Description

Microdeletions in 4q21 can result in a number of phenotypic findings.


Some candidate genes: PRKG2, RASGEF1B, SEC31A, CCDC98, WDFY13, HNRNPD, HNRNPDL, ENOPH1

 

Clinical features:

(1) intellectual disability

(2) hypotonia

(3) short stature

(4) feeding difficulties

(5) malformations of hands and feet (short fingers, small hands, shortened toes, small feet, small nail beds)

(6) variable brain malformations

(7) delayed or absent speech

 

Dysmorphic facial features:

(1) frontal bossing

(2) hypertelorism

(3) downward slanted palpebral fissures

(4) short philtrum

(5) high-arched palate

(6) hypoplastic ear lobes


To read more or access our algorithms and calculators, please log in or register.