Lovrecic Luca, Gnan Chiara, Baldan Federica, Franzoni Alessandra, Bertok Sara, Damante Giuseppe, Isidor Bertrand, Peterlin Borut
1Clinical Institute of Medical Genetics, University Medical Center Ljubljana, Ljubljana, Slovenia.
2Istituto di Genetica Medica, Azienda Ospedaliero-Universitaria di Udine, Udine, Italy.
Mol Cytogenet. 2018 Jun 20;11:39. doi: 10.1186/s13039-018-0388-y. eCollection 2018.
Several patients with the 2p16.1p15 microdeletion syndrome have been reported. However, microduplication in the 2p16.1p15 chromosomal region has only been reported in one case, and milder clinical features were present compared to those attributed to 2p16.1p15 microdeletion syndrome. Some additional cases were deposited in DECIPHER database.
In this report we describe four further cases of 2p16.1p15 microduplication in four unrelated probands. They presented with mild gross motor delay, delayed speech and language development, and mild dysmorphic features. In addition, two probands have macrocephaly and one a congenital heart anomaly. Newly described cases share several phenotype characteristics with those detailed in one previously reported microduplication case.
The common features among patients are developmental delay, speech delay, mild to moderate intellectual disability and unspecific dysmorphic features. Two patients have bilateral clinodactyly of the 5th finger and two have bilateral 2nd-3rd toes syndactyly. Interestingly, as opposed to the deletion phenotype with some cases of microcephaly, 2 patients are reported with macrocephaly. The reported cases suggest that microduplication in 2p16.1p15 chromosomal region might be causally linked to developmental delay, speech delay, and mild intellectual disability.
已有数例2p16.1p15微缺失综合征患者的报道。然而,2p16.1p15染色体区域的微重复仅在1例中被报道,且与2p16.1p15微缺失综合征相比,其临床特征更为轻微。DECIPHER数据库中存有另外一些病例。
在本报告中,我们描述了4例无亲缘关系的先证者的2p16.1p15微重复病例。他们表现为轻度的大运动发育迟缓、语言发育延迟以及轻度的畸形特征。此外,2例先证者有巨头畸形,1例有先天性心脏异常。新描述的病例与之前报道的1例微重复病例中详述的病例具有若干表型特征。
患者的共同特征为发育迟缓、语言迟缓、轻至中度智力残疾以及非特异性畸形特征。2例患者有第5指双侧弯指畸形,2例有第2 - 3趾双侧并趾畸形。有趣的是,与一些小头畸形的缺失表型相反,有2例患者被报道有巨头畸形。所报道的病例表明,2p16.1p15染色体区域的微重复可能与发育迟缓、语言迟缓及轻度智力残疾存在因果关系。