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Phenotypic Heterogeneity of 16p11.2 Microdeletion Syndrome: 5 Case Reports
Sílvia Duarte Costa1, Catarina Fraga1, Nádia Rodrigues2
1Pediatrics Department, Unidade Local de Saúde de Matosinhos - Hospital Pedro Hispano (ULSM-HPH), Matosinhos, Portugal.
16p11.2 microdeletion syndrome presents diverse symptoms, frequently involving neurodevelopmental issues like intellectual disability and ADHD. Early genetic diagnosis via array-CGH is crucial for effective intervention and counseling.
Area of Science:
- Genetics
- Neurodevelopmental Disorders
- Pediatrics
Background:
- 16p11.2 microdeletion syndrome is a rare genetic disorder with highly variable clinical presentations.
- Affected individuals may exhibit normal phenotypes or neurodevelopmental pathologies, dysmorphology, epilepsy, cardiac anomalies, and obesity.
Purpose of the Study:
- To describe the clinical heterogeneity of 16p11.2 microdeletion syndrome.
- To highlight the importance of genetic testing for diagnosis and management.
Main Methods:
- Case series involving five individuals with 16p11.2 microdeletion.
- Utilized array comparative genomic hybridization (array-CGH) for genetic testing.
- Emphasized multidisciplinary follow-up for all cases.
Main Results:
- All five cases demonstrated the 16p11.2 microdeletion.
- Common findings included macrocephaly, obesity, speech and developmental delays, intellectual disability, and ADHD.
- Epilepsy and cardiac pathology were notably absent in these cases.
Conclusions:
- 16p11.2 microdeletion syndrome exhibits significant clinical variability, with frequent neurodevelopmental involvement.
- Array-CGH is essential for diagnosing individuals with developmental delays or autism spectrum disorder.
- Early diagnosis facilitates timely intervention and genetic counseling.
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