Case Report

Novel Vascular Malformation in an Affected Newborn with Deletion Del(4)(q31.3)

Table 1

Clinical signs in this patient previously described in the literature.

Clinical signs described in other patientsClinical signs observed in our patient

Intrauterine growth restriction (83%)
Mental retardation (92%)
Hypotonia (28%)×
Seizures (17%)
Large anterior fontanel ×
Ocular hypertelorism (56%)×
Short nose (67%)×
Broad nasal bridge (94%)
Cleft lip/palate (94%)×
Micrognathia (94%)×
Low set posteriorly rotated ears (56%)×
Abnormal pinnae (67%)
Fifth finger clinodactyly (44%)×
Tapering fifth finger (50%)
Pointed duplicated fifth fingernail (33%)×
Absent to hypoplastic flexion creases of fifth finger×
Abnormal thumb or hallux implantation (44%)×
Simian crease (61%)
Overlapping toes (22%)×
Cardiac defects (61%)×
Genitourinary defects (50%)
Gastrointestinal defects (22%)
Occasional:
 Asymmetric face (17%)
 Epicanthal folds (39%)×
 Anteverted nares (33%)×
 Cleft lip (39%)×
 Up slanting palpebral fissures (22%)×
 Missing digits (11%)×
 Robin sequence (17%)
Pointed helix (faun-like ears appearance)