Research Article

Screening for Subtelomeric Rearrangements in Thai Patients with Intellectual Disabilities Using FISH and Review of Literature on Subtelomeric FISH in 15,591 Cases with Intellectual Disabilities

Table 1

Clinical features of 5 patients with subtelomeric rearrangements.

Patient numberPatient 1Patient 2Patient 3Patient 4Patient 5

Age (mo)60961803672

GenderMaleFemaleFemaleMaleMale

Karyotype46,XY.ish del(4)(p16.3)(GS-36-P21−)46,XX.ish del(1)(p36.32)(RP11-465B22−)dn46,XX.ish der(10)t(7;10)(p22.3;q26.3)(GS-164-D18+;RP11-108K14−)46,XY.ish der(20)t(X;20)(p22.3;q13.3)(RP13-465B17+;RP11-11M20−)46,XY.ish der(3)t(X;3)(p22.3;p26.3)(RP13-465B17+;RP11-306H5−)dn

Interpretation 4p16.3 deletion1p36.3 deletion7p22.3 duplication and 10q26.3 deletionXp22.3 duplication and 20q13.3 deletionXp22.3 duplication and 3p26.3 deletion

GrowthHeight and weight below the 3rd percentileHeight and weight below the 3rd percentile

Head, faceDolichocephaly, tall and prominent foreheadTriangular face with flat midface, prominent foreheadMicrocephaly, low posterior hair line, webbed-neckDolichocephaly, prominent forehead, fair hair, low posterior hair line

Ocular regionLeft esotropiaMild hypertelorismUpslanting eyebrows, mild hypertelorism, downslanting palpebral fissure

NoseBroad nasal bridge

EarsProminent ears with thick helix, bilaterallySimple earsLow set ears

Mouth regionCleft palateDownturned corner of the mouthDownturned corner of the mouth

Thorax, abdomen, extremitiesNormalCongenital heart defects including ventricular septal defect, patent ductus arteriosus, coarctation of the aortaCubitus valgus, simian crease on the right handSimian crease on both handsNormal

Other anomaliesSacral dimpleShawl scrotum

Level of IDIQ ~ 28–30 (severe)IQ < 24 (severe)IQ ~ 39–41 (moderate)IQ = 42 (moderate)IQ < 30 (severe)

Other testsAbnormal EEG compatible with seizure disorder; normal hearing and thyroid function testsNormal brain MRI; normal vision and hearing testsNormal EEG and skull X-ray; normal hearing test