Table 1 Comparison of the phenotype observed in the two study patients with WHS

From: De novo truncating variants in WHSC1 recapitulate the Wolf–Hirschhorn (4p16.3 microdeletion) syndrome phenotype

 

Patient 1 (NM_001042424:exon13:c.2518+1G>A)

Patient 2 (NM_001042424:exon15:c.2803C>T:p.(R935*))

Features exceeding 75% in frequency 3

Wide bridge of the nose continuing to the forehead

Yes

Yes (mild)

Highly arched eyebrows

Yes (mild)

No

Widely spaced eyes

Yes (mild, apparent)

No

Microcephaly

Yes

Yes

Distinct mouth

Yes

Yes

Short philtrum

Yes

Yes

Micrognathia

Yes

Yes (mild)

IUGR/postnatal growth deficiency

Yes

Yes

Intellectual disability

Yes

Yes

Hypotonia

Yes

Yes

Muscle hypotrophy

No

No

Seizures

No

No

Feeding difficulties

Yes

Yes

Abnormal ears

Yes

Yes

Features with 50–75% frequency

Distinctive EEG abnormalities

?

?

Skeletal anomalies

No

No

Skin changes

No

No

Craniofacial asymmetry

Yes (mild)

Yes

Abnormal teething

Yes

Yes

Ptosis

No

No

Antibody deficiency

?

?

Features with 25–50% frequency

Heart defects

No

No

Hearing defects

No

Yes

Eye/optic nerve defects

No

No

Cleft/lip palate

No

No

Stereotypies

No

No

Structural brain anomalies

No

No

Genitourinary tract defects

No

No

Features with less than 25% frequency

Liver/gallbladder/gut/diaphragm/

No

No

esophagus/lung/aorta anomalies

No

No

  1. EEG electroencephalogram, IUGR intrauterine growth restriction, WHS Wolf–Hirschhorn syndrome