Clinical DysmorphologyPub Date : 2026-07-01Epub Date: 2026-03-09DOI: 10.1097/MCD.0000000000000558
Isra Zara Khalil, Sanna Waheed, Neeta Lakhani, Ataf Sabir
{"title":"Novel ROBO3 variants in two families with horizontal gaze palsy with progressive scoliosis: clinical characterization and brief literature overview of 14 reported families.","authors":"Isra Zara Khalil, Sanna Waheed, Neeta Lakhani, Ataf Sabir","doi":"10.1097/MCD.0000000000000558","DOIUrl":"10.1097/MCD.0000000000000558","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"134-138"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-07-01Epub Date: 2026-05-27DOI: 10.1097/MCD.0000000000000569
Sabire Gokalp, Hacer Basan, Asburce Olgac, Aynur Kucukcongar Yavas, Mustafa Kilic
{"title":"Clinical spectrum of acyl-CoA synthetase family member 3-related combined malonic and methylmalonic aciduria: insights from four cases.","authors":"Sabire Gokalp, Hacer Basan, Asburce Olgac, Aynur Kucukcongar Yavas, Mustafa Kilic","doi":"10.1097/MCD.0000000000000569","DOIUrl":"10.1097/MCD.0000000000000569","url":null,"abstract":"<p><strong>Background: </strong>Acyl-conezyme A (CoA) synthetase family member 3 ( ACSF3 ) related combined malonic and methylmalonic aciduria (CMAMMA) is an inborn error of metabolism involving defective activation of malonic and methylmalonic acids to CoA derivatives. The resulting deficiency of malonyl-CoA disrupts mitochondrial fatty acid synthesis, lipid metabolism, and protein malonylation. Although regarded as a benign condition, studies have demonstrated that ACSF3 deficiency may lead to variable manifestations.</p><p><strong>Objective: </strong>This study aimed to expand the spectrum of ACSF3 -related CMAMMA.</p><p><strong>Methods: </strong>Four patients with biochemically and genetically confirmed ACSF3 -related CMAMMA were retrospectively analyzed for clinical, biochemical, neuroimaging, and molecular features.</p><p><strong>Results: </strong>All patients showed elevated urinary malonic and methylmalonic acids. Two presented with mild metabolic findings such as vomiting, hypoglycemia, or growth retardation, while two exhibited neurodevelopmental phenotypes with regression, ataxia, and refractory epilepsy. One patient developed ketotic hypoglycemia during illness, and two had growth failure despite nutritional interventions. One patient carried a homozygous deletion consistent with neuronal ceroid lipofuscinosis type 7, indicating a dual diagnosis.</p><p><strong>Conclusion: </strong>This case series broadens the clinical spectrum of ACSF3 -related CMAMMA and reinforces that the condition extends beyond a benign biochemical abnormality. The presence of genotypes and variable neurological involvement underscores the need for comprehensive genomic testing and long-term multidisciplinary monitoring to define prognosis and guide individualized management.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"102-106"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-07-01Epub Date: 2026-05-27DOI: 10.1097/MCD.0000000000000557
Abhinav Thakral, Christina Theodoris, Robert Wallerstein
{"title":"A male infant with a novel heterogeneous nuclear ribonucleoprotein H1 variant, bilateral cataracts, dysplastic thumbs, and severe airway malacia.","authors":"Abhinav Thakral, Christina Theodoris, Robert Wallerstein","doi":"10.1097/MCD.0000000000000557","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000557","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":"35 3","pages":"125-128"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-07-01Epub Date: 2026-05-27DOI: 10.1097/MCD.0000000000000563
Ajaz Qadir, Shahid Ahmad Ganie, Javid Ahmad Sofi, Shivam Sharma
{"title":"Endocrine-predominant type 2 Woodhouse-Sakati syndrome caused by a novel homozygous DCAF17 variant.","authors":"Ajaz Qadir, Shahid Ahmad Ganie, Javid Ahmad Sofi, Shivam Sharma","doi":"10.1097/MCD.0000000000000563","DOIUrl":"10.1097/MCD.0000000000000563","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"116-120"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marilena Carmela Di Giacomo, Luisiana Stolfi, Elisa Pisaneschi, Maria Scavone, Orazio Palumbo, Stefano Mancino, Antonio Novelli, Simona Pesce
{"title":"Congenital microcephaly with subtle craniofacial dysmorphism because of a novel homozygous asparagine synthetase variant.","authors":"Marilena Carmela Di Giacomo, Luisiana Stolfi, Elisa Pisaneschi, Maria Scavone, Orazio Palumbo, Stefano Mancino, Antonio Novelli, Simona Pesce","doi":"10.1097/MCD.0000000000000571","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000571","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deepa S Kumar, Caitlin Schwager, Dihong Zhou, Tyler A Fick
{"title":"Novel cardiac findings in a patient with ASPM-related primary microcephaly.","authors":"Deepa S Kumar, Caitlin Schwager, Dihong Zhou, Tyler A Fick","doi":"10.1097/MCD.0000000000000570","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000570","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primrose syndrome with a novel ZBTB20 variant with congenital glaucoma and hydrocephalus.","authors":"Abhinav Thakral, Robert Wallerstein","doi":"10.1097/MCD.0000000000000566","DOIUrl":"https://doi.org/10.1097/MCD.0000000000000566","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-04-01Epub Date: 2026-01-30DOI: 10.1097/MCD.0000000000000552
Shafeeq Ahmad, Bushra Khan, Hamza Shams, Go Hun Sao, Ambreen Gul, Rin Khang, Saadullah Khan, Umm-E Kalsoom
{"title":"Identification of a novel mutation in metabotropic glutamate receptor 1 causing autosomal recessive spinocerebellar ataxia-13 in a Pakistani family.","authors":"Shafeeq Ahmad, Bushra Khan, Hamza Shams, Go Hun Sao, Ambreen Gul, Rin Khang, Saadullah Khan, Umm-E Kalsoom","doi":"10.1097/MCD.0000000000000552","DOIUrl":"10.1097/MCD.0000000000000552","url":null,"abstract":"<p><strong>Background: </strong>Autosomal recessive spinocerebellar ataxia-13 is a rare multifactorial disorder characterized by physical disability, cerebellar ataxia, adaptive behavior, intellectual disability, response to sudden noise and light, sensation, skeletal, and oculomotor abnormalities. It affects both males and females equally. So far, only seven variants have been identified in the glutamate metabotropic receptor 1 ( GRM1 ) gene in 18 familial cases of Roma, Iranian, Pakistani, and Tunisian origins.</p><p><strong>Methods: </strong>In the present study, we have investigated a large consanguineous family of Pakistani origin presenting severe phenotypes like intellectual disability, delayed developmental milestones, severe ataxia, and nonprogressive neuropathy. Whole exome sequencing was done, followed by Sanger sequencing.</p><p><strong>Results: </strong>Sequence analysis revealed a novel homozygous deletion mutation (c.1715del) in the GRM1 gene (NM_001278064.2) that led to the substitution of Asn with Met at the 572 amino acid position, leading to frame shift and premature termination (p. Asn572MetfsTer4).</p><p><strong>Conclusion: </strong>This study raised the total number of GRM1 variants to eight and would be helpful in prenatal screening, genetic counseling, and carrier testing of other members in the Pakistani community.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"56-62"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-04-01Epub Date: 2025-12-12DOI: 10.1097/MCD.0000000000000547
Titas Gladkauskas, Ileana Cristea, Roya Mehrasa, Ove Bruland, Cecilie F Rustad, Laurence Faivre, Eyvind Rødahl, Cecilie Bredrup
{"title":"Recurrent platelet-derived growth factor receptor beta gene mutations in Kosaki overgrowth syndrome: a molecular and clinical overview.","authors":"Titas Gladkauskas, Ileana Cristea, Roya Mehrasa, Ove Bruland, Cecilie F Rustad, Laurence Faivre, Eyvind Rødahl, Cecilie Bredrup","doi":"10.1097/MCD.0000000000000547","DOIUrl":"10.1097/MCD.0000000000000547","url":null,"abstract":"<p><strong>Objective: </strong>Kosaki overgrowth syndrome (KOGS) is a rare genetic disorder linked to germline variants in the platelet-derived growth factor receptor beta gene ( PDGFRB ) that is characterized by postnatal overgrowth, hyperelastic skin, lipodystrophy, and craniofacial anomalies. This study aimed to summarize clinical and genetic data from reported KOGS cases and investigate the molecular consequences of two recurrent KOGS-associated PDGFRB variants.</p><p><strong>Methods: </strong>Clinical and genetic information from 17 previously published KOGS cases was reviewed. Molecular studies were performed using patient-derived fibroblasts and genetically modified cells transduced with the recurrent PDGFRB variants Trp566Arg and Pro584Arg. Downstream signaling and phosphorylation of PDGFRβ tyrosine residues were assessed by immunoblotting and immunocytochemistry.</p><p><strong>Results: </strong>Both variants induced phosphorylation of specific PDGFRβ tyrosine residues and activated downstream signaling pathways in the absence of ligand stimulation, which could contribute to the phenotypic overgrowth observed in KOGS. Immunocytochemistry revealed vesicle-like structures of phosphorylated PDGFRβ (pY740), resembling wild-type cells stimulated with growth factor, thereby supporting the constitutive activation of PDGFRβ in patient fibroblasts. Both variants showed sensitivity to the tyrosine kinase inhibitor imatinib.</p><p><strong>Conclusion: </strong>Recurrent PDGFRB variants in KOGS cause ligand-independent activation of PDGFRβ, contributing to the overgrowth phenotype. Imatinib may represent a potential targeted therapeutic option.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"47-55"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}