Case Report

A Novel 2.3 Mb Microduplication of 9q34.3 Inserted into 19q13.4 in a Patient with Learning Disabilities

Table 1

Clinical features in patients with duplication and/or triplication of the 9q34 region.

CytogeneticsHou and Wang [1] dup 9q32→q34.3
Allderdice et al. [2] dup 9q34.1→q34.3
Spinner et al. [3] and Youngs et al. [4]a dup 9q33.3→qterMattina et al. [5] dup 9q34.1→qter
Gawlik-Kuklinska et al. [6] dup 9q34.1→q34.3
Papadopoulou et al. [7] dup9q34.1→q34.3
Gijsbers et al. [8] dup and trip 9q34.3
Present case dup 9q34.3→qter

Size of 9q duplication determined by molecular karyotypeUndeterminedUndetermined13.79 MbUndetermined7.26 Mb~5–5.8 Mb~0.53 Mb duplication; ~2.4 Mb triplication~2.3 Mb
Other chromosomal anomaliesNullNullDel 12p13.33 Dup 21pter→q22.1NullDels 15q21.2-15q21.3; 15q22.31-15q23; 15q25.1-15q25.2NullNull

Clinical features

Dolicocephaly+++*+*+
Facial asymmetry*++*+++
Deep-set eyes/small palpebral fissures+++++++
Beaked nose+++++
High arched palate++++*++
Micrognathia/ retrognathia+++*++++
Arachnodactyly/
camptodactyly
+++++++
Long halluces*+++++*+
Scoliosis*++*++
Low birth weight+++++
Hypotonia+++++++
Failure to thrive+++*+
Cardiac defects+++++
Developmental delay/intellectual disability++++++++

aYoungs et al. [4] is an 18-year follow-up report on an infant with dup 9q34 originally reported by Spinner et al. [3].
*Not reported or observed from published photographs.