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Table 1 Comparison of clinical features of CMH000079, patients with ASXL3 mutations described by Bainbridge et al. [[23]], and those reported in patients with BOS

From: De novoframeshift mutation in ASXL3 in a patient with global developmental delay, microcephaly, and craniofacial anomalies

 

CMH000079

Reported in Bainbridge et al.

Reported in Bohring-Opitz

Trigonocephaly

Y

N

Y

Microcephaly

Y

Y

Y

Flammeus nevus

N

N

Y

Prominent eyes

Y

Y

Y

Micro- or retrognathia

N

Y

Y

Abnormal palate

N

Y

Y

Typical BOS posture

N

N

Y

Feeding difficulties

Y

Y

Y

IUGR

Y

Y

Y

Severe/profound learning difficulties

Y

Y

Y

Upslanting palpebral fissures

Y

NA

Y

Posteriorly rotated eats

Y

Y

Y

High arched palate

N

Y

N

Deep palmar creases

N*

Y

N

Slight ulnar deviation of the hands

N

Y

N

Recurrent infections

Y

NA

Y

Seizures

N

NA

Y

Arrhythmias

N

NA

Y

Apneas

Y#

NA

Y

Epicanthal folds

Y

NA

Y

Broad alveolar ridges

N

NA

Y

Cleft/notch lip

N

NA

Y

Cleft palate

N

NA

Y

Buccal frenulae

N

NA

Y

Depressed nasal bridge

Y

Y

Y

Anteverted nares

Y

Y

Y

Strabismus

N

NA

Y

Anterior chamger abnormalities

N

NA

Y

Myopia

Y

NA

Y

Retinal/optic nerve abnormalities

N

NA

Y

Low hairline

N

NA

Y

Hypertrichosis

Y

NA

Y

Fixed contractures

N

NA

Y

Congenital dislocations

N

NA

Y

Hypotonia

Y (trunk)

Y

Y

Hypertonia

Y (distal)

Y

Y

Brain abnormalities

Y

Y

Y

Genital abnormalities

N

NA

Y

Renal abnormalities

N

NA

Y

Cardiac abnormalities

N

NA

Y

  1. Table adapted from [15], bolded symptoms are the 10 common/specific features of BOS.
  2. NA- Feature not commented on.
  3. *- Some redundancy of skin on hands and palms noted.
  4. #- History of obstructive sleep apnea; no history of central sleep apnea.