-Function Variants as a Cause of Congenital Diaphragmatic Hernia in Females With Hardikar Syndrome and Nonspecific Intellectual Disability.
American journal of medical genetics. Part ATreatment-resistant schizophrenia with 22q11.2 deletion and additional genetic defects.
Neuropsychopharmacology reportsRecurrent p.H119Y variant in MAP2K1 expands the phenotypic spectrum of MAP2K1 -related RASopathy.
American journal of medical genetics. Part AClinical Findings in a Series of Thirty Eight Patients with Williams-Beuren Syndrome.
Cytogenetic and genome researchPhenotypic spectrum and tumor risk in Simpson-Golabi-Behmel syndrome: Case series and comprehensive literature review.
American journal of medical genetics. Part AThe first Brazilian clinical report of Kleefstra syndrome, including semicircular canals agenesis as a possible phenotype expansion.
European journal of medical geneticsPathogenic variants in KMT2C result in a neurodevelopmental disorder distinct from Kleefstra and Kabuki syndromes.
American journal of human geneticsComprehensive EHMT1 variants analysis broadens genotype-phenotype associations and molecular mechanisms in Kleefstra syndrome.
American journal of human geneticsPersistent Urogenital Sinus Leading to Hydrometrocolpos in a Female Child With Features of McKusick-Kaufman Syndrome.
CureusNeuroanatomical Features of NAA10- and NAA15-Related Neurodevelopmental Syndromes.
medRxiv : the preprint server for health sciencesUsing a new analytic approach for genotyping and phenotyping chromosome 9p deletion syndrome.
European journal of human genetics : EJHGCase Report of Suspected Gonadal Mosaicism in FOXP1-Related Neurodevelopmental Disorder.
International journal of molecular sciencesResearch gaps in the neurodevelopmental assessment of children with complex congenital heart defects: a scoping review.
Frontiers in pediatricsAortic disease and cardiomyopathy in patients with a novel DNMT3A gene variant causing Tatton-Brown-Rahman syndrome.
Clinical epigeneticsA Witteveen-Kolk Syndrome Patient with Reflux Disease and a de novo Deletion of the SIN3A Gene.
Molecular syndromologyClinical and molecular characteristics of Korean patients with Kabuki syndrome.
Journal of human geneticsExpanding the Phenotype of the CACNA1C-Associated Neurological Disorders in Children: Systematic Literature Review and Description of a Novel Mutation.
Children (Basel, Switzerland)Severe congenital ichthyosiform dermatosis in CHIME syndrome successfully treated with ixekizumab.
Pediatric dermatologyA case of pancreatoblastoma in a child with Simpson-Golabi-Behmel syndrome: Highlighting the importance of alpha fetoprotein monitoring.
Pediatric blood & cancerSimpson-Golabi-Behmel syndrome.
American journal of medical genetics. Part C, Seminars in medical geneticsNovel SETBP1 D874V adjacent to the degron causes canonical schinzel-giedion syndrome: a case report and review of the literature.
BMC pediatricsZAP70: A Key Gene Identified by Differential Expression Analysis for Early Diagnosis of Fetuses with Emanuel Syndrome.
Biochemical genetics[Clinical and genetic characteristics of four children with Kabuki syndrome due to de novo variants of KMT2D gene].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPRKD1-related telangiectasia-ectodermal dysplasia-brachydactyly-cardiac anomaly syndrome: Case report and review of the literature.
European journal of medical geneticsPaternally Inherited Noonan Syndrome Caused by a PTPN11 Variant May Exhibit Mild Symptoms: A Case Report and Literature Review.
GenesNeuroanatomical Correlates of Cognitive Dysfunction in 22q11.2 Deletion Syndrome.
GenesQualitative and quantitative analysis of MED12 c.887G>A causing both missense and splicing variants in X-linked Ohdo syndrome.
American journal of medical genetics. Part AFrom phenotype to mechanism: Prenatal spectrum of NKAP mutation-related disorder and its pathogenesis inducing congenital heart disease.
Journal of cellular and molecular medicineThe First Korean Case with Cardiac, Facial, and Digital Anomalies with Developmental Delay Caused by De Novo TRAF7 p.Arg655Gln Variant.
International journal of molecular sciencesCase Report: Expanding the phenotypic spectrum of PURA syndrome in South America with the first presentation of concurrent vitiligo.
Frontiers in pediatricsAssociation of congenital heart disease and neurodevelopmental disorders: an observational and Mendelian randomization study.
Italian journal of pediatricsIncreasing histone acetylation improves sociability and restores learning and memory in KAT6B-haploinsufficient mice.
The Journal of clinical investigationNovel copy number variations and phenotypes of infantile epileptic spasms syndrome.
Clinical geneticsTranscriptomic dysregulation and autistic-like behaviors in Kmt2c haploinsufficient mice rescued by an LSD1 inhibitor.
Molecular psychiatryClinical and genetic analysis of trichohepatoneurodevelopmental syndrome caused by a CCDC47 variant.
HeliyonGenotype-phenotype correlations in a fetus with Kleefstra syndrome.
Taiwanese journal of obstetrics & gynecologyThe spectrum of heart defects in the TRAF7-related multiple congenital anomalies-intellectual disability syndrome.
Proceedings of the National Academy of Sciences of the United States of AmericaSimpson-Golabi-Behmel syndrome type 1 with normal birth parameters.
BMJ case reportsVariants in KMT2A in Three Individuals with Previous Suspicion of 22q11.2 Deletion Syndrome.
GenesSARS-CoV-2 Infection Alters the Phenotype and Gene Expression of Adipocytes.
International journal of molecular sciencesRefining the 9q34.3 microduplication syndrome reveals mild neurodevelopmental features associated with a distinct global DNA methylation profile.
Clinical geneticsSex-specific difference in phenotype of Kabuki syndrome type 2 patients: a matched case-control study.
BMC pediatricsNeurodevelopmental outcomes of preterm and growth-restricted neonate with congenital heart defect: a systematic review and meta-analysis.
European journal of pediatricsIdentification of the DNA methylation signature of Mowat-Wilson syndrome.
European journal of human genetics : EJHGBiallelic loss-of-function variants of SLC12A9 cause lysosome dysfunction and a syndromic neurodevelopmental disorder.
Genetics in medicine : official journal of the American College of Medical GeneticsThe first case of a point pathogenic variant in the RREB1 gene in Noonan-like Rasopathy.
Clinical geneticsFloating-Harbor syndrome and provision of dental treatment: A case report of the dental considerations.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry[Genetic diagnosis and analysis of eight cases with central 22q11.2 deletion syndrome].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsPhenotyping Down syndrome: discovery and predictive modelling with electronic medical records.
Journal of intellectual disability research : JIDRExpanding the phenotype of Kleefstra syndrome: speech, language and cognition in 103 individuals.
Journal of medical geneticsNovel PUF60 variant suggesting an interaction between Verheij and Cornelia de Lange syndrome: phenotype description and review of the literature.
European journal of human genetics : EJHGARID2, a milder cause of Coffin-Siris Syndrome? Broadening the phenotype with 17 additional individuals.
American journal of medical genetics. Part AArrhythmias including atrial fibrillation and congenital heart disease in Kleefstra syndrome: a possible epigenetic link.
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of CardiologyDe novo KAT6B mutation causes Say-Barber-Biesecker-Young-Simpson variant of Ohdo syndrome in an Iranian boy: a case report.
Journal of medical case reportsAcetyltransferase in cardiovascular disease and aging.
The journal of cardiovascular agingGrowth, body composition, and endocrine-metabolic profiles of individuals with Kleefstra syndrome provide directions for clinical management and translational studies.
American journal of medical genetics. Part AA novel 11 base pair deletion in KMT2C resulting in Kleefstra syndrome 2.
Molecular genetics & genomic medicineA novel NONO nonsense variant in a fetus with renal abnormalities.
Prenatal diagnosisCo-Occurring Thrombotic Thrombocytopenic Purpura and Autoimmune Hemolytic Anemia in a Child Carrying the Pathogenic SHOC2 c.4A>G (p.Ser2Gly) Variant.
The American journal of case reportsCat eye syndrome: Clinical, cytogenetics and familial findings in a large cohort of 43 patients highlighting the importance of congenital heart disease and inherited cases.
American journal of medical genetics. Part AMutations in PTPN11 could lead to a congenital myasthenic syndrome phenotype: a Noonan syndrome case series.
Journal of neurologySeven Additional Patients with SOX17 Related Pulmonary Arterial Hypertension and Review of the Literature.
GenesPrenatal cfDNA Screening for Emanuel Syndrome and Other Unbalanced Products of Conception in Carriers of the Recurrent Balanced Translocation t(11;22): One Laboratory's Retrospective Experience.
GenesNeurodevelopmental and other phenotypes recurrently associated with heterozygous BAZ2B loss-of-function variants.
American journal of medical genetics. Part AMyricetin attenuates hypoxia-induced inflammation in human adipocytes.
Molecular biology reportsTourette-like syndrome secondary to Kleefstra syndrome 1 with a de novo microdeletion in the EHMT1 gene.
BMC neurologyElectroclinical Features of Epilepsy in Kleefstra Syndrome.
Neuropediatrics22q11.2 Deletion Syndrome in Taiwan: Clinical Presentation and Immune System Status of Patients.
International journal of medical sciencesPrenatal diagnosis of 15q11.2 microdeletion fetuses in Eastern China: 21 case series and literature review.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal ObstetriciansDeletion of taf1 and taf5 in zebrafish capitulate cardiac and craniofacial abnormalities associated with TAFopathies through perturbations in metabolism.
Biology openMultiple copy number variation in a patient with Kleefstra syndrome.
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao PauloTreatment of Intracranial Hemorrhagic Lesions Associated With Jacobsen's Syndrome.
CureusSystematic ophthalmologic evaluation in cardio-facio-cutaneous syndrome: A genotype-endophenotype correlation.
American journal of medical genetics. Part AMolecular and phenotypic spectrum of cardio-facio-cutaneous syndrome in Chinese patients.
Orphanet journal of rare diseasesClinical heterogeneity of polish patients with KAT6B-related disorder.
Molecular genetics & genomic medicineMegaloblastic Anemia in Bardet-Biedl Syndrome: A Rare Case Report.
Clinical medicine insights. Case reportsEmbryonic statistical analyses reveal 2 growth phenotypes in mouse models of Down syndrome.
American journal of obstetrics and gynecologyPrenatal diagnosis of Myhre syndrome with a heterozygous pathogenic variant in SMAD4 gene presented with thick nuchal translucency and cardiac abnormalities.
Prenatal diagnosis18q21.1q21.32 Deletion in a Patient With Juvenile Cerebral Infarction.
CureusKleefstra syndrome presenting as pulmonary atresia with intact ventricular septum diagnosed prenatally at 16 weeks using four-dimensional spatiotemporal image correlation.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyMolecular and Functional Characterisation of a Novel Intragenic 12q24.21 Deletion Resulting in MED13L Haploinsufficiency Syndrome.
Medicina (Kaunas, Lithuania)Heterozygous rare variants in NR2F2 cause a recognizable multiple congenital anomaly syndrome with developmental delays.
European journal of human genetics : EJHGCongenital heart defects in CTNNB1 syndrome: Raising clinical awareness.
Clinical geneticsDe novo missense variants in phosphatidylinositol kinase PIP5KIγ underlie a neurodevelopmental syndrome associated with altered phosphoinositide signaling.
American journal of human geneticsCafé-au-lait Spots and Cleft Palate: Not a Chance Association.
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial AssociationAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Case Report: A female case of X-linked intellectual disability syndrome type 34 caused by a NONO frameshift variant and literature review.
- Clinical and genetic characterization of patients with Digeorge syndrome: a single-center, first report from Sudan.
- Pediatric floating-harbor syndrome: clinical features and treatment outcomes in a cohort of Chinese children.
- Development of an integrative cross-omics approach for conceptual adverse outcome pathway network construction.
- Prenatal Diagnosis and Genotype-Phenotype Correlation in 8q21.11 Microdeletion Syndrome: A Case Report.
- Neuroanatomical features of NAA10 and NAA15-related neurodevelopmental syndromes.
- Long read Nanopore sequencing identifies precise breakpoints of a de novo paracentric inversion that disrupt the MEIS2 gene in a Chinese girl with syndromic developmental delay.
- Dysmorphic syndromes with overgrowth - systematic review. Part 1 - monogenic syndromes.
- PRKD1-related telangiectasia-ectodermal dysplasia-brachydactyly-cardiac anomaly syndrome: Case report and review of the literature.
- Molecular and Functional Characterisation of a Novel Intragenic 12q24.21 Deletion Resulting in MED13L Haploinsufficiency Syndrome.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:457193(Orphanet)
- OMIM OMIM:616268(OMIM)
- MONDO:0014558(MONDO)
- GARD:17797(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q50349636(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar