Clinical DysmorphologyPub Date : 2026-01-01Epub Date: 2025-09-17DOI: 10.1097/MCD.0000000000000546
Mohammad Y Asees, Ayoub Salameh Rezeq, Hadeel Mohammad Abaas, Mohammad Riyad Alkirim, KeerthanaKumari Satish, Handhvinahalli Naganna Rachanashree, Akila Prashant, Prince Jacob
{"title":"Novel homozygous GCH1 variant causes tetrahydrobiopterin-deficient hyperphenylalaninemia.","authors":"Mohammad Y Asees, Ayoub Salameh Rezeq, Hadeel Mohammad Abaas, Mohammad Riyad Alkirim, KeerthanaKumari Satish, Handhvinahalli Naganna Rachanashree, Akila Prashant, Prince Jacob","doi":"10.1097/MCD.0000000000000546","DOIUrl":"10.1097/MCD.0000000000000546","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"44-46"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460554","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.0000000000000544
Emma B Cardwell, Jennifer M Mathews, Clara C Hildebrandt
{"title":"Pediatric epilepsy: a dual diagnosis of SCMARCA2 -Nicolaides-Baraitser syndrome and CHRNB2 -nocturnal-frontal-lobe epilepsy.","authors":"Emma B Cardwell, Jennifer M Mathews, Clara C Hildebrandt","doi":"10.1097/MCD.0000000000000544","DOIUrl":"10.1097/MCD.0000000000000544","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"32-34"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460573","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: 2025-08-15DOI: 10.1097/MCD.0000000000000538
Vykuntaraju K Gowda, Varunvenkat M Srinivasan, Archana Varghese, Uddhava V Kinhal, Himani Pandey, Devi Lal
{"title":"USP18 gene mutation associated with recurrent encephalopathy, intracranial calcification, and microcephaly: case report, long-term follow-up, and literature review.","authors":"Vykuntaraju K Gowda, Varunvenkat M Srinivasan, Archana Varghese, Uddhava V Kinhal, Himani Pandey, Devi Lal","doi":"10.1097/MCD.0000000000000538","DOIUrl":"10.1097/MCD.0000000000000538","url":null,"abstract":"<p><strong>Introduction: </strong>Pseudo-TORCH syndrome type 2 is a rare autosomal recessive disorder caused by biallelic variants in the USP18 gene. Clinically, affected individuals exhibit multisystem involvement, including intracranial calcification (ICC) and haemorrhage, seizures, hepatosplenomegaly, and thrombocytopenia. To date, only 11 cases have been reported in the literature.</p><p><strong>Case report: </strong>We report a case of an Indian girl child born to consanguineous parents, presenting with recurrent febrile encephalopathy, developmental delay, microcephaly, tone abnormalities, organomegaly, thrombocytopenia, and ICCs. A similar clinical history was noted in the elder sibling who succumbed to the same illness.</p><p><strong>Results: </strong>Exome sequencing revealed a novel homozygous missense variant, c.358C>T (p.Pro120Ser), in exon four of the USP18 gene. Sanger sequencing of the asymptomatic parents confirmed heterozygosity of this variant.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first reported case of USP18 -related disease presenting with recurrent febrile encephalopathy. Further studies are required to understand better the variable presentations associated with the disease.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"7-14"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460684","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: 2025-09-19DOI: 10.1097/MCD.0000000000000542
Oliver W J Quarrell, Ewoma Obaro, Alexander Thompson, Mark Strong, Corinne Mallinson, Jennifer M Broughan
{"title":"Observed total and live birth prevalence of Wolf-Hirschhorn syndrome in England 2015-2020.","authors":"Oliver W J Quarrell, Ewoma Obaro, Alexander Thompson, Mark Strong, Corinne Mallinson, Jennifer M Broughan","doi":"10.1097/MCD.0000000000000542","DOIUrl":"10.1097/MCD.0000000000000542","url":null,"abstract":"<p><strong>Background: </strong>Birth prevalence estimates for Wolf - Hirschhorn syndrome (WHS) are frequently quoted as either one in 50 000 or one in 20 000 to one in 50 000.</p><p><strong>Objective: </strong>To estimate the total birth and live birth prevalences of WHS in England between 2015 and 2020, and compare the results with previously published reports and data for common trisomies.</p><p><strong>Methods: </strong>Data on total births and live births were obtained from the English National Congenital Anomaly and Rare Disease Registration Service. Total births were live births plus stillbirths, miscarriages after 20 weeks, and termination of pregnancy.</p><p><strong>Results: </strong>There were 56 total births, resulting in 30 live births. Total birth prevalence was 2.16 per 100 000 [95% confidence interval (CI): 1.63-2.80 per 100 000], equivalent to one in 46 303 (95% CI: one in 35 656-one in 61 297). The live birth prevalence was 1.16 per 100 000 (95% CI: 0.78-1.66 per 100 000), equivalent to one in 86 092 (95% CI: one in 60 307-one in 127 601), consistent with an earlier UK study.</p><p><strong>Conclusion: </strong>We believe the frequently quoted WHS birth prevalence figures are an overestimate and recommend that birth prevalence figures are based on empirical data, with the nature of the numerator and denominator stated clearly.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"28-31"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460590","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 : 2025-10-01Epub Date: 2025-04-29DOI: 10.1097/MCD.0000000000000529
Chitra Gangadaran Ramalingam, Jiin Ying Lim, Jeannette Goh, Sylvia Kam, Hai Yang Law, Nur Afiqah Binte Mohd Mislan, Ivy Ng, Terrence Gerard Sundram Thomas, Weng Khong Lim, Sandra Sylvia Mascarenhas, Saumya Shekhar Jamuar
{"title":"EBF3-related neurodevelopment disorder affecting an individual of Singaporean Arab and Malay origin: case report and review of the literature.","authors":"Chitra Gangadaran Ramalingam, Jiin Ying Lim, Jeannette Goh, Sylvia Kam, Hai Yang Law, Nur Afiqah Binte Mohd Mislan, Ivy Ng, Terrence Gerard Sundram Thomas, Weng Khong Lim, Sandra Sylvia Mascarenhas, Saumya Shekhar Jamuar","doi":"10.1097/MCD.0000000000000529","DOIUrl":"10.1097/MCD.0000000000000529","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"126-130"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027246","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 : 2025-10-01Epub Date: 2025-06-18DOI: 10.1097/MCD.0000000000000530
Jeeva Jacob, Gerardo Quezada, Clara Hildebrandt
{"title":"A new case of rhabdomyosarcoma in a patient with Mowat-Wilson syndrome.","authors":"Jeeva Jacob, Gerardo Quezada, Clara Hildebrandt","doi":"10.1097/MCD.0000000000000530","DOIUrl":"10.1097/MCD.0000000000000530","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"135-138"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334366","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 : 2025-10-01Epub Date: 2025-07-07DOI: 10.1097/MCD.0000000000000536
Xiaoxia Wu, Yang Liu, Caiqun Luo, Liyuan Chen, Xiushu Cao, Hui Wang
{"title":"Amnioreduction as a therapeutic strategy for MAGED2 -related Bartter syndrome: prolonging gestation and improving outcomes through genetic-guided prenatal management.","authors":"Xiaoxia Wu, Yang Liu, Caiqun Luo, Liyuan Chen, Xiushu Cao, Hui Wang","doi":"10.1097/MCD.0000000000000536","DOIUrl":"10.1097/MCD.0000000000000536","url":null,"abstract":"<p><strong>Objective: </strong>MAGED2 -related Bartter syndrome is a rare X-linked disorder characterized by severe fetal polyuria, polyhydramnios, preterm birth, and increased perinatal morbidity. This study evaluates the efficacy of amnioreduction in prolonging gestation and improving outcomes in affected pregnancies.</p><p><strong>Methods: </strong>We analyzed three cases of severe polyhydramnios detected via prenatal ultrasound. Whole-exome sequencing (WES) was performed to identify causative mutations. Two cases underwent therapeutic amnioreduction, while the third received expectant management. Clinical outcomes, including gestational age at delivery and neonatal complications, were compared.</p><p><strong>Results: </strong>WES confirmed hemizygous MAGED2 mutations in all fetuses. The two cases treated with amnioreduction were delivered at 35 weeks 2 days and 37 weeks 1 day, respectively, with no severe neonatal complications. In contrast, the untreated case was delivered prematurely at 32 weeks and 6 days, resulting in transient brain damage requiring postnatal rehabilitation.</p><p><strong>Conclusion: </strong>Amnioreduction mitigates polyhydramnios-driven preterm birth in MAGED2 -related Bartter syndrome, enabling safer gestational prolongation. Integration of WES for rapid genetic diagnosis and multidisciplinary care optimizes prenatal management. These findings support amnioreduction as a critical intervention for this high-risk population, emphasizing early genetic testing, and proactive fetal therapy.</p>","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"117-121"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627645","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 : 2025-10-01Epub Date: 2025-06-30DOI: 10.1097/MCD.0000000000000531
Joshua C K Chan, Lisa L P Siu, Stephanie K L Ho, Shirley S W Cheng, Ho-Ming Luk
{"title":"Familial SIN3A-associated Witteveen-Kolk syndrome in a Chinese family with prominent ectodermal dysplasia, progeroid appearance, and early onset diabetes mellitus.","authors":"Joshua C K Chan, Lisa L P Siu, Stephanie K L Ho, Shirley S W Cheng, Ho-Ming Luk","doi":"10.1097/MCD.0000000000000531","DOIUrl":"10.1097/MCD.0000000000000531","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"142-146"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530837","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 : 2025-10-01Epub Date: 2025-06-26DOI: 10.1097/MCD.0000000000000532
Haaziq Sheikh, Naveed Hussain, Ataf H Sabir
{"title":"A novel case of Al Kaissi syndrome in a 4-year-old boy: increasing significance of hydrocephalus and extending the phenotype.","authors":"Haaziq Sheikh, Naveed Hussain, Ataf H Sabir","doi":"10.1097/MCD.0000000000000532","DOIUrl":"10.1097/MCD.0000000000000532","url":null,"abstract":"","PeriodicalId":50682,"journal":{"name":"Clinical Dysmorphology","volume":" ","pages":"147-150"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530836","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}