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J Med Genet 46:223-232 doi:10.1136/jmg.2007.055202
  • Original article

Recurrent reciprocal deletions and duplications of 16p13.11: the deletion is a risk factor for MR/MCA while the duplication may be a rare benign variant

Table 1 Genotype–phenotype correlation of patients with deletion or duplication of 16p12–p13
Patient (Deciphercode) Phenotype Pattern of inheritance Type of imbalance Distal breakpoint (Mb) Proximal breakpoint (Mb)
1 (CHG00002371) Severe MR, IQ = 38, short stature (143 cm), microcephaly (51 cm), epilepsy, ataxia Parents not available for testing Deletion 14.7–14.75 16.3–16.77
2 (CHG00002372) Severe MR, short stature (150 cm), microcephaly (51 cm), epilepsy, pectus excavatum, limb spasticity Affected brother does not carry deletion 14.7–14.75 16.3–16.77
Parents not available for testing
3 (CHG00002374–) Moderate MR, normal stature (183 cm), normal head circumference (55,3 cm), behavioural problems Parents not available for testing 14.7–14.75 16.3–16.77
4 (CHG00001230) Term fetus; autopsy showed holoprosencephaly, nose agenesis, midline upper lip notch, midline cleft palate, dysplastic external ear and atretic auditory canal on right, preauricular skin tags bilaterally, relative microcephaly Phenotypically normal father carries deletion 14.7–14.75 16.3–16.77
5 Fetus at 21 weeks; autopsy showed post-hemorrhagic hydrocephalus with marked ventriculomegaly, cortical thinning, hypoplastic falx cerebri, cleft lip on right, two preauricular skin tags on right, and cleft T1 and T3 vertebral bodies. Physical growth parameters were consistent with gestational age Parents not available for testing 14.7–14.75 16.3–16.77
6 (CHG00001046) Moderate MR, normal stature (176 cm), normal head circumference (57.4 cm), behavioural problems, Hirschsprung disease Mother does not carry duplication Duplication 14.7–14.75 16.3–16.77
Father unavailable for testing
7 (LEI)00002370) MR, mild developmental delay, learning disabilities. Originally reported by Kriek et al.9 de novo imbalance 14.7–14.75 16.3–16.77
8 Severe learning disabilities with limited use of language, poor vocabulary and repetitive speech, epilepsy. Challenging, agitated behaviour marked by shouting, hand-clapping, kicking, hitting and throwing objects at people, although this has improved with age Phenotypically normal father carries duplication 14.7–14.75 16.3–16.77
9 Moderate developmental delay, behavioural problems (increased impulsivity, limited attention span). Large simple ears, thick lips, large tongue, large puffy hands and small nails. Also has an expansion of the FRAXA triplet repeat Parents not available for testing 14.7–14.75 16.3–16.77
10 Microcephaly found at 20 weeks gestation. At 4 years of age OFC 44 cm (P3 = 48.6 cm). Brachycephaly, telecanthus, abnormal eyebrows, deep set eyes, epicanthic folds, pinched nasal tip, prominent nose, small jaw, VSD, umbilical hernia, deep palmar and plantar creases, speech delay, hyperactive behavioural with aggressive episodes. Mother has small head (no OFC) Mother with mild phenotype carries the duplication 14.7–14.75 16.3–16.77
11 (CHG00000993) Feeding and respiratory problems as neonate. Asymmetric face with left facial nerve paresis, short neck with reduced mobility, bilateral epicanthal folds, strabismus, choroid colobomata, atresia of right choana, ASDII, unique right kidney with double ureters, aplasia of semicircular canals, abnormal middle ear bones Phenotypically normal mother carries duplication Duplication 15.1–15.4 18.05–18.45
12 MR, multiple congenital anomalies. Originally reported by Sharp et al.10 Parents not available for testing 15.1–15.4 18.3–18.5
13 (CHG00002373) Marked developmental delay, IQ = 38, short stature (150 cm), microcephaly (50,5 cm), neonatal seizures Phenotypically normal mother carries deletion Deletion 16.3–16.77 18.3–18.4
  • MR, mental retardation; OFC, occiptofrontal circumference.

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