Table 1 Clinical phenotype of individuals with causative variants using the features mentioned by Wieczorek et al3 that are associated with BMKS

From: Identification of causative variants in TXNL4A in Burn-McKeown syndrome and isolated choanal atresia

Clinical phenotype of individuals with causative variants

ID in pedigree

III.2 family 1

III.1 family 2

III.1 family 3

V.4 family 4

V.6 family 4

Gender

Female

Male

Male

Male

Female

Age at examination

37 years

  

7 years

 

Genetic testing

TCOF1

CHD7

SNP array

WGS

MLPA

Affymetrix 750 K microarray

TXNL4A

MLPA

Affymetrix 750 K microarray -> 18p11.32q23 (136,300-77,997,592) hmz uniparental disomy for chromosome 18

TXNL4A

MLPA

Karyo

TXNL4A

MLPA

TXNL4A

MLPA

Variant carried by father

c.258-2A>G, (p.?)

hg19 chr18:g.77748581_77748614del (type 1Δ)

hg19 chr18:g.77748581_77748614del (type 1Δ)

hg19 chr18: g.77748604_77748637del (type 2Δ)

hg19 chr18: g.77748604_77748637del(type 2Δ)

Variant carried by mother

hg19 chr18:g.77748581_77748614del (type 1Δ)

c.258-2A>G, (p.?)

hg19 chr18:g.77748581_77748614del (type 1Δ)

hg19 chr18: g.77748604_77748637del(type 2Δ)

hg19 chr18: g.77748604_77748637del(type 2Δ)

Positive family history

Y father scleral show

N

N

Y

Y

Normal pregnancy

Y

Polyhydramnios

IVF ICSI

Failure to progress

Polyhydramnios

Polyhydramnios

Asymmetry of the face

Y

  

N

N

Hypertelorism

N

  

N

N

Short palpebral fissures

Y

  

N

N

Defect of lower eyelids

Y

Y (B)

 

N

N

Aplasia of puncta lacrimalis

Y (L)

    

Prominent nasal bridge

Y

Y

 

Y

Y

Short philtrum

N

  

Y

Y

Thin lips

Y

  

Y

N

Cleft lip or palate

N

Y (L)

 

N

N

Bifid uvula

N

  

N

N

Bilateral choanal atresia/ stenosis

Bilateral (bony)

Bilateral

Bilateral (bony)

Bilateral (bony)

Bilateral

Prominent ears

Y

  

Y

Y

Preauricular tags

Y (R)

Y (R)

   

Maxillary hypoplasia

Y (R)

  

Y

Y

Micrognathia

Y (R)

Y

 

N

 

Cardiac defect

N

Asymptomatic ASD and VSD

   

Hearing loss

N

  

N

N

Normal psychomotor development

Y

Y

 

Y

Y

Short stature

Y

  

N

N

Other

Hypoplasia infra-orbital rim (R)

Upslanting palpebral fissures

Eyelashes were longer laterally than medially

Choroid coloboma (L)

Microstrabismus

Amblyopia

Dimple on the cheek

Hypermetropia

 

Downslanting palpebral fissures

Prognathism

High arched narrow palate

Absence of the upper and lower deciduous premolars

Hypodontia of four permanent premolars

Cowlick

Downslanting palpebral fissures

Prognathism

Dental malocclusion

Narrow palate

Unilateral absence of the permanent upper lateral incisor

  1. Abbreviations: ASD, atrial septal defect; B, bilateral; Hom, homozygous; ICSI, intracytoplasmic sperm injection; IVF, in vitro fertilization; Karyo, karyotype; L, left; M, maternal; N, no; P, paternal; R, right; VSD, ventricular septal defect; WGS, whole-genome sequencing; Y, yes. Blank entries indicate that information was not available.