Presentation
Although the clinical presentations of individuals with typical-sized deletions varied, several features were present in multiple individuals, including mental retardation and microcephaly. [ncbi.nlm.nih.gov]
They presented with congenital cardiac defects including patent ductus arteriosus. In addition, the patient had subvalvular aortic stenosis and his father had pulmonic stenosis. [jhu.pure.elsevier.com]
Unusual Clinical Presentation of the 3q29 Microdeletion Syndrome: Autism and Psychotic Symptoms. F. Quintero-Rivera 1, J. A. [ashg.org]
Entire Body System
- Disability
This emerging microdeletion syndrome is characterized by intellectual disability, speech delay, behavioral problems, craniofacial dysmorphism, and musculoskeletal abnormalities. [ncbi.nlm.nih.gov]
Interestingly, subsequent parental testing determined that the pathogenic deletion was inherited from his otherwise healthy mother who had a history of learning disabilities. [eunetworkadultadhd.com]
Clinical features can include mild/moderate intellectual disability with mildly dysmorphic facial features (long and narrow face, short philtrum and a high nasal bridge). [owlapps.net]
This is notable because previously reported patients with chromosome 3q29 terminal deletion had intellectual disabilities. [en.wikipedia.org]
Ancillary Article Information Format Available Full text: HTML | PDF Request Permissions Keywords 3q29 microdeletion; array CGH; chromosomal microarray analysis; autism; psychosis; intellectual disability; mental retardation; FBX045 ; DLG1 ; PAK2 Publication [onlinelibrary.wiley.com]
- Developmental Delay
CASE PRESENTATION: We report a 3-year-old male with global developmental delay, anemia, and mild dysmorphic facial features. [eunetworkadultadhd.com]
Case presentation We report a 3-year-old male with global developmental delay, anemia, and mild dysmorphic facial features. [bmcmedgenomics.biomedcentral.com]
Bipolar affective disorder Bipolar disorder Global developmental delay Psychomotor developmental delay, Psychomotor retardation, Developmental delay, Lack of psychomotor development, Cognitive delay, Delayed intellectual development, Delayed milestones [rarediseases.oscar.ncsu.edu]
However, our patient was developmentally normal at 6 months of age and his father is a functional adult, who had mild developmental delay in childhood. They presented with congenital cardiac defects including patent ductus arteriosus. [jhu.pure.elsevier.com]
Author information 1 Department of Pediatrics, University of Kansas Medical Center, Kansas City, USA. [email protected] Abstract The human 3q29 microdeletion syndrome is associated with mild facial dysmorphism, developmental delay and variable congenital [ncbi.nlm.nih.gov]
- Anemia
CASE PRESENTATION: We report a 3-year-old male with global developmental delay, anemia, and mild dysmorphic facial features. [eunetworkadultadhd.com]
In particular, the finding of anemia in our proband is uncommon among reported 3q29 microdeletion syndrome cohorts; however, given that the co-occurrence of anemia may be coincidental, additional patients are needed to confirm whether this is a rare feature [bmcmedgenomics.biomedcentral.com]
Syndrom - Cody, 2007 19q13.11 Microdel. 19q13.11 Syndrom - Malan, 2009 19q13.2 Diamond-Blackfan Anemia (DBA) - Tentler, 2000 20p12.3 Wolff-Parkinson- White-Syndrom - Lalani, 2008 20p11-p12 Alagille- Syndrom - Yuan, 1998 20q13.13-q13.2 Microdel. 20q13.13 [humangenetik.uniklinikum-jena.de]
51,406,858 366,298 18q22.3 0 18q22.3-q23 microdeletion syndrome 2.3 MB CR from ZNF407 to GALR1 ZNF407 (NM_017757) at chr18:70474282-70762002 to GALR1 (NM_001480) at chr18:73090721-73111081 70474282 73111081 2,636,799 19q13.2 #105650 DIAMOND-BLACKFAN ANEMIA [ngrl.org.uk]
Two of the seven cases required surgery, one of which had developed anemia. The high rates of ear infections and epistaxis suggest a low threshold for involving otolaryngology specialists in care. [nature.com]
Respiratoric
- Cough
Hes got pnumonia quit a few times, he has really thick secretions so he coughs and gags alot. he was in a care facility for a year he went there for respite because i got sick a few days after e was therer he had a mucus plug and stoped breathing, he [circleofmoms.com]
Gastrointestinal
- Failure to Thrive
Failure to thrive Weight faltering, Postnatal failure to thrive, Undergrowth, Poor weight gain [more] Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm. [rarediseases.oscar.ncsu.edu]
Infants with 3q29 microdeletion syndrome often have feeding difficulties and do not grow and gain weight at the expected rate (which is described as failure to thrive). [encyclopedia.pub]
Pediatric feeding problems are present in 60% and failure to thrive in 44%, sometimes necessitating feeding by gastrostomy tube (see medRxiv). [ncbi.nlm.nih.gov]
Cardiovascular
- Heart Disease
Introduction The 3q29 microduplication syndrome (Online Mendelian Inheritance in Man 611936) is usually associated with an intellectual disability or global developmental delay, language delay, mild facial dysmorphisms, congenital heart diseases, skeletal [cureus.com]
Bui Peter H, Dorrani Naghmeh, Wong Derek, Perens Gregory, Dipple Katrina M, Quintero-Rivera Fabiola First report of a de novo 18q11.2 microdeletion including GATA6 associated with complex congenital heart disease and renal abnormalities.. [pathology.ucla.edu]
Other common findings are failure to thrive and feeding problems in infancy that persist into childhood, gastrointestinal disorders (including constipation and gastroesophageal reflux disease [GERD]), ocular issues, dental anomalies, and congenital heart [ncbi.nlm.nih.gov]
Musculoskeletal
- Small Head
Microcephaly small cranium, Decreased circumference of cranium, Small head, Small skull, Small head circumference, Reduced head circumference, Decreased size of cranium, Decreased size of skull, Abnormally small skull, Decreased size of head, Abnormally [rarediseases.oscar.ncsu.edu]
Symptoms may include delay reaching some developmental milestones such as sitting, walking or talking, frequent ear and respiratory infections, and a small head size (microcephaly ). [rarediseases.info.nih.gov]
Symptoms may include delay reaching some developmental milestones such as sitting, walking or talking, frequent ear and respiratory infections, and a small head size (microcephaly). [rarediseases.org]
Symptoms may include delay reaching some developmental milestones such as sitting, walking or talking, frequent ear and respiratory infections, and a small head size ( microcephaly ). [familydiagnosis.com]
Eyes
- Strabismus
In addition to the typical characteristics of the 3q29 microdeletion syndrome, the twins had attention deficit-hyperactivity disorder, strabismus, congenital heart defect, and gray hair. [pesquisa.bvsalud.org]
Ocular anomalies include astigmatism, hypermetropia, myopia, and strabismus. Strabismus is present in 28% of individuals with the 3q29 deletion; of these, approximately 30% require surgical correction. [ncbi.nlm.nih.gov]
Full size table Almost 60% of subjects reported ocular manifestations; the most frequent were strabismus and refractive errors, including myopia and astigmatism. In some cases, the strabismus required surgical repair. [nature.com]
At 7 years of age, the patient had a particular phenotype (Figure 1) with a “full moon” face, strabismus, antimongoloid slants, flattened facial profile, deviated septum, long philtrum, microretrognathia, dental dystrophies, high palate, large ears, auricular [frontiersin.org]
Skin
- Hirsutism
One of the brothers was described as having macrocephaly, hirsutism, and cognitive impairment. There was no other relevant medical family history. [cureus.com]
Psychiatrical
- Suggestibility
The presence of two nearly identical low-copy repeat sequences in BAC clones on each side of the deletion breakpoint suggests that nonallelic homologous recombination is the likely mechanism of disease causation in this syndrome. [research.manchester.ac.uk]
This case expands the phenotypic findings associated with 3q29 microdeletion syndrome, suggesting an association with cardiac defect. [jhu.pure.elsevier.com]
Want to suggest a symptom? Please send suggestions to RareGuru! [rareguru.com]
In addition, recent data suggest that adults with chromosome 3q29 microdeletions have a significantly increased risk for psychosis and neuropsychiatric phenotypes.Case presentationWe report a 3-year… 7 Citations Prenatal detection of a 3q 29 microdeletion [semanticscholar.org]
This case expands the phenotypic findings associated with 3q29 microdeletion syndrome, suggesting an association with cardiac defect. It also raises the possibility of normal cognition in adulthood. [ncbi.nlm.nih.gov]
Face, Head & Neck
- Long Narrow Face
There may also be a subtle pattern of characteristic facial features, including a long, narrow face; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. 2. [encyclopedia.pub]
There may also be a subtle pattern of characteristic facial features, including a long, narrow face ; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. 3q29 microdeletion syndrome appears to be [ghr.nlm.nih.gov]
There may also be a subtle pattern of characteristic facial features, including a long, narrow face; a narrow space between the nose and upper lip (short philtrum); a high bridge of the nose; and large ears. [medlineplus.gov]
However, most individuals exhibit mildly dysmorphic features, including a long, narrow face, short philtrum, high nasal bridge, and large ears. [dx.doi.org]
- Beaked Nose
The major phenotypic features involve nearly all of the systems, including the head and neck (microcephaly, dolichocephaly, trigonocephaly, retro-micrognathia, large abnormally shaped posteriorly rotated and low-set ears, prominent or beaked nose, broad [biomedsearch.com]
Neurologic
- Hyperactivity
Pereira}, journal={BMC Medical Genomics}, year={2019}, volume={12} } BackgroundThe chromosome 3q29 microdeletion syndrome is characterized by a clinical phenotype that includes behavioral features consistent with autism and attention deficit hyperactivity [semanticscholar.org]
2019 Mar 18;12(1):51 Authors: Khan WA, Cohen N, Scott SA, Pereira EM Abstract BACKGROUND: The chromosome 3q29 microdeletion syndrome is characterized by a clinical phenotype that includes behavioral features consistent with autism and attention deficit hyperactivity [eunetworkadultadhd.com]
Other, less common, behavior problems that have been noted include hyperactivity, attention deficit hyperactivity disorder (ADHD), aggression, and autism spectrum disorder. [portal.bsc.gwu.edu]
In addition to the typical characteristics of the 3q29 microdeletion syndrome, the twins had attention deficit-hyperactivity disorder, strabismus, congenital heart defect, and gray hair. [pesquisa.bvsalud.org]
The patient has language-based learning disabilities and behavioral features consistent with diagnoses of autism and attention deficit hyperactivity disorder (ADHD) of the inattentive type. [owlapps.net]
- Global Developmental Delay
CASE PRESENTATION: We report a 3-year-old male with global developmental delay, anemia, and mild dysmorphic facial features. [eunetworkadultadhd.com]
Affiliated tissues include heart, testes and skin, and related phenotypes are intellectual disability and global developmental delay Genetics Home Reference : 26 3q29 microdeletion syndrome (also known as 3q29 deletion syndrome) is a condition that results [malacards.org]
Most common symptoms of CHROMOSOME 3q29 DELETION SYNDROME Autosomal dominant inheritance Intellectual disability Global developmental delay Pica Microcephaly More info about CHROMOSOME 3q29 DELETION SYNDROME SOURCES: OMIM MONDO ORPHANET UMLS SCTID MESH [mendelian.co]
Case presentation We report a 3-year-old male with global developmental delay, anemia, and mild dysmorphic facial features. [bmcmedgenomics.biomedcentral.com]
Bipolar affective disorder Bipolar disorder Global developmental delay Psychomotor developmental delay, Psychomotor retardation, Developmental delay, Lack of psychomotor development, Cognitive delay, Delayed intellectual development, Delayed milestones [rarediseases.oscar.ncsu.edu]
- Gait Ataxia
Autism, gait ataxia, chest-wall deformity, and long and tapering fingers were noted in at least two of six patients. [research.manchester.ac.uk]
Autism and gait ataxia have been noted occasionally. Congenital malformations are not common: there are only rare reports of horseshoe kidney, hypospadias and congenital heart defects (patent ductus arteriosus). [orpha.net]
[…] and developmental anomalies > Chromosomal diseases > Constitutional deletions > 3q29 microdeletion syndrome Synopsis mild-to-moderate mental retardation slightly dysmorphic facial features long and narrow face short philtrum high nasal bridge autism gait [humpath.com]
- Language Delays
Delayed speech development, Speech delay, Language delay, Speech difficulties, Delayed speech, Delayed speech acquisition, Late-onset speech development, Speech and language delay, Delayed language development [more] A degree of language development [rarediseases.oscar.ncsu.edu]
This is noteworthy in light of the considerable speech and receptive language delay experienced by this population. [onlinelibrary.wiley.com]
Speech delays and language problems are present in most children. [portal.bsc.gwu.edu]
The clinical features common to three or more individuals in our cohort include microcephaly or small head, large low-set and posteriorly rotated ears, wide nasal bridge, and language delay. [dx.doi.org]
- Delayed Milestone
Delayed developmental milestones, Delayed development, Psychomotor development failure, Mental and motor retardation, Psychomotor delay, Delayed psychomotor development [more] A delay in the achievement of motor or mental milestones in the domains of [rarediseases.oscar.ncsu.edu]
Workup
The workup required for individual tests and families varies considerably, so the lab may require some advance warning even after a test request has been approved. [nhslothian.scot.nhs.uk]
Treatment
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Treatment of Manifestations in Individuals with 3q29 Recurrent Deletion Manifestation/ Concern Treatment Considerations/Other DD/ID Early speech & language therapy to address speech delays PT/OT as necessary to address fine & gross motor delays IEP for [ncbi.nlm.nih.gov]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Certain infections in pregnancy Preterm birth Often there is no cure, but treatment can help the symptoms. Treatments include physical, speech, and occupational therapy. Special education classes and psychological counseling can also help. [medlineplus.gov]
Prognosis
Prognosis he prognosis depends on the malformations (cardiac, cerebral or intestinal) associated with the 2q37 deletion. The documents contained in this web site are presented for information purposes only. [orpha.net]
Prognosis Treatment takes place over several years as the child grows and the palate and dentition develop. However, it is possible to achieve a normal appearance, and normal speech and eating habits, early in the process. [patient.info]
Triple Hit Lymphoma: Rare Cases with Less Dire than Usual Prognosis. Int J Surg Pathol. 2016 Dec;24(8):709-714. Epub 2016 Jun 29. PMID: 27363433. Abstract here. [pathology.ucla.edu]
Etiology
Etiology The syndrome is caused by a recurrent deletion of the 3q subtelomeric region. The microdeletion is commonly 1.6 Mb in length and encompasses more than 20 genes. [orpha.net]
These genes are related to neuronal postsynaptic membrane function and PTEN signaling, suggesting a role for synaptic connectivity dysfunction in the etiology of autism in these children. [ncbi.nlm.nih.gov]
Elsevier Health Sciences, ١٨/٠٨/٢٠١٣ - 979 من الصفحات Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.com]
Elsevier Health Sciences, 18 ago. 2013 - 979 páginas Smith’s Recognizable Patterns of Human Malformation has long been known as the source to consult on multiple malformation syndromes of environmental and genetic etiology as well as recognizable disorders [books.google.es]
Epidemiology
Summary Epidemiology It has been described in 23 patients. Clinical description The clinical phenotype is extremely variable. [orpha.net]
This new edition contains several chapters on the associated problems of autism, such as intellectual disability, epilepsy, tics, eating disorders and sleep problems, as well as a chapter on epidemiology that documents the historical increase in autism [books.google.com]
An epidemiological study in 2012 looked at 30 countries from 2002 to 2006 and suggested a worldwide incidence of around 0.8/1,000 live births, about half the rates reported in older literature. [ 3 ] CLP is more common in Asian populations and in Native [patient.info]
Pathophysiology
The novel clinical presentation of our patients expands the clinical spectrum of the 3q29 microdeletion syndrome and provides additional insights into the pathophysiology of autism and psychiatric disorders. Copyright © 2010 Wiley-Liss, Inc. [ncbi.nlm.nih.gov]
The novel clinical presentation of our patients expands the clinical spectrum of the 3q29 microdeletion syndrome and provides additional insights into the pathophysiology of autism and psychiatric disorders. To Access Article, Click Here [empiregenomics.com]
This project will help us to understand the core pathophysiology underlying neurodevelopment and neuropsychiatric phenotypes. [grantome.com]
Prevention
Prevention Identification of modifiable risk factors is the first step towards primary prevention: Pre-pregnancy planning seems to reduce risk. [patient.info]
Published on behalf of the Royal College of Psychiatrists, the journal’s overriding concern is to improve the prevention, investigation, diagnosis, treatment, and care of mental illness, as well as the promotion of mental health globally. [bjp.rcpsych.org]
You are missing that, so your cells are unable to use this pathway to prevent and control any malignant cells. [solusykli.blogspot.com]
Vincent Hospital, Indianapolis, IN, USA (6) Department of Preventive Medicine, University of Mississippi Medical Center, Jackson, MS, USA (7) Division of Medical Genetics, Duke University Medical Center, Durham, NC, USA (8) The Children's Hospital of [dx.doi.org]