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J Med Genet 39:e4 doi:10.1136/jmg.39.2.e4
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Severe phenotype in Angelman syndrome resulting from paternal isochromosome 15

Table 2

Clinical characteristics of AS patients with UPD

UPD
Isochromosome (n=6) Isodisomy (n=10) Total (n=16)
Clinical characteristics No % No % No %
Consistent and frequent (more than 80%)
Developmental delay 6/6 100 9/9 100 15/15 100
Speech <3 words 1/4 25 2/9 22.2 3/13 23
Gestures/commun 4/5 80 7/8 87.5 11/13 84
Ataxia 3/4 75 4/10 40 7/14 50
Frequent laughter 5/5 100 8/9 88.89 13/14 92
Hand flapping 4/4 100 1/2 50 5/6 83.3
Hyperactivity 5/5 100 7/7 100 12/12 100
Microcephaly 4/6 66.6 3/8 37.5 7/14 57.1
Abnormal EEG 4/4 100 7/7 100 11/11 100
Seizures 4/6 66.67 7/10 70 11/16 68
Age of seizure onset (y) Mean=3.76 Mean=3.8 Mean=3.78
Range 0.58–7 1.5–4.5 0.58–7
Age of walking onset (y) Mean=3.78 Mean=2.75 Mean=3.2
Range 2–7 2–6 2–7
Associated (20–80%)
Flat occiput 1/3 33.33 1/4 25 2/7 28
Protruding tongue 1/4 25 1/3 33.33 2/7 28
Feeding problems 0/4 0 1/2 50 1/6 16
Prognathism 2/4 50 4/6 66.6 6/10 60
Wide mouth 3/5 60 8/9 88.89 11/14 78
Frequent drooling 4/4 100 2/2 100 6/6 100
Hypopigmented 2/4 50 0/3 0 2/7 28
Hyperphagia 2/3 66.67 3/3 100 5/6 83
Weight (>50th centile) 3/5 60 6/8 75 9/13 69.2
Height (>50th centile) 2/5 40 5/9 55.5 7/14 50

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