Clinical DysmorphologyPub Date : 2026-04-01Epub Date: 2026-01-22DOI: 10.1097/MCD.0000000000000551
Naveed Hussain, Charlotte A Sherlaw-Sturrock, Lorraine Hartles-Spencer, Thalia Antoniadi, Zena Lam, Nicola S Cooper
{"title":"STAG1 developmental disorder associated with acute lymphoblastic leukaemia: a case report.","authors":"Naveed Hussain, Charlotte A Sherlaw-Sturrock, Lorraine Hartles-Spencer, Thalia Antoniadi, Zena Lam, Nicola S Cooper","doi":"10.1097/MCD.0000000000000551","DOIUrl":"10.1097/MCD.0000000000000551","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"77-80"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127467","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":"A case with a de novo chromosome 8.9 Mb 11pter duplication and 6.4 Mb 11qter deletion derived from a father with a normal karyotype.","authors":"Pattima Pakhathirathien, Hathaipat Vaseenon, Weerin Thammachote, Chayanist Songpatanasilp, Praweena Sinpitak, Chintana Tocharoentanaphol, Natini Jinawath, Duangrurdee Wattanasirichaigoon","doi":"10.1097/MCD.0000000000000550","DOIUrl":"10.1097/MCD.0000000000000550","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the cause of marked hypotonia and neonatal encephalopathy, mild anemia and thrombocytopenia, and nonspecific facial dysmorphism in a neonate after extensive neurological and biochemical evaluations, and karyotyping failed to establish the etiology.</p><p><strong>Methods: </strong>Whole exome sequencing (WES), single-nucleotide polymorphisms chromosomal microarray (SNPs CMA), and fluorescence in-situ hybridization (FISH) analysis were performed in the patient and the parents.</p><p><strong>Results: </strong>WES did not show a candidate gene/diagnosis. Trio-CMA and FISH confirmed a de novo 8.9 Mb duplication of 11p15.4p15.5 and a 6.4 Mb deletion of 11q24.3q25 in the child, and that the duplicated 11p was of paternal origin, based on the SNPs analysis. On long-term follow-up, encephalopathy improved gradually, thrombocytopenia resolved, facial puffiness persisted, and developmental delay remained. The present patient represents the first case of de novo 11p duplication with 11q deletion and severe neonatal encephalopathy. The de novo chromosomal rearrangement could still have resulted from nonallelic homologous recombination, triggered by low-copy repeats (LCRs) at distal 11p and 11q during paternal meiosis, despite the lower LCR density. Alternatively, it may represent a random event, as it does not involve the recurrent deletion/duplication typically observed in regions with dense LCRs.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"63-70"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical DysmorphologyPub Date : 2026-04-01Epub Date: 2026-01-22DOI: 10.1097/MCD.0000000000000553
Rani Manisha, Mayank Nilay, Varunvenkat M Srinivasan, Pradeep Rikhari
{"title":"Fontaine progeroid syndrome into early adolescence: a case report.","authors":"Rani Manisha, Mayank Nilay, Varunvenkat M Srinivasan, Pradeep Rikhari","doi":"10.1097/MCD.0000000000000553","DOIUrl":"10.1097/MCD.0000000000000553","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"81-84"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127429","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: 2025-12-17DOI: 10.1097/MCD.0000000000000548
Edward Steel, Jonathan Wright, Rachel Coles
{"title":"Management of a four-generation family affected by GDF6 multiple synostoses syndrome type 4.","authors":"Edward Steel, Jonathan Wright, Rachel Coles","doi":"10.1097/MCD.0000000000000548","DOIUrl":"10.1097/MCD.0000000000000548","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"89-93"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783416","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: 2026-02-09DOI: 10.1097/MCD.0000000000000554
Joshua C K Chan, Stephanie K L Ho, Shirley S W Cheng, Ho-Ming Luk
{"title":"Additional case report supports loss-of-function CCNK variants being causative for a recognizable syndromic neurodevelopmental disorder.","authors":"Joshua C K Chan, Stephanie K L Ho, Shirley S W Cheng, Ho-Ming Luk","doi":"10.1097/MCD.0000000000000554","DOIUrl":"10.1097/MCD.0000000000000554","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"74-76"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144504","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":"Recurrent RAC3 related neuro-rachopathy in a pair of Indian siblings with novel findings: expanding the spectrum of brain anomalies.","authors":"Gayatri Nerakh, Prashanth Rao Dhareneni, Udhaya Kotecha","doi":"10.1097/MCD.0000000000000540","DOIUrl":"10.1097/MCD.0000000000000540","url":null,"abstract":"<p><strong>Objective: </strong>The Rho GTPase gene family plays a crucial role in key cellular functions. RAC3, one of the three genes in this family, along with RAC1 and RAC2, is highly expressed in the brain. It is specifically involved in neuronal differentiation, maturation, and migration. Therefore, dysregulation of RAC3 can lead to neurodevelopmental abnormalities.</p><p><strong>Methods: </strong>Here we report two siblings, born to a nonconsanguineous couple, with global developmental delay, intellectual disability, and facial dysmorphism.</p><p><strong>Results: </strong>Whole exome sequencing revealed a pathogenic heterozygous variant, c.184G>A (p.Glu62Lys), in exon 3 of the RAC3 gene [NM_005052.3], which is associated with neurodevelopmental disorder (NDD) with structural brain anomalies and dysmorphic facies.</p><p><strong>Conclusion: </strong>RAC3-associated disorder should be considered as a differential diagnosis in children with NDDs and characteristic facial dysmorphism, including arched eyebrows, hypertelorism, and prominent eyes, along with central nervous system abnormalities. In our cases, we observed novel MRI brain findings that had not been previously reported, thereby expanding the spectrum of brain anomalies associated with this condition.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460620","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 : 2026-01-01Epub Date: 2025-09-22DOI: 10.1097/MCD.0000000000000539
Nawab Ali, Caoimhe McKenna, June Jones, Louise Rauch, Lynne Speirs, James Hughes, Gillian Rea
{"title":"Recurrent herpes labialis in a patient with interferon regulatory factor 3 deletion: a novel case report.","authors":"Nawab Ali, Caoimhe McKenna, June Jones, Louise Rauch, Lynne Speirs, James Hughes, Gillian Rea","doi":"10.1097/MCD.0000000000000539","DOIUrl":"10.1097/MCD.0000000000000539","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"40-43"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460635","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 : 2026-01-01Epub Date: 2025-09-25DOI: 10.1097/MCD.0000000000000545
Amal Ouskri, Abdelhamid Bouramtane, Rania Bouchikhi, Yasser Ali El Asri, Saadia Amasdl, Laila Smaili, Laila Bouguenouch, Karim Ouldim
{"title":"A rare case of mosaic monosomy 21 in a Moroccan patient: clinical findings and insights from a systematic review.","authors":"Amal Ouskri, Abdelhamid Bouramtane, Rania Bouchikhi, Yasser Ali El Asri, Saadia Amasdl, Laila Smaili, Laila Bouguenouch, Karim Ouldim","doi":"10.1097/MCD.0000000000000545","DOIUrl":"10.1097/MCD.0000000000000545","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Complete monosomy 21 is a rare and lethal chromosomal disorder, with fewer than 50 cases reported. Its mosaic form is the only viable presentation, yet the full phenotypic spectrum remains poorly understood, prompting this work to expand clinical and cytogenetic insights.</p><p><strong>Methods: </strong>We report the first genetically confirmed African case in a female infant referred for genetic testing because of distinctive dysmorphic features. Blood karyotype revealed 45,XX,-21[2]/46,XX[28] mosaicism, and fluorescence in-situ hybridization showed 15 and 25% mosaicism in blood and buccal cells, respectively. A systematic literature review identified 23 previously reported cases, including nine isolated and 14 with additional chromosomal abnormalities.</p><p><strong>Results: </strong>The average maternal age was 27.5 years, unlike trisomy 21, where advanced maternal age is a major risk factor. Clinical manifestations include microcephaly, craniofacial dysmorphism, and congenital heart defects, with more severe phenotypes in complex cases. Hematological anomalies vary, with anemia in isolated and thrombocytopenia in complex cases. Notably, our patient displayed previously unreported peripheral hypothyroidism. The correlation between mosaicism levels and clinical severity remains unclear, highlighting the need for multi-tissue analyses.</p><p><strong>Conclusion: </strong>TThis study expands current knowledge of mosaic monosomy 21 and emphasizes the value of detailed cytogenetic assessment and phenotypic characterization to better define its clinical spectrum.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"15-27"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460569","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}