Volume 164, Issue 8 pp. 2097-2103
Clinical Report
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Nine patients with Xp22.31 microduplication, cognitive deficits, seizures, and talipes anomalies

Edward D. Esplin

Edward D. Esplin

Division of Medical Genetics, Department of Pediatrics, Stanford University School of Medicine, Stanford, California

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Ben Li

Ben Li

Division of Medical Genetics, Department of Pediatrics, University of California San Francisco, San Francisco, California

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Anne Slavotinek

Anne Slavotinek

Division of Medical Genetics, Department of Pediatrics, University of California San Francisco, San Francisco, California

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Antonio Novelli

Antonio Novelli

Mendel Laboratory, IRCCS Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy

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Agatino Battaglia

Agatino Battaglia

The Stella Maris Clinical Research Institute for Child and Adolescent Neurology and Psychiatry, Calambrone (Pisa), Italy

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Robin Clark

Robin Clark

Division of Medical Genetics, Department of Pediatrics, Loma Linda University, Loma Linda, California

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Cynthia Curry

Cynthia Curry

Division of Medical Genetics, Department of Pediatrics, UCSF Fresno, Fresno, California

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Louanne Hudgins

Corresponding Author

Louanne Hudgins

Division of Medical Genetics, Department of Pediatrics, Stanford University School of Medicine, Stanford, California

Correspondence to:

Dr. Louanne Hudgins, Division of Medical Genetics, Department of Pediatrics, 300 Pasteur Drive, H315 Stanford, CA 94305.

E-mail: [email protected]

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First published: 06 May 2014
Citations: 35
Conflict of interest: none.

Abstract

Comparative genomic hybridization (CGH) arrays have significantly changed the approach to identifying genetic alterations causing intellectual disability and congenital anomalies. Several studies have described the microduplication of Xp22.31, involving the STS gene. In such reports characteristic features and pathogenicity of Xp22.31 duplications remains a subject of debate. Here we present a series of nine previously unreported individuals with Xp22.31 duplications, found through microarray analysis in the course of genetic workup for developmental delay, associated with a combination of talipes anomalies, seizures and/or feeding difficulties. The size of the Xp22.31 duplications ranged from 294 kb to 1.6 Mb. We show a comparison of the breakpoints, inheritance and clinical phenotype, and a review of the literature. This clinically detailed series of Xp22.31 duplication patients provides evidence that the Xp22.31 duplication contributes to a common phenotype. © 2014 Wiley Periodicals, Inc.

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