RT Journal Article SR Electronic T1 Phenotypic expansion and further characterisation of the 17q21.31 microdeletion syndrome JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 480 OP 489 DO 10.1136/jmg.2008.065391 VO 46 IS 7 A1 T Y Tan A1 S Aftimos A1 L Worgan A1 R Susman A1 M Wilson A1 S Ghedia A1 E P Kirk A1 D Love A1 A Ronan A1 A Darmanian A1 A Slavotinek A1 J Hogue A1 J B Moeschler A1 J Ozmore A1 R Widmer A1 R Savarirayan A1 G Peters YR 2009 UL http://jmg.bmj.com/content/46/7/480.abstract AB Background: The recognition of the 17q21.31 microdeletion syndrome has been facilitated by high resolution microarray technology. Recent clinical delineation of this condition emphasises a typical facial appearance, cardiac and renal defects, and speech delay in addition to intellectual disability, hypotonia and seizures.Methods and results: We describe 11 previously unreported patients expanding the phenotypic spectrum to include aortic root dilatation, recurrent joint subluxation, conductive hearing loss due to chronic otitis media, dental anomalies, and persistence of fetal fingertip pads. Molecular analysis of the deletions demonstrates a critical region spanning 440 kb involving either partially or wholly five genes, CRHR1, IMP5, MAPT, STH, and KIAA1267.Conclusion: These data have significant implications for the clinical diagnosis and management of other individuals with 17q21.31 deletions.