nih-gov/www.ncbi.nlm.nih.gov/omim/135900

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- #135900 - COFFIN-SIRIS SYNDROME 1; CSS1
- OMIM
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<span class="h4">#135900</span>
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<strong>Table of Contents</strong>
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<a href="#title"><strong>Title</strong></a>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/135900"><strong>Clinical Synopsis</strong></a>
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<a href="/phenotypicSeries/PS135900,PS156200"> <strong>Phenotypic Series</strong> </a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<a href="#clinicalFeatures">Clinical Features</a>
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<a href="#otherFeatures">Other Features</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#diagnosis">Diagnosis</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#inheritance">Inheritance</a>
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<a href="#cytogenetics">Cytogenetics</a>
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<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=COFFIN-SIRIS SYNDROME" class="mim-tip-hint" title="A registry of federally and privately supported clinical trials conducted in the United States and around the world." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
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<div style="margin-left: 0.5em;"><a href="https://www.ncbi.nlm.nih.gov/books/NBK131811/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Gene Reviews', 'domain': 'ncbi.nlm.nih.gov'})">Coffin-Siris Syndrome</a></div><div style="margin-left: 0.5em;"><a href="https://www.ncbi.nlm.nih.gov/books/NBK541502/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Gene Reviews', 'domain': 'ncbi.nlm.nih.gov'})">ARID1B-Related Disorder</a></div>
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<div><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=1465" class="mim-tip-hint" title="European reference portal for information on rare diseases and orphan drugs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">OrphaNet</a></div>
<div><a href="https://www.possumcore.com/nuxeo/nxdoc/default/72ec5f58-3ee9-4a35-8307-331d9d2fcff2/view_documents?source=omim" class="mim-tip-hint" title="A dysmorphology database of multiple malformations; metabolic, teratogenic, chromosomal, and skeletal syndromes; and their images." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'POSSUM', 'domain': 'possum.net.au'})">POSSUM</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimAnimalModels">
<span class="panel-title">
<span class="small">
<a href="#mimAnimalModelsLinksFold" id="mimAnimalModelsLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimAnimalModelsLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Animal Models</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/disease/DOID:0070042" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="http://www.informatics.jax.org/disease/135900" class="mim-tip-hint" title="Phenotypes, alleles, and disease models from Mouse Genome Informatics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Phenotype', 'domain': 'informatics.jax.org'})">MGI Mouse Phenotype</a></div>
<div><a href="https://wormbase.org/resources/disease/DOID:0070042" class="mim-tip-hint" title="Database of the biology and genome of Caenorhabditis elegans and related nematodes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Wormbase Disease Ontology', 'domain': 'wormbase.org'})">Wormbase Disease Ontology</a></div>
</div>
</div>
</div>
</div>
</div>
</div>
<span>
<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
&nbsp;
</span>
</span>
</div>
<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>SNOMEDCT:</strong> 10007009<br />
<strong>ORPHA:</strong> 1465<br />
<strong>DO:</strong> 0070042<br />
">ICD+</a>
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
135900
</span>
</span>
</div>
</div>
<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
COFFIN-SIRIS SYNDROME 1; CSS1
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<a id="alternativeTitles" class="mim-anchor"></a>
<div>
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
COFFIN-SIRIS SYNDROME; CSS<br />
FIFTH DIGIT SYNDROME<br />
MENTAL RETARDATION, AUTOSOMAL DOMINANT 12; MRD12<br />
HYPERTRICHOSIS, HYPERKERATOSIS, MENTAL RETARDATION, AND DISTINCTIVE FACIAL FEATURES; HHID
</span>
</h4>
</div>
</div>
<div>
<br />
</div>
</div>
<div>
<a id="phenotypeMap" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>Phenotype-Gene Relationships</strong>
</span>
</h4>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
<th>
Gene/Locus
</th>
<th>
Gene/Locus <br /> MIM number
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/977?start=-3&limit=10&highlight=977">
6q25.3
</a>
</span>
</td>
<td>
<span class="mim-font">
Coffin-Siris syndrome 1
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/135900"> 135900 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
ARID1B
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614556"> 614556 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div class="btn-group ">
<a href="/clinicalSynopsis/135900" class="btn btn-warning" role="button"> Clinical Synopsis </a>
<button type="button" id="mimPhenotypicSeriesToggle" class="btn btn-warning dropdown-toggle mimSingletonFoldToggle" data-toggle="collapse" href="#mimClinicalSynopsisFold" onclick="ga('send', 'event', 'Unfurl', 'ClinicalSynopsis', 'omim.org')">
<span class="caret"></span>
<span class="sr-only">Toggle Dropdown</span>
</button>
</div>
&nbsp;
<div class="btn-group">
<a href="/phenotypicSeries/PS135900,PS156200" class="btn btn-info" role="button"> Phenotypic Series </a>
<button type="button" id="mimPhenotypicSeriesToggle" class="btn btn-info dropdown-toggle mimSingletonFoldToggle" data-toggle="collapse" href="#mimPhenotypicSeriesFold" onclick="ga('send', 'event', 'Unfurl', 'PhenotypicSeries', 'omim.org')">
<span class="caret"></span>
<span class="sr-only">Toggle Dropdown</span>
</button>
</div>
&nbsp;
<div class="btn-group">
<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
PheneGene Graphics <span class="caret"></span>
</button>
<ul class="dropdown-menu" style="width: 17em;">
<li><a href="/graph/linear/135900" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
<li><a href="/graph/radial/135900" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Radial'})"> Radial </a></li>
</ul>
</div>
<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
<div>
<p />
</div>
<div id="mimClinicalSynopsisFold" class="well well-sm collapse mimSingletonToggleFold">
<div class="small" style="margin: 5px">
<div>
<div>
<span class="h5 mim-font">
<strong> INHERITANCE </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Autosomal dominant <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/263681008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">263681008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/771269000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">771269000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0443147&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0443147</a>, <a href="https://bioportal.bioontology.org/search?q=C1867440&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1867440</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> GROWTH </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Height </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Short stature (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/422065006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">422065006</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/237836003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">237836003</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/237837007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">237837007</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/E34.31" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">E34.31</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/R62.52" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R62.52</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/783.43" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">783.43</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0349588&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0349588</a>, <a href="https://bioportal.bioontology.org/search?q=C0013336&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0013336</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003510" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003510</a>, <a href="https://hpo.jax.org/app/browse/term/HP:0004322" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0004322</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0004322" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0004322</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> HEAD & NECK </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Face </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Coarse facies <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1845847&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1845847</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000280" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000280</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000280" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000280</a>]</span><br /> -
Facial hypertrichosis <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851400&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851400</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002219" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002219</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002219" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002219</a>]</span><br /> -
Short philtrum <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1861324&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1861324</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000322" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000322</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000322" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000322</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=16ecf2e0f23dddf7b8b7cf447ceb827b" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Philtrum,Short-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=16ecf2e0f23dddf7b8b7cf447ceb827b&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br /> -
Small chin <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1839323&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1839323</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000331" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000331</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000331" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000331</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Ears </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Low-set ears <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/95515009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">95515009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/Q17.4" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">Q17.4</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0239234&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0239234</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000369" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000369</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000369" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000369</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=9f0956aaa4fd45c34f94336afbbdc931" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Ear,Low-Set-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=9f0956aaa4fd45c34f94336afbbdc931&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br /> -
Posteriorly rotated ears <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/253251006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">253251006</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0431478&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0431478</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000358" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000358</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000358" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000358</a>]</span><br /> -
Simple ears <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/253255002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">253255002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0431483&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0431483</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0020206" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0020206</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0020206" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0020206</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Eyes </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Visual impairment <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/246635007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">246635007</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/7973008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">7973008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/397540003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">397540003</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0042798&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0042798</a>, <a href="https://bioportal.bioontology.org/search?q=C3665347&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3665347</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000505" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000505</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000505" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000505</a>]</span><br /> -
Strabismus <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/22066006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">22066006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/H50.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">H50.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/H50.40" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">H50.40</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0038379&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0038379</a>, <a href="https://bioportal.bioontology.org/search?q=C2020541&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2020541</a>, <a href="https://bioportal.bioontology.org/search?q=C1423541&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1423541</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000486" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000486</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000486" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000486</a>]</span><br /> -
Downslanting palpebral fissures <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/246800008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">246800008</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0423110&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0423110</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000494" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000494</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000494" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000494</a>]</span><br /> -
Bushy eyebrows <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853487&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853487</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000574" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000574</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000574" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000574</a>]</span><br /> -
Long eyelashes <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853738&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853738</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000527" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000527</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000527" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000527</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=672968e227f5a1087f52e88a389a22fc" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Eyelashes,Long-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=672968e227f5a1087f52e88a389a22fc&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Nose </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Broad nasal tip <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/249327002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">249327002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0426429&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0426429</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000455" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000455</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000455" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000455</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=6ddac380d031baefd82dea5c5d13ca2a" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Nasal_Tip,Broad-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=6ddac380d031baefd82dea5c5d13ca2a&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Mouth </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Large mouth <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/40159009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">40159009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/Q18.4" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">Q18.4</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/744.83" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">744.83</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0024433&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0024433</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000154" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000154</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000154" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000154</a>]</span><br /> -
Thin upper lip vermilion <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1865017&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1865017</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000219" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000219</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000219" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000219</a>]</span><br /> -
Thick lower lip vermilion <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1839739&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1839739</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000179" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000179</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000179" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000179</a>]</span><br /> -
Lower lip droop <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/767502001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">767502001</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853246&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853246</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000232" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000232</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Teeth </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Delayed dentition <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/5639000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">5639000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0239174&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0239174</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000684" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000684</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000684" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000684</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> RESPIRATORY </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Frequent upper and lower respiratory tract infections (early life) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3805595&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3805595</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> ABDOMEN </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Gastrointestinal </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Feeding problems <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/274540003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">274540003</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/78164000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">78164000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R63.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R63.3</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/783.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">783.3</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0232466&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0232466</a>, <a href="https://bioportal.bioontology.org/search?q=C0699815&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0699815</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011968" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011968</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011968" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011968</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> SKELETAL </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Hands </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Hypoplastic to absent terminal phalanges (especially fifth finger) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851092&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851092</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0009835" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0009835</a>]</span><br /> -
Single transverse palmar crease <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/248409006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">248409006</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0424731&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0424731</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000954" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000954</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000954" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000954</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=6933e8f04e93713c6c05a6e701badf6a" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/U5EUWeuZTbrrCpHgZPeZ3ZeG36uxxNme-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=6933e8f04e93713c6c05a6e701badf6a&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br /> -
Prominent distal phalanges <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3275920&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3275920</a>]</span><br /> -
Prominent interphalangeal joints <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1859115&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1859115</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006237" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006237</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006237" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006237</a>]</span><br /> -
Prominent finger pads <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1835807&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1835807</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001212" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001212</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001212" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001212</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Feet </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Hypoplastic to absent terminal phalanges (especially fifth toe) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851093&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851093</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0009835" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0009835</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> SKIN, NAILS, & HAIR </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Skin </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Hyperkeratotic plaques (on lower limbs and back in some patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C5194062&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C5194062</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Nails </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Hypoplastic nails <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/11375002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">11375002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0263523&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0263523</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001792" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001792</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001792" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001792</a>]</span><br /> -
Aplastic nails (absent fifth finger nail in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/23610003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">23610003</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/Q84.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">Q84.3</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0265998&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0265998</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001798" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001798</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001798" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001798</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Hair </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Bushy eyebrows <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853487&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853487</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000574" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000574</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000574" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000574</a>]</span><br /> -
Long eyelashes <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1853738&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1853738</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000527" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000527</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000527" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000527</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=672968e227f5a1087f52e88a389a22fc" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Eyelashes,Long-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=672968e227f5a1087f52e88a389a22fc&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br /> -
Lumbosacral hirsutism <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851095&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851095</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0009747" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0009747</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0009747" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0009747</a>]</span><br /> -
Sparse scalp hair <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1857042&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1857042</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002209" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002209</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002209" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002209</a>]</span> <a href="https://elementsofmorphology.nih.gov/index.cgi?tid=0794250547c51da4a5a0f6e06193a00b" target="_blank" class="small mim-tip-eom" title="&lt;img src=&quot;https://elementsofmorphology.nih.gov/images/terms/Scalp_Hair,Sparse-small.jpg&quot;&gt; &lt;br/&gt;Further Information: &lt;a href=&quot;https://elementsofmorphology.nih.gov/index.cgi?tid=0794250547c51da4a5a0f6e06193a00b&quot target=&quot;_blank&quot onclick=&quot;gtag(\'event\', \'mim_outbound\', {\'name\': \'EOM\', \'domain\': \'elementsofmorphology.nih.gov\'})&quot;&gt;Elements of Morphology&lt;/a&gt;"><span class="glyphicon glyphicon-user" aria-hidden="true"></span></a><br /> -
Hypertrichosis (diminishes with age in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/29966009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">29966009</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/271607001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">271607001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/L68" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">L68</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/L68.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">L68.3</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/L68.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">L68.9</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0020555&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0020555</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000998" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000998</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000998" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000998</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> NEUROLOGIC </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Central Nervous System </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Delayed psychomotor development <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/224958001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">224958001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/F88" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">F88</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0557874&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0557874</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001263" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001263</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001263" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001263</a>]</span><br /> -
Severe expressive language delay <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/62221000119105" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">62221000119105</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851085&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851085</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006863" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006863</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006863" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006863</a>]</span><br /> -
Diminishing use of speech <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C5194059&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C5194059</a>]</span><br /> -
Seizures (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/91175000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">91175000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0036572&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0036572</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001250" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001250</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001250" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001250</a>]</span><br /> -
Mental retardation <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/228156007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">228156007</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/110359009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">110359009</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/317-319.99" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">317-319.99</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3714756&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3714756</a>, <a href="https://bioportal.bioontology.org/search?q=C0025362&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0025362</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001249" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001249</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001249" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001249</a>]</span><br /> -
Moderate to severe hypotonia <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1851086&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1851086</a>]</span><br /> -
Hypoplastic corpus callosum (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/204043002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">204043002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0344482&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0344482</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002079" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002079</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002079" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002079</a>]</span><br /> -
Partial agenesis of corpus callosum (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/253140003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">253140003</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0431368&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0431368</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001338" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001338</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001338" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001338</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Behavioral Psychiatric Manifestations </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Obsessive compulsive disorder (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/191736004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">191736004</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/12479006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">12479006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/F42" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">F42</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/F42.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">F42.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/R46.81" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R46.81</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/F42.8" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">F42.8</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/300.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">300.3</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0028768&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0028768</a>, <a href="https://bioportal.bioontology.org/search?q=C0600104&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0600104</a>, <a href="https://bioportal.bioontology.org/search?q=C4760315&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C4760315</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000722" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000722</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000722" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000722</a>]</span><br /> -
Stubbornness (in some patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1696114&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1696114</a>]</span><br /> -
Dislikes presence of others (in some patients) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C5194061&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C5194061</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> VOICE </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Hoarse voice <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/50219008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">50219008</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R49.0" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R49.0</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0019825&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0019825</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001609" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001609</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001609" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001609</a>]</span><br /> -
High-pitched voice <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/51406002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">51406002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0241703&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0241703</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001620" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001620</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001620" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001620</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MISCELLANEOUS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Highly variable phenotype <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1839039&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1839039</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003812" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003812</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003812" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003812</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MOLECULAR BASIS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Caused by mutation in the AT-rich interaction domain-containing protein 1B gene (ARID1B, <a href="/entry/614556#0001">614556.0001</a>)<br />
</span>
</div>
</div>
</div>
<div class="text-right">
<a href="#mimClinicalSynopsisFold" data-toggle="collapse">&#9650;&nbsp;Close</a>
</div>
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<div id="mimPhenotypicSeriesFold" class="well well-sm collapse mimSingletonToggleFold">
<div class="small">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<h5>
Intellectual developmental disorder, autosomal dominant
- <a href="/phenotypicSeries/PS156200">PS156200</a>
- 67 Entries
</h5>
</div>
</div>
<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
<table class="table table-bordered table-condensed table-hover mim-table-padding">
<thead>
<tr>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/326?start=-3&limit=10&highlight=326"> 1p36.11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614607"> Coffin-Siris syndrome 2 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614607"> 614607 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603024"> ARID1A </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603024"> 603024 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1100?start=-3&limit=10&highlight=1100"> 1q21.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616364"> White-Sutton syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616364"> 616364 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614787"> POGZ </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614787"> 614787 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1175?start=-3&limit=10&highlight=1175"> 1q21.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615074"> GAND syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615074"> 615074 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614998"> GATAD2B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614998"> 614998 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1225?start=-3&limit=10&highlight=1225"> 1q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617796"> Intellectual developmental disorder, autosomal dominant 52 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617796"> 617796 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607999"> ASH1L </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607999"> 607999 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1484?start=-3&limit=10&highlight=1484"> 1q25.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620988"> Intellectual developmental disorder, autosomal dominant 75 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620988"> 620988 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603115"> DHX9 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603115"> 603115 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1846?start=-3&limit=10&highlight=1846"> 1q44 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612337"> Intellectual developmental disorder, autosomal dominant 22 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612337"> 612337 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608433"> ZBTB18 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608433"> 608433 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/2/15?start=-3&limit=10&highlight=15"> 2p25.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616521"> Intellectual developmental disorder, autosomal dominant 39 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616521"> 616521 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613084"> MYT1L </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613084"> 613084 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/2/483?start=-3&limit=10&highlight=483"> 2q11.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617863"> ?Intellectual developmental disorder, autosomal dominant 69 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617863"> 617863 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609552"> LMAN2L </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609552"> 609552 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/2/679?start=-3&limit=10&highlight=679"> 2q23.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/156200"> Intellectual developmental disorder, autosomal dominant 1 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/156200"> 156200 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611472"> MBD5 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611472"> 611472 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/31?start=-3&limit=10&highlight=31"> 3p25.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615761"> Intellectual developmental disorder, autosomal dominant 23 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615761"> 615761 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615743"> SETD5 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615743"> 615743 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/262?start=-3&limit=10&highlight=262"> 3p21.31 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620157"> Intellectual developmental disorder, autosomal dominant 70 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620157"> 620157 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612778"> SETD2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612778"> 612778 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/707?start=-3&limit=10&highlight=707"> 3q22.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617635"> Intellectual developmental disorder, autosomal dominant 47 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617635"> 617635 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604358"> STAG1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604358"> 604358 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/873?start=-3&limit=10&highlight=873"> 3q26.32 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616944"> Intellectual developmental disorder, autosomal dominant 41 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616944"> 616944 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608628"> TBL1XR1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608628"> 608628 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/910?start=-3&limit=10&highlight=910"> 3q27.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618587"> Intellectual developmental disorder 60 with seizures </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618587"> 618587 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601024"> AP2M1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601024"> 601024 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/4/564?start=-3&limit=10&highlight=564"> 4q31.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617787"> Intellectual developmental disorder, autosomal dominant 50, with behavioral abnormalities </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617787"> 617787 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608000"> NAA15 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608000"> 608000 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/5/58?start=-3&limit=10&highlight=58"> 5p15.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618825"> Intellectual developmental disorder, autosomal dominant 63, with macrocephaly </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618825"> 618825 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601893"> TRIO </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601893"> 601893 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/5/58?start=-3&limit=10&highlight=58"> 5p15.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617061"> Intellectual developmental disorder, autosomal dominant 44, with microcephaly </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617061"> 617061 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601893"> TRIO </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601893"> 601893 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/5/260?start=-3&limit=10&highlight=260"> 5q13.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616351"> Neurodevelopmental disorder with hypotonia, speech delay, and dysmorphic facies </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616351"> 616351 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604677"> CERT1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604677"> 604677 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/5/665?start=-3&limit=10&highlight=665"> 5q32 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617798"> Intellectual developmental disorder, autosomal dominant 53 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617798"> 617798 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114078"> CAMK2A </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114078"> 114078 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/5/693?start=-3&limit=10&highlight=693"> 5q33.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619927"> Intellectual developmental disorder, autosomal dominant 67 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619927"> 619927 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138248"> GRIA1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138248"> 138248 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/401?start=-3&limit=10&highlight=401"> 6p21.32 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612621"> Intellectual developmental disorder, autosomal dominant 5 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612621"> 612621 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603384"> SYNGAP1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603384"> 603384 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/639?start=-3&limit=10&highlight=639"> 6q13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617601"> Intellectual developmental disorder, autosomal dominant 46 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617601"> 617601 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607357"> KCNQ5 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607357"> 607357 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/691?start=-3&limit=10&highlight=691"> 6q14.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619188"> Intellectual developmental disorder, autosomal dominant 64 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619188"> 619188 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616213"> ZNF292 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616213"> 616213 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/811?start=-3&limit=10&highlight=811"> 6q22.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617831"> Intellectual developmental disorder, autosomal dominant 55, with seizures </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617831"> 617831 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610463"> NUS1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610463"> 610463 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/913?start=-3&limit=10&highlight=913"> 6q24.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616977"> Intellectual developmental disorder, autosomal dominant 43 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616977"> 616977 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/143054"> HIVEP2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/143054"> 143054 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/977?start=-3&limit=10&highlight=977"> 6q25.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/135900"> Coffin-Siris syndrome 1 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/135900"> 135900 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614556"> ARID1B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614556"> 614556 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/57?start=-3&limit=10&highlight=57"> 7p22.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617751"> Intellectual developmental disorder, autosomal dominant 48 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617751"> 617751 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602048"> RAC1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602048"> 602048 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/232?start=-3&limit=10&highlight=232"> 7p13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617799"> Intellectual developmental disorder, autosomal dominant 54 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617799"> 617799 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607707"> CAMK2B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607707"> 607707 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/305?start=-3&limit=10&highlight=305"> 7q11.22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615834"> Intellectual developmental disorder, autosomal dominant 26 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615834"> 615834 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607270"> AUTS2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607270"> 607270 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/845?start=-3&limit=10&highlight=845"> 7q36.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616311"> Intellectual developmental disorder, autosomal dominant 33 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616311"> 616311 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/126141"> DPP6 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/126141"> 126141 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/9/4?start=-3&limit=10&highlight=4"> 9p24 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614113"> Intellectual developmental disorder, autosomal dominant 2 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="4 - A contiguous gene duplication or deletion syndrome in which multiple genes are involved"> 4 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614113"> 614113 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614113"> MRD2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614113"> 614113 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/9/550?start=-3&limit=10&highlight=550"> 9q34.11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618106"> Intellectual developmental disorder, autosomal dominant 58 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618106"> 618106 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600960"> SET </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600960"> 600960 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/9/704?start=-3&limit=10&highlight=704"> 9q34.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610253"> Kleefstra syndrome 1 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610253"> 610253 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607001"> EHMT1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607001"> 607001 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/6?start=-3&limit=10&highlight=6"> 10p15.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616083"> Intellectual developmental disorder, autosomal dominant 30 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616083"> 616083 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608668"> ZMYND11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608668"> 608668 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/310?start=-3&limit=10&highlight=310"> 10q22.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618522"> Intellectual developmental disorder, autosomal dominant 59 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618522"> 618522 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602123"> CAMK2G </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602123"> 602123 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/37?start=-3&limit=10&highlight=37"> 11p15.5 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615828"> Vulto-van Silfout-de Vries syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615828"> 615828 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602635"> DEAF1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602635"> 602635 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/588?start=-3&limit=10&highlight=588"> 11q13.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618027"> Coffin-Siris syndrome 7 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618027"> 618027 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601671"> DPF2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601671"> 601671 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/624?start=-3&limit=10&highlight=624"> 11q13.1-q13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615009"> Schuurs-Hoeijmakers syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615009"> 615009 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607492"> PACS1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607492"> 607492 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/681?start=-3&limit=10&highlight=681"> 11q13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617788"> Intellectual developmental disorder, autosomal dominant 51 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617788"> 617788 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610881"> KMT5B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610881"> 610881 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/1047?start=-3&limit=10&highlight=1047"> 11q24.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612581"> Intellectual developmental disorder, autosomal dominant 4 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="2 - The disorder was placed on the map by statistical methods"> 2 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612581"> 612581 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612581"> MRD4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612581"> 612581 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/189?start=-3&limit=10&highlight=189"> 12p13.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613970"> Intellectual developmental disorder, autosomal dominant 6, with or without seizures </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613970"> 613970 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138252"> GRIN2B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138252"> 138252 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/305?start=-3&limit=10&highlight=305"> 12q12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617808"> Coffin-Siris syndrome 6 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617808"> 617808 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609539"> ARID2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609539"> 609539 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/376?start=-3&limit=10&highlight=376"> 12q13.12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/136630"> Intellectual developmental disorder, autosomal dominant, FRA12A type </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/136630"> 136630 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611379"> DIP2B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611379"> 611379 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/501?start=-3&limit=10&highlight=501"> 12q13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618362"> Coffin-Siris syndrome 8 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618362"> 618362 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601734"> SMARCC2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601734"> 601734 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/672?start=-3&limit=10&highlight=672"> 12q21.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619910"> Intellectual developmental disorder, autosomal dominant 66 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619910"> 619910 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/108731"> ATP2B1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/108731"> 108731 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/14/51?start=-3&limit=10&highlight=51"> 14q11.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620688"> Intellectual developmental disorder, autosomal dominant 74 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620688"> 620688 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/164020"> HNRNPC </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/164020"> 164020 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/15/239?start=-3&limit=10&highlight=239"> 15q21.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620330"> Intellectual developmental disorder, autosomal dominant 71, with behavioral abnormalities </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620330"> 620330 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612660"> RFX7 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612660"> 612660 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/16/115?start=-3&limit=10&highlight=115"> 16p13.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620439"> Intellectual developmental disorder, autosomal dominant 72 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620439"> 620439 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606032"> SRRM2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606032"> 606032 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/16/552?start=-3&limit=10&highlight=552"> 16q22.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615502"> Intellectual developmental disorder, autosomal dominant 21 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615502"> 615502 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604167"> CTCF </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604167"> 604167 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/16/743?start=-3&limit=10&highlight=743"> 16q24.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612580"> Intellectual developmental disorder, autosomal dominant 3 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612580"> 612580 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114019"> CDH15 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114019"> 114019 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/138?start=-3&limit=10&highlight=138"> 17p13.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618793"> Intellectual developmental disorder, autosomal dominant 62 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618793"> 618793 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602887"> DLG4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602887"> 602887 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/519?start=-3&limit=10&highlight=519"> 17q21.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616938"> Coffin-Siris syndrome 5 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616938"> 616938 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603111"> SMARCE1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603111"> 603111 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/665?start=-3&limit=10&highlight=665"> 17q21.31 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610443"> Koolen-De Vries syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610443"> 610443 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612452"> KANSL1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612452"> 612452 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/806?start=-3&limit=10&highlight=806"> 17q23.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617854"> Intellectual developmental disorder, autosomal dominant 56 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617854"> 617854 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/118955"> CLTC </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/118955"> 118955 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/826?start=-3&limit=10&highlight=826"> 17q23.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618009"> Intellectual developmental disorder, autosomal dominant 61 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618009"> 618009 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603808"> MED13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603808"> 603808 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/829?start=-3&limit=10&highlight=829"> 17q23.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618050"> Intellectual developmental disorder, autosomal dominant 57 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618050"> 618050 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608439"> TLK2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608439"> 608439 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/18/150?start=-3&limit=10&highlight=150"> 18q12.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616078"> Intellectual developmental disorder, autosomal dominant 29 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616078"> 616078 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611060"> SETBP1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611060"> 611060 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/153?start=-3&limit=10&highlight=153"> 19p13.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619320"> Intellectual developmental disorder, autosomal dominant 65 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619320"> 619320 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609765"> KDM4B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609765"> 609765 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/287?start=-3&limit=10&highlight=287"> 19p13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614609"> Coffin-Siris syndrome 4 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614609"> 614609 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603254"> SMARCA4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603254"> 603254 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/595?start=-3&limit=10&highlight=595"> 19q13.12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619934"> Intellectual developmental disorder, autosomal dominant 68 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619934"> 619934 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606834"> KMT2B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606834"> 606834 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/752?start=-3&limit=10&highlight=752"> 19q13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617600"> Intellectual developmental disorder, autosomal dominant 45 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617600"> 617600 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612082"> CIC </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612082"> 612082 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/254?start=-3&limit=10&highlight=254"> 20q11.23 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614257"> ?Intellectual developmental disorder, autosomal dominant 11 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614257"> 614257 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602879"> EPB41L1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602879"> 602879 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/439?start=-3&limit=10&highlight=439"> 20q13.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620450"> Intellectual developmental disorder, autosomal dominant 73 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/620450"> 620450 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601796"> TAF4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601796"> 601796 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/472?start=-3&limit=10&highlight=472"> 20q13.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616393"> Intellectual developmental disorder, autosomal dominant 38 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616393"> 616393 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602959"> EEF1A2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602959"> 602959 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/21/100?start=-3&limit=10&highlight=100"> 21q22.13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614104"> Intellectual developmental disorder, autosomal dominant 7 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614104"> 614104 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600855"> DYRK1A </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600855"> 600855 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/22/103?start=-3&limit=10&highlight=103"> 22q11.23 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614608"> Coffin-Siris syndrome 3 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614608"> 614608 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601607"> SMARCB1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601607"> 601607 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/22/226?start=-3&limit=10&highlight=226"> 22q12.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614256"> ?Intellectual developmental disorder, autosomal dominant 10 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614256"> 614256 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602911"> CACNG2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602911"> 602911 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<h5>
Coffin-Siris syndrome
- <a href="/phenotypicSeries/PS135900">PS135900</a>
- 12 Entries
</h5>
</div>
</div>
<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
<table class="table table-bordered table-condensed table-hover mim-table-padding">
<thead>
<tr>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/326?start=-3&limit=10&highlight=326"> 1p36.11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614607"> Coffin-Siris syndrome 2 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614607"> 614607 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603024"> ARID1A </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603024"> 603024 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/2/22?start=-3&limit=10&highlight=22"> 2p25.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615866"> Intellectual developmental disorder with microcephaly and with or without ocular malformations or hypogonadotropic hypogonadism </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615866"> 615866 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600898"> SOX11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600898"> 600898 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/105?start=-3&limit=10&highlight=105"> 6p22.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618506"> Coffin-Siris syndrome 10 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618506"> 618506 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/184430"> SOX4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/184430"> 184430 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/977?start=-3&limit=10&highlight=977"> 6q25.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/135900"> Coffin-Siris syndrome 1 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/135900"> 135900 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614556"> ARID1B </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614556"> 614556 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/588?start=-3&limit=10&highlight=588"> 11q13.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618027"> Coffin-Siris syndrome 7 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618027"> 618027 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601671"> DPF2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601671"> 601671 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/305?start=-3&limit=10&highlight=305"> 12q12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617808"> Coffin-Siris syndrome 6 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617808"> 617808 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609539"> ARID2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609539"> 609539 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/370?start=-3&limit=10&highlight=370"> 12q13.12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618779"> Coffin-Siris syndrome 11 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618779"> 618779 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601735"> SMARCD1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601735"> 601735 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/501?start=-3&limit=10&highlight=501"> 12q13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618362"> Coffin-Siris syndrome 8 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618362"> 618362 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601734"> SMARCC2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601734"> 601734 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/519?start=-3&limit=10&highlight=519"> 17q21.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616938"> Coffin-Siris syndrome 5 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616938"> 616938 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603111"> SMARCE1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603111"> 603111 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/287?start=-3&limit=10&highlight=287"> 19p13.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614609"> Coffin-Siris syndrome 4 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614609"> 614609 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603254"> SMARCA4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603254"> 603254 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/876?start=-3&limit=10&highlight=876"> 19q13.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619325"> Coffin-Siris syndrome 12 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619325"> 619325 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605690"> BICRA </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605690"> 605690 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/22/103?start=-3&limit=10&highlight=103"> 22q11.23 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614608"> Coffin-Siris syndrome 3 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614608"> 614608 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601607"> SMARCB1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601607"> 601607 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
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<p>A number sign (#) is used with this entry because of evidence that Coffin-Siris syndrome-1 (CSS1) is caused by heterozygous mutation in the ARID1B gene (<a href="/entry/614556">614556</a>) on chromosome 6q25.</p>
</span>
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<p>Coffin-Siris syndrome is a multiple malformation syndrome characterized by mental retardation associated with coarse facial features, hypertrichosis, sparse scalp hair, and hypoplastic or absent fifth fingernails or toenails. Other more variable features may include poor overall growth, craniofacial abnormalities, spinal anomalies, and congenital heart defects (review by <a href="#40" class="mim-tip-reference" title="Vergano, S. S., Deardorff, M. A. &lt;strong&gt;Clinical features, diagnostic criteria, and management of Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 166C: 252-256, 2014.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/25169447/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;25169447&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.c.31411&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="25169447">Vergano and Deardorff, 2014</a>). Mutations in the ARID1B gene are the most common cause of Coffin-Siris syndrome (<a href="#43" class="mim-tip-reference" title="Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others. &lt;strong&gt;A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling.&lt;/strong&gt; Hum. Molec. Genet. 22: 5121-5135, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23906836/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23906836&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddt366&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23906836">Wieczorek et al., 2013</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=23906836+25169447" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><strong><em>Genetic Heterogeneity of Coffin-Siris Syndrome</em></strong></p><p>
Forms of Coffin-Siris syndrome have been shown to be caused by mutations in genes encoding subunits of the SWI/SNF complex, also known as the BAF complex, which functions as a chromatin remodeling factor. These include CSS2 (<a href="/entry/614607">614607</a>), caused by mutation in the ARID1A gene (<a href="/entry/603024">603024</a>); CSS3 (<a href="/entry/614608">614608</a>), caused by mutation in the SMARCB1 gene (<a href="/entry/601607">601607</a>); CSS4 (<a href="/entry/614609">614609</a>), caused by mutation in the SMARCA4 gene (<a href="/entry/603254">603254</a>); CSS5 (<a href="/entry/616938">616938</a>), caused by mutation in the SMARCE1 gene (<a href="/entry/603111">603111</a>); CSS6 (<a href="/entry/617808">617808</a>), caused by mutation in the ARID2 gene (<a href="/entry/609539">609539</a>); CSS7 (<a href="/entry/618027">618027</a>), caused by mutation in the DPF2 gene (<a href="/entry/601671">601671</a>); CSS8 (<a href="/entry/618362">618362</a>), caused by mutation in the SMARCC2 gene (<a href="/entry/601734">601734</a>); CSS9 (<a href="/entry/615866">615866</a>), caused by mutation in the SOX11 gene (<a href="/entry/600898">600898</a>); CSS10 (<a href="/entry/618506">618506</a>), caused by mutation in the SOX4 gene (<a href="/entry/184430">184430</a>); CSS11 (<a href="/entry/618779">618779</a>), caused by mutation in the SMARCD1 gene (<a href="/entry/601735">601735</a>); and CSS12 (<a href="/entry/619325">619325</a>), caused by mutation in the BICRA gene (<a href="/entry/605690">605690</a>).</p><p>A similar phenotype, Nicolaides-Baraitser syndrome (NCBRS; <a href="/entry/601358">601358</a>), is also caused by mutation in a subunit of this complex, i.e., SMARCA2 (<a href="/entry/600014">600014</a>).</p>
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<p><a href="#9" class="mim-tip-reference" title="Coffin, G. S., Siris, E. &lt;strong&gt;Mental retardation with absent fifth fingernail and terminal phalanx.&lt;/strong&gt; Am. J. Dis. Child. 119: 433-439, 1970.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/5442442/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;5442442&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1970.02100050435009&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="5442442">Coffin and Siris (1970)</a> described 3 unrelated girls with mental retardation and absent nail and terminal phalanx of the fifth finger. The nails and distal phalanges of the lateral toes were either absent or hypoplastic. No similar cases were found in any of the 3 families. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=5442442" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#30" class="mim-tip-reference" title="Poyhonen, M. H., Peippo, M. M., Valanne, L. K., Kuokkanen, K. E., Koskela, S. M., Bartsch, O., Rasi, S., Wiebe, G. J., Kahkonen, M., Kaariainen, H. A. &lt;strong&gt;Hypertrichosis, hyperkeratosis, abnormal corpus callosum, mental retardation and dysmorphic features in three unrelated families.&lt;/strong&gt; Clin. Dysmorph. 13: 85-90, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15057123/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15057123&lt;/a&gt;]" pmid="15057123">Poyhonen et al. (2004)</a> reported 3 unrelated Finnish females with hypertrichosis, mild to moderate mental retardation, and dysmorphic facial features, including low anterior hairline, thick arched eyebrows, nose with broad tip and columella below alae nasi, short philtrum, thick drooping lower lip, and simple posteriorly rotated ears. The patients also had rough skin with hyperkeratotic plaques. Feet and finger tips were broad. Brain MRI showed thick and short corpus callosum. <a href="#44" class="mim-tip-reference" title="Zweier, M., Peippo, M. M., Poyhonen, M., Kaariainen, H., Begemann, A., Joset, P., Oneda, B., Rauch, A. &lt;strong&gt;The HHID syndrome of hypertrichosis, hyperkeratosis, abnormal corpus callosum, intellectual disability, and minor anomalies is caused by mutations in ARID1B.&lt;/strong&gt; Am. J. Med. Genet. 173A: 1440-1443, 2017.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/28323383/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;28323383&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.38143&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="28323383">Zweier et al. (2017)</a> reported follow-up of the 3 Finnish women reported by <a href="#30" class="mim-tip-reference" title="Poyhonen, M. H., Peippo, M. M., Valanne, L. K., Kuokkanen, K. E., Koskela, S. M., Bartsch, O., Rasi, S., Wiebe, G. J., Kahkonen, M., Kaariainen, H. A. &lt;strong&gt;Hypertrichosis, hyperkeratosis, abnormal corpus callosum, mental retardation and dysmorphic features in three unrelated families.&lt;/strong&gt; Clin. Dysmorph. 13: 85-90, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15057123/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15057123&lt;/a&gt;]" pmid="15057123">Poyhonen et al. (2004)</a>, who were 25 (P1), 26 (P2), and 19 (P3) years of age. Clinical reassessment of the patients revealed the previously described phenotype, although hypertrichosis was less apparent and even considered within the normal range. Additional features included mild short stature, myopia, strabismus, coarse facies, and mild nail hypoplasia. The patients had significant behavioral abnormalities, including severe obsessive-compulsive disorder, withdrawal, stubborn and obstinate behavior, and autistic features. Language was limited, and they were noted to have a hoarse or high-pitched voice. However, all were able to read, write, and count. Menarche occurred normally. As an infant, patient 2 had a ventricular septal defect, patent ductus arteriosus, mild coarctation of the aorta, and hip dislocation. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=28323383+15057123" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#20" class="mim-tip-reference" title="Hoyer, J., Ekici, A. B., Endele, S., Popp, B., Zweier, C., Wiesener, A., Wohlleber, E., Dufke, A., Rossier, E., Petsch, C., Zweier, M., Gohring, I., Zink, A. M., Rappold, G., Schrock, E., Wieczorek, D., Riess, O., Engels, H., Rauch, A., Reis, A. &lt;strong&gt;Haploinsufficiency of ARID1B, a member of the SWI/SNF-A chromatin-remodeling complex, is a frequent cause of intellectual disability.&lt;/strong&gt; Am. J. Hum. Genet. 90: 565-572, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22405089/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22405089&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=22405089[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2012.02.007&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22405089">Hoyer et al. (2012)</a> reported 8 unrelated patients with mental retardation. All patients presented with moderate to severe psychomotor retardation, and most showed evidence of muscular hypotonia. In many patients, expressive speech was reported to be more severely affected than receptive function. Although there was no distinct recognizable facial gestalt, common findings included short stature, abnormal head shape and low-set, posteriorly rotated, and abnormally shaped ears, downslanting palpebral fissures, a bulbous nasal tip, a thin upper lip, minor teeth anomalies, and brachydactyly or single palmar creases. Only 1 patient had autistic features. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22405089" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#38" class="mim-tip-reference" title="Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others. &lt;strong&gt;Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 376-378, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2219&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426308">Tsurusaki et al. (2012)</a> reported 5 patients with Coffin-Siris syndrome. All 5 patients had developmental delay and absent or hypoplastic fifth fingernails/toenails with absent/hypoplastic fifth phalanx of the hand; all had hirsutism and a coarse facial appearance with flat nasal bridge, broad nose, and thick lips. Frequent infections were reported in all of the patients. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22426308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#34" class="mim-tip-reference" title="Santen, G. W. E., Aten, E., Sun, Y., Almomani, R., Gilissen, C., Nielsen, M., Kant, S. G., Snoeck, I. N., Peeters, E. A. J., Hilhorst-Hofstee, Y., Wessels, M. W., den Hollander, N. S., Ruivenkamp, c. A. L., van Ommen, G.-J. B., Breuning, M. H., den Dunnen, J. T., van Haeringen, A., Kriek, M. &lt;strong&gt;Mutations in SWI/SNF chromatin remodeling complex gene ARID1B cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 379-380, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426309/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426309&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2217&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426309">Santen et al. (2012)</a> reported 3 patients with Coffin-Siris syndrome who had moderate to severe intellectual disability and severe speech delay. All had coarse facial features with thick eyebrows and low frontal hairline; hypertrichosis was also present in all. Two had fifth finger brachydactyly; one of these and the other patient without brachydactyly had a hypoplastic nail on the fifth finger. Two had agenesis of the corpus callosum and one had partial agenesis. Three additional subjects with deletions involving ARID1B had some facial similarities with the patients carrying truncation mutations but lacked hypoplastic or absent fingernails or toenails. <a href="#34" class="mim-tip-reference" title="Santen, G. W. E., Aten, E., Sun, Y., Almomani, R., Gilissen, C., Nielsen, M., Kant, S. G., Snoeck, I. N., Peeters, E. A. J., Hilhorst-Hofstee, Y., Wessels, M. W., den Hollander, N. S., Ruivenkamp, c. A. L., van Ommen, G.-J. B., Breuning, M. H., den Dunnen, J. T., van Haeringen, A., Kriek, M. &lt;strong&gt;Mutations in SWI/SNF chromatin remodeling complex gene ARID1B cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 379-380, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426309/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426309&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2217&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426309">Santen et al. (2012)</a> noted that few affected individuals in published reports fulfill the complete spectrum of the CSS phenotype, and it is a subject of debate whether all individuals with CSS represent the same entity. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22426309" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p><a href="#26" class="mim-tip-reference" title="Mattei, J. F., Laframboise, R., Rouault, F., Giraud, F. &lt;strong&gt;Coffin-Lowry syndrome in sibs.&lt;/strong&gt; Am. J. Med. Genet. 8: 315-319, 1981.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7234901/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7234901&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1320080310&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7234901">Mattei et al. (1981)</a> reported 2 affected sisters of North African origin. One sister had massive unilateral hydronephrosis. Consanguinity was suspected, but not proven, and autosomal recessive inheritance was suggested. As noted by <a href="#16" class="mim-tip-reference" title="Gorlin, R. J. &lt;strong&gt;Lapsus--caveat emptor: Coffin-Lowry syndrome vs Coffin-Siris syndrome--an example of confusion compounded. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 10: 103-104, 1981.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7294058/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7294058&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1320100113&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7294058">Gorlin (1981)</a>, the sibs reported by <a href="#26" class="mim-tip-reference" title="Mattei, J. F., Laframboise, R., Rouault, F., Giraud, F. &lt;strong&gt;Coffin-Lowry syndrome in sibs.&lt;/strong&gt; Am. J. Med. Genet. 8: 315-319, 1981.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7234901/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7234901&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1320080310&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7234901">Mattei et al. (1981)</a> had Coffin-Siris syndrome, not Coffin-Lowry syndrome (<a href="/entry/303600">303600</a>) as originally reported. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=7234901+7294058" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#19" class="mim-tip-reference" title="Haspeslagh, M., Fryns, J. P., van den Berghe, H. &lt;strong&gt;The Coffin-Siris syndrome: report of a family and further delineation.&lt;/strong&gt; Clin. Genet. 26: 374-378, 1984.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/6499251/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;6499251&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/j.1399-0004.1984.tb01074.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="6499251">Haspeslagh et al. (1984)</a> analyzed 23 published cases of Coffin-Siris syndrome. The female:male ratio was about 4:1. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=6499251" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#31" class="mim-tip-reference" title="Qazi, Q. H., Heckman, L. S., Markouizos, D., Verma, R. S. &lt;strong&gt;The Coffin-Siris syndrome.&lt;/strong&gt; J. Med. Genet. 27: 333-336, 1990.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2352263/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2352263&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jmg.27.5.333&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2352263">Qazi et al. (1990)</a> described a white female infant with the typical features of Coffin-Siris syndrome including thick eyebrows, flat nasal bridge, anteverted and broad nasal tip, generalized hypertrichosis, scalp hypotrichosis, absence of the fifth fingernails and toenails, absence of the distal phalanges of the fifth fingers and of the second to fifth toes, small patellas, inguinal hernia, and sucking and feeding difficulties. There was decreased fetal activity and intrauterine growth retardation. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2352263" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#32" class="mim-tip-reference" title="Rabe, P., Haverkamp, F., Emons, D., Rosskamp, R., Zerres, K., Passarge, E. &lt;strong&gt;Syndrome of developmental retardation, facial and skeletal anomalies, and hyperphosphatasia in two sisters: nosology and genetics of the Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 41: 350-354, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1724113/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1724113&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1320410317&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1724113">Rabe et al. (1991)</a> described 2 sisters, 3 and 6 years of age, with a disorder resembling Coffin-Siris syndrome. Both sibs had developmental retardation, facial and skeletal anomalies, and hyperphosphatasia. A major diagnostic clue was hypoplasia/aplasia of the terminal phalanx of the fifth finger, recognized radiologically. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1724113" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#37" class="mim-tip-reference" title="Swillen, A., Glorieux, N., Peeters, M., Fryns, J.-P. &lt;strong&gt;The Coffin-Siris syndrome: data on mental development, language, behavior and social skills in children.&lt;/strong&gt; Clin. Genet. 48: 177-182, 1995.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/8591667/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;8591667&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/j.1399-0004.1995.tb04084.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="8591667">Swillen et al. (1995)</a> presented data on cognitive development, language, behavior, and social skills of 9 girls and 3 boys, aged 2.5 to 19 years, with Coffin-Siris syndrome. Mental retardation was mild in 3 patients and moderate in 9 others. Speech development was severely retarded with little interest in language. In the 7 patients aged 7 to 19 years, language comprehension was appropriate to the mental level. Gross motor functioning and autonomy, with the lowest score on 'task orientation,' were equal to the mental development. Most frequently, aggressive disturbed behavior was observed, especially in the youngest children, while mixed disturbed behavior was observed in the oldest patients. Five of 12 patients presented symptoms of pervasive developmental disorder, with 2 of the 11 scoring in the pathologic range. Obsessive interests, strong dependence on patterns and rituals, and unusual fears were characteristic behavioral problems also when the children got older. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8591667" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#3" class="mim-tip-reference" title="Bonioli, E., Palmieri, A., Bertola, A., Bellini, C. &lt;strong&gt;Autosomal recessive mode of inheritance of a Coffin-Siris like syndrome.&lt;/strong&gt; Genet. Counsel. 6: 309-312, 1995.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/8775417/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;8775417&lt;/a&gt;]" pmid="8775417">Bonioli et al. (1995)</a> described a family in which 3 sisters with first-cousin parents had a phenotype resembling Coffin-Siris syndrome. Hypoplasia of the distal phalanges and mental retardation were features. Two of the sisters died at 10 days and 1 day of age of cardiac abnormalities. At the age of 16 months, the surviving sister showed hypertrichosis, synophrys, umbilical hernia, rectal prolapse, bilateral clinodactyly of the fifth finger with hypoplastic nails, and lesser hypoplasia of the other nails and distal phalanges. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8775417" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#12" class="mim-tip-reference" title="Fleck, B. J., Pandya, A., Vanner, L., Kerkering, K., Bodurtha, J. &lt;strong&gt;Coffin-Siris syndrome: review and presentation of new cases from a questionnaire study.&lt;/strong&gt; Am. J. Med. Genet. 99: 1-7, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11170086/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11170086&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/1096-8628(20010215)99:1&lt;1::aid-ajmg1127&gt;3.0.co;2-a&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11170086">Fleck et al. (2001)</a> reviewed Coffin-Siris syndrome and reported 18 new cases. The most frequent findings included some degree of mental retardation or developmental delay, coarse facial appearance, feeding difficulties, frequent infections, and hypoplastic to absent fifth fingernails and fifth distal phalanges. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11170086" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#11" class="mim-tip-reference" title="DeBassio, W. A., Kemper, T. L., Knoefel, J. E. &lt;strong&gt;Coffin-Siris syndrome: neuropathologic findings.&lt;/strong&gt; Arch. Neurol. 42: 350-353, 1985.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3985811/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3985811&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archneur.1985.04060040060012&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="3985811">DeBassio et al. (1985)</a> described seemingly typical abnormalities of the hindbrain in patients with Coffin-Siris syndrome. The authors noted that the Dandy-Walker malformation (<a href="/entry/220200">220200</a>) was present in the original case of <a href="#9" class="mim-tip-reference" title="Coffin, G. S., Siris, E. &lt;strong&gt;Mental retardation with absent fifth fingernail and terminal phalanx.&lt;/strong&gt; Am. J. Dis. Child. 119: 433-439, 1970.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/5442442/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;5442442&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1970.02100050435009&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="5442442">Coffin and Siris (1970)</a> and in the case of <a href="#39" class="mim-tip-reference" title="Tunnessen, W. W., McMillan, J. A., Levin, M. B. &lt;strong&gt;The Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Dis. Child. 132: 393-395, 1978.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/645658/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;645658&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1978.02120290065011&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="645658">Tunnessen et al. (1978)</a>. <a href="#21" class="mim-tip-reference" title="Imai, T., Hattori, H., Miyazaki, M., Higuchi, Y., Adachi, S., Nakahata, T. &lt;strong&gt;Dandy-Walker variant in Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 100: 152-155, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11298377/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11298377&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1231&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11298377">Imai et al. (2001)</a> described a male infant with typical Coffin-Siris syndrome and the Dandy-Walker malformation complex, characterized by hypoplasia of the cerebellar vermis and cystic dilatation of the fourth ventricle without enlargement of the posterior fossa, as well as partial agenesis of the corpus callosum. The authors stated that this infant confirms that the full continuum of the Dandy-Walker complex can occur in Coffin-Siris syndrome. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=5442442+11298377+645658+3985811" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#7" class="mim-tip-reference" title="Burlina, A. B., Sherwood, W. G., Zacchello, F. &lt;strong&gt;Partial biotinidase deficiency associated with Coffin-Siris syndrome.&lt;/strong&gt; Europ. J. Pediat. 149: 628-629, 1990.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2373113/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2373113&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/BF02034749&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2373113">Burlina et al. (1990)</a> found partial biotinidase deficiency (see <a href="/entry/253260">253260</a>) in association with the Coffin-Siris syndrome; <a href="#4" class="mim-tip-reference" title="Bonneau, D., Berthier, M., Oriot, D., Munnich, A. &lt;strong&gt;Coffin-Siris syndrome with normal plasma biotinidase activity.&lt;/strong&gt; Europ. J. Pediat. 150: 687 only, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1915529/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1915529&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/BF02072639&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1915529">Bonneau et al. (1991)</a> were unable to confirm this finding. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=2373113+1915529" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#10" class="mim-tip-reference" title="de Jong, G., Nelson, M. M. &lt;strong&gt;Choanal atresia in two unrelated patients with the Coffin-Siris syndrome.&lt;/strong&gt; Clin. Genet. 42: 320-322, 1992.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1493645/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1493645&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/j.1399-0004.1992.tb03265.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1493645">De Jong and Nelson (1992)</a> described choanal atresia (<a href="/entry/608911">608911</a>) in 2 unrelated patients with the Coffin-Siris syndrome. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1493645" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#22" class="mim-tip-reference" title="Imaizumi, K., Nakamura, M., Masuno, M., Makita, Y., Kuroki, Y. &lt;strong&gt;Hypoglycemia in Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 59: 49-50, 1995.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/8849011/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;8849011&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.1320590111&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="8849011">Imaizumi et al. (1995)</a> described a patient with Coffin-Siris syndrome who presented at 4 months of age with recurrent hypoglycemia attacks. Detailed examination at the age of 7 months revealed no cause of the hypoglycemia. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8849011" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#6" class="mim-tip-reference" title="Brunetti-Pierri, N., Esposito, V., Salerno, M. &lt;strong&gt;Premature thelarche in Coffin-Siris syndrome. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 121A: 174-176, 2003.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12910500/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12910500&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.20158&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12910500">Brunetti-Pierri et al. (2003)</a> reported an Italian girl with Coffin-Siris syndrome who had premature thelarche. At age 12 months, she had bilateral breast enlargement, accelerated linear growth, and advanced bone age. No exogenous exposure to estrogen compounds was found, endogenous hormone levels were normal, and there was no evidence of precocious puberty (see <a href="/entry/176400">176400</a>). The thelarche completely regressed by age 2.5 years. <a href="#13" class="mim-tip-reference" title="Flynn, M. A., Milunsky, J. M. &lt;strong&gt;Autosomal dominant syndrome resembling Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 140A: 1326-1330, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16691594/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16691594&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.31287&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16691594">Flynn and Milunsky (2006)</a> reported a mother and 2 daughters of Jamaican origin who had some of the features of Coffin-Siris syndrome, but could be excluded from the strict clinical diagnosis because of hypertelorism and relatively mild coarse facial features. One of the daughters demonstrated premature thelarche at age 11 months which had resolved by age 6 years 7 months. The authors suggested autosomal dominant inheritance in this family. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=16691594+12910500" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#24" class="mim-tip-reference" title="Kellermayer, R., Kitagawa, S., Redel, C. A., Cass, D. L., Belmont, J. W., Klish, W. &lt;strong&gt;Upper gastrointestinal malformations in Coffin-Siris syndrome. (Letter)&lt;/strong&gt; Am. J. Med. Genet. 143A: 1519-1521, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17523151/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17523151&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.31865&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17523151">Kellermayer et al. (2007)</a> reported an 8-year-old Latina girl with features consistent with Coffin-Siris syndrome, including patent ductus arteriosus, developmental delay, frequent respiratory infections, microcephaly, facial dysmorphism, hearing loss, sacral dimple, and sternal and digital anomalies. She developed recurrent episodes of emesis with lower abdominal pain. Gastrointestinal studies showed a lengthy, redundant duodenum without obstruction and a heterotopic pancreatic rest at the pyloric orifice, as well as 2 papillary structures in the duodenum. The findings broadened the variable upper gastrointestinal manifestations of the disorder, but the etiology of the patient's recurrent emesis remained unclear. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17523151" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#1" class="mim-tip-reference" title="Baban, A., Moresco, L., Divizia, M. T., Rossi, A., Ravazzolo, R., Lerone, M., De Toni, T. &lt;strong&gt;Pituitary hypoplasia and growth hormone deficiency in Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 146A: 384-388, 2008.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/18203175/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;18203175&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.32111&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="18203175">Baban et al. (2008)</a> described an 8.5-year-old girl with classic features of Coffin-Siris syndrome as well as a structural brain malformation and endocrinologic deficiency not previously reported in CSS patients. Cerebral MRI at 3.5 years of age showed global hypoplasia of the pituitary gland with an ectopic neurohypophysis along the course of the pituitary stalk, dysmorphic corpus callosum, and mega cisterna magna; she also had growth hormone deficiency, treated with recombinant GH with significant clinical improvement. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=18203175" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
<div>
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</div>
<div>
<a id="diagnosis" class="mim-anchor"></a>
<h4 href="#mimDiagnosisFold" id="mimDiagnosisToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimDiagnosisToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Diagnosis</strong>
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</h4>
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<div id="mimDiagnosisFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#12" class="mim-tip-reference" title="Fleck, B. J., Pandya, A., Vanner, L., Kerkering, K., Bodurtha, J. &lt;strong&gt;Coffin-Siris syndrome: review and presentation of new cases from a questionnaire study.&lt;/strong&gt; Am. J. Med. Genet. 99: 1-7, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11170086/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11170086&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/1096-8628(20010215)99:1&lt;1::aid-ajmg1127&gt;3.0.co;2-a&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11170086">Fleck et al. (2001)</a> proposed developmental delay, coarse facial appearance, hirsutism, and hypoplastic or absent fifth distal phalanges as minimal diagnostic criteria for the diagnosis of Coffin-Siris syndrome. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11170086" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><strong><em>Differential Diagnosis</em></strong></p><p>
<a href="#36" class="mim-tip-reference" title="Senior, B. &lt;strong&gt;Impaired growth and onychodysplasia: short children with tiny toenails.&lt;/strong&gt; Am. J. Dis. Child. 122: 7-9, 1971.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/5567413/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;5567413&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1971.02110010043002&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="5567413">Senior (1971)</a> described 6 unrelated children who had broad nose with prominent nares and mild mental retardation in addition to short stature and small fifth toenails. These children may have had a distinct disorder, which <a href="#41" class="mim-tip-reference" title="Verloes, A., Bonneau, D., Guidi, O., Berthier, M., Oriot, D., Van Maldergem, L., Koulischer, L. &lt;strong&gt;Brachymorphism-onychodysplasia-dysphalangism syndrome.&lt;/strong&gt; J. Med. Genet. 30: 158-161, 1993.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/8445623/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;8445623&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jmg.30.2.158&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="8445623">Verloes et al. (1993)</a> called brachymorphism-onychodysplasia-dysphalangism (BOD) syndrome (<a href="/entry/113477">113477</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=5567413+8445623" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#5" class="mim-tip-reference" title="Brautbar, A., Ragsdale, J., Shinawi, M. &lt;strong&gt;Is this the Coffin-Siris syndrome or the BOD syndrome? (Letter)&lt;/strong&gt; Am. J. Med. Genet. 149A: 559-562, 2009.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19215055/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19215055&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.32671&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19215055">Brautbar et al. (2009)</a> described a 7-year-old girl with hypoplastic nails, especially on the 5th digit of each extremity, which were more noticeable on the feet, coarse face, broad nose, wide mouth, thick eyebrows, long eyelashes, accommodative esotropia, inguinal and umbilical hernia, large premium atrial septal defect and cleft mitral valve, hirsutism, and mild developmental delay. <a href="#5" class="mim-tip-reference" title="Brautbar, A., Ragsdale, J., Shinawi, M. &lt;strong&gt;Is this the Coffin-Siris syndrome or the BOD syndrome? (Letter)&lt;/strong&gt; Am. J. Med. Genet. 149A: 559-562, 2009.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19215055/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19215055&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.32671&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19215055">Brautbar et al. (2009)</a> suggested that even though the patient met the minimal clinical diagnostic criteria of CSS, some features, such as mild developmental delay and the more severe involvement of the feet when compared to the hands, were more consistent with BOD syndrome. <a href="#5" class="mim-tip-reference" title="Brautbar, A., Ragsdale, J., Shinawi, M. &lt;strong&gt;Is this the Coffin-Siris syndrome or the BOD syndrome? (Letter)&lt;/strong&gt; Am. J. Med. Genet. 149A: 559-562, 2009.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19215055/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;19215055&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.32671&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="19215055">Brautbar et al. (2009)</a> suggested that CSS and BOD syndrome are probably allelic disorders. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19215055" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#17" class="mim-tip-reference" title="Hanson, J. W., Myrianthopoulos, N. C., Sedgwick, M. H. A., Smith, D. W. &lt;strong&gt;Risks to the offspring of women treated with hydantoin anticonvulsants, with emphasis on the fetal hydantoin syndrome.&lt;/strong&gt; J. Pediat. 89: 662-668, 1976.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/957016/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;957016&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0022-3476(76)80414-3&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="957016">Hanson et al. (1976)</a> noted that hypoplastic nails and terminal phalanges can also be found in the fetal anticonvulsant syndrome. The second patient reported by <a href="#42" class="mim-tip-reference" title="Weiswasser, W. H., Hall, B. D., Delavan, G. W., Smith, D. N. &lt;strong&gt;Coffin-Siris syndrome: two new cases.&lt;/strong&gt; Am. J. Dis. Child. 125: 838-840, 1973.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/4708277/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;4708277&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1973.04160060048010&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="4708277">Weiswasser et al. (1973)</a> was subsequently published as an example of fetal hydantoin syndrome by <a href="#18" class="mim-tip-reference" title="Hanson, J. W., Smith, D. W. &lt;strong&gt;The fetal hydantoin syndrome.&lt;/strong&gt; J. Pediat. 87: 285-290, 1975.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/50428/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;50428&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0022-3476(75)80604-4&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="50428">Hanson and Smith (1975)</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=957016+4708277+50428" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#15" class="mim-tip-reference" title="Fryns, J.-P. &lt;strong&gt;On the nosology of the Cornelia de Lange and Coffin-Siris syndromes. (Letter)&lt;/strong&gt; Clin. Genet. 29: 263-264, 1986.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3698337/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3698337&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/j.1399-0004.1986.tb00824.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="3698337">Fryns (1986)</a> suggested that some reported cases of Cornelia de Lange syndrome (<a href="/entry/122470">122470</a>) may in fact be cases of Coffin-Siris syndrome. <a href="#29" class="mim-tip-reference" title="Musio, A., Selicorni, A., Focarelli, M. L., Gervasini, C., Milani, D., Russo, S., Vezzoni, P., Larizza, L. &lt;strong&gt;X-linked Cornelia de Lange syndrome owing to SMC1L1 mutations.&lt;/strong&gt; Nature Genet. 38: 528-530, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16604071/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16604071&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng1779&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16604071">Musio et al. (2006)</a> reported 5 cases of X-linked Cornelia de Lange syndrome (<a href="/entry/300590">300590</a>) and noted overlapping features with Coffin-Siris syndrome. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=16604071+3698337" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
</span>
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<br />
</div>
</div>
<div>
<a id="inheritance" class="mim-anchor"></a>
<h4 href="#mimInheritanceFold" id="mimInheritanceToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimInheritanceToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Inheritance</strong>
</span>
</h4>
</div>
<div id="mimInheritanceFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#8" class="mim-tip-reference" title="Carey, J. C., Hall, B. D. &lt;strong&gt;The Coffin-Siris syndrome: five cases including two siblings.&lt;/strong&gt; Am. J. Dis. Child. 132: 667-671, 1978.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/665592/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;665592&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1978.02120320027005&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="665592">Carey and Hall (1978)</a> reported affected brother and sister and <a href="#14" class="mim-tip-reference" title="Franceschini, P., Silengo, M. C., Bianco, R., Biagioli, M., Guala, A., Lopez Bell, G. &lt;strong&gt;The Coffin-Siris syndrome in two siblings.&lt;/strong&gt; Pediat. Radiol. 16: 330-333, 1986.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3725452/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3725452&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/BF02386876&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="3725452">Franceschini et al. (1986)</a> described affected sibs, suggesting autosomal recessive inheritance. <a href="#33" class="mim-tip-reference" title="Richieri-Costa, A., Monteleone-Neto, R., Gonzales, M. L. &lt;strong&gt;Coffin-Siris syndrome in a Brazilian child with consanguineous parents.&lt;/strong&gt; Rev. Brasil. Genet. IX: 169-177, 1986."None>Richieri-Costa et al. (1986)</a> reported a child with Coffin-Siris syndrome born of consanguineous parents, consistent with autosomal recessive inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=665592+3725452" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#19" class="mim-tip-reference" title="Haspeslagh, M., Fryns, J. P., van den Berghe, H. &lt;strong&gt;The Coffin-Siris syndrome: report of a family and further delineation.&lt;/strong&gt; Clin. Genet. 26: 374-378, 1984.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/6499251/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;6499251&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/j.1399-0004.1984.tb01074.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="6499251">Haspeslagh et al. (1984)</a> reported 2 affected sisters and partial expression in their father. The authors noted that <a href="#39" class="mim-tip-reference" title="Tunnessen, W. W., McMillan, J. A., Levin, M. B. &lt;strong&gt;The Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Dis. Child. 132: 393-395, 1978.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/645658/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;645658&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archpedi.1978.02120290065011&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="645658">Tunnessen et al. (1978)</a> had also reported partial expression in 1 parent, and suggested autosomal dominant inheritance with variable expression. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=6499251+645658" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#25" class="mim-tip-reference" title="Levy, P., Baraitser, M. &lt;strong&gt;Coffin-Siris syndrome.&lt;/strong&gt; J. Med. Genet. 28: 338-341, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1865473/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1865473&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jmg.28.5.338&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1865473">Levy and Baraitser (1991)</a> reviewed 31 reported cases and added 2 new cases. They noted that a case reported by <a href="#2" class="mim-tip-reference" title="Baraitser, M., Winter, R. &lt;strong&gt;Coffin-Lowry syndrome. In: Colour Atlas of Clinical Genetics.&lt;/strong&gt; London: Wolfe Med. Publ. (pub.) 1983. P. 46."None>Baraitser and Winter (1983)</a> in an atlas of clinical genetics was subsequently shown to have trisomy 9p. <a href="#25" class="mim-tip-reference" title="Levy, P., Baraitser, M. &lt;strong&gt;Coffin-Siris syndrome.&lt;/strong&gt; J. Med. Genet. 28: 338-341, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1865473/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1865473&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jmg.28.5.338&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1865473">Levy and Baraitser (1991)</a> concluded that evidence for recessive inheritance was not fully convincing and suggested that some of the published single cases and even sibships may prove to be chromosomal rather than mendelian in nature. <a href="#25" class="mim-tip-reference" title="Levy, P., Baraitser, M. &lt;strong&gt;Coffin-Siris syndrome.&lt;/strong&gt; J. Med. Genet. 28: 338-341, 1991.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/1865473/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;1865473&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jmg.28.5.338&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="1865473">Levy and Baraitser (1991)</a> stated that their practice is to counsel a 10% recurrence risk. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1865473" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="cytogenetics" class="mim-anchor"></a>
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<p><a href="#27" class="mim-tip-reference" title="McGhee, E. M., Klump, C. J., Bitts, S. M., Cotter, P. D., Lammer, E. J. &lt;strong&gt;Candidate region for Coffin-Siris syndrome at 7q32-34.&lt;/strong&gt; Am. J. Med. Genet. 93: 241-243, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10925390/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10925390&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/1096-8628(20000731)93:3&lt;241::aid-ajmg16&gt;3.0.co;2-e&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10925390">McGhee et al. (2000)</a> described an 11-year-old girl with Coffin-Siris syndrome and a de novo, apparently balanced reciprocal translocation, t(7;22)(q32;q11.2). The 7q breakpoint in this patient was very similar to that reported by <a href="#28" class="mim-tip-reference" title="McPherson, E. W., Laneri, G., Clemens, M. M., Kochmar, S. J., Surti, U. &lt;strong&gt;Apparently balanced t(1;7)(q21.3;q34) in an infant with Coffin-Siris syndrome.&lt;/strong&gt; Am. J. Med. Genet. 71: 430-433, 1997.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/9286450/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;9286450&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/(sici)1096-8628(19970905)71:4&lt;430::aid-ajmg11&gt;3.0.co;2-h&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="9286450">McPherson et al. (1997)</a> with a balanced t(1;7)(q21.3;q34). Together, these patients provided evidence that the 7q32-q34 region contains the gene responsible for Coffin-Siris syndrome. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=9286450+10925390" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="molecularGenetics" class="mim-anchor"></a>
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<p><a href="#20" class="mim-tip-reference" title="Hoyer, J., Ekici, A. B., Endele, S., Popp, B., Zweier, C., Wiesener, A., Wohlleber, E., Dufke, A., Rossier, E., Petsch, C., Zweier, M., Gohring, I., Zink, A. M., Rappold, G., Schrock, E., Wieczorek, D., Riess, O., Engels, H., Rauch, A., Reis, A. &lt;strong&gt;Haploinsufficiency of ARID1B, a member of the SWI/SNF-A chromatin-remodeling complex, is a frequent cause of intellectual disability.&lt;/strong&gt; Am. J. Hum. Genet. 90: 565-572, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22405089/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22405089&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=22405089[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2012.02.007&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22405089">Hoyer et al. (2012)</a> performed Sanger sequencing of candidate genes, including ARID1B, in a region on chromosome 6q25 that was deleted in a patient with mental retardation (see <a href="/entry/612863">612863</a>). A total of 8 mutations in the ARID1B gene (see, e.g., <a href="/entry/614556#0001">614556.0001</a>-<a href="/entry/614556#0005">614556.0005</a>) were found in 8 (0.9%) of 887 individuals with mental retardation. All mutations were in the heterozygous state, occurred de novo, and resulted in haploinsufficiency of the ARID1B gene. Given the known function of ARID1B, the findings indicated that chromatin-remodeling defects are an important contributor to neurodevelopmental disorders. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22405089" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 5 patients with Coffin-Siris syndrome, <a href="#38" class="mim-tip-reference" title="Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others. &lt;strong&gt;Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 376-378, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2219&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426308">Tsurusaki et al. (2012)</a> identified 4 nonsense or frameshift mutations in ARID1B (e.g., <a href="/entry/614556#0006">614556.0006</a>, <a href="/entry/614556#0007">614556.0007</a>), which encodes a subunit of the SWI/SNF complex. Three of these mutations occurred de novo. One of the patients carried a microdeletion involving ARID1B. In a total of 20 affected individuals with a similar constellation of clinical features, <a href="#38" class="mim-tip-reference" title="Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others. &lt;strong&gt;Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 376-378, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2219&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426308">Tsurusaki et al. (2012)</a> identified germline mutations in one of 6 SWI/SNF subunit genes. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22426308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>By exome sequencing, <a href="#34" class="mim-tip-reference" title="Santen, G. W. E., Aten, E., Sun, Y., Almomani, R., Gilissen, C., Nielsen, M., Kant, S. G., Snoeck, I. N., Peeters, E. A. J., Hilhorst-Hofstee, Y., Wessels, M. W., den Hollander, N. S., Ruivenkamp, c. A. L., van Ommen, G.-J. B., Breuning, M. H., den Dunnen, J. T., van Haeringen, A., Kriek, M. &lt;strong&gt;Mutations in SWI/SNF chromatin remodeling complex gene ARID1B cause Coffin-Siris syndrome.&lt;/strong&gt; Nature Genet. 44: 379-380, 2012.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/22426309/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;22426309&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2217&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="22426309">Santen et al. (2012)</a> identified 3 de novo truncating mutations in the ARID1B gene (<a href="/entry/614556#0008">614556.0008</a>-<a href="/entry/614556#0010">614556.0010</a>) in individuals with syndromic mental retardation. Array-based copy number variation analysis in 2,000 individuals with intellectual disability revealed an additional 3 subjects with a deletion affecting ARID1B. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22426309" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>Using a combination of whole-exome sequencing, next-generation sequencing of 23 SWI/SNF complex genes, and molecular karyotyping, <a href="#43" class="mim-tip-reference" title="Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others. &lt;strong&gt;A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling.&lt;/strong&gt; Hum. Molec. Genet. 22: 5121-5135, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23906836/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23906836&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddt366&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23906836">Wieczorek et al. (2013)</a> identified mutations in 28 (60%) of 46 patients with a clinical phenotype consistent with Coffin-Siris syndrome or Nicolaides-Baraitser syndrome (NCBRS; <a href="/entry/601358">601358</a>), which shows similar features. Mutations in the ARID1B gene accounted for 76% of the identified mutations, and all of the mutations were truncating, resulting in haploinsufficiency. <a href="#43" class="mim-tip-reference" title="Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others. &lt;strong&gt;A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling.&lt;/strong&gt; Hum. Molec. Genet. 22: 5121-5135, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23906836/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23906836&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddt366&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23906836">Wieczorek et al. (2013)</a> observed that patients with ARID1B mutations had a milder phenotype, with hypoplastic rather than absent finger- and toenails, fewer growth defects, and fewer additional congenital anomalies compared to patients with mutations in other genes. Some of the patients with ARID1B mutations had an initial diagnosis of NCBRS, suggesting that these syndromes may represent a phenotypic spectrum rather than 2 distinct disorders. Functional studies of the variants and studies of patient cells were not performed. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23906836" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>By screening 6 genes of the BAF complex in 63 patients with a clinical diagnosis of CSS, <a href="#35" class="mim-tip-reference" title="Santen, G. W. E., Aten, E., Vulto-van Silfhout, A. T., Pottinger, C., van Bon, B. W. M., van Minderhout, I. J. H. M., Snowdowne, R., van der Lans, C. A. C., Boogaard, M., Linssen, M. M. L., Vijfhuizen, L., van der Wielen, M. J. R., and 11 others. &lt;strong&gt;Coffin-Siris syndrome and the BAF complex: genotype-phenotype study in 63 patients.&lt;/strong&gt; Hum. Mutat. 34: 1519-1528, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23929686/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23929686&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.22394&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23929686">Santen et al. (2013)</a> identified pathogenic variants in 71% of patients. ARID1B mutations were the most common, found in 28 patients, and thus accounted for 68% of the mutation load. All ARID1B mutations occurred de novo and resulted in a truncated protein. Functional studies of the variants and studies of patient cells were not performed. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23929686" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 2 (P2 and P3) of 3 unrelated Finnish women with CSS1, originally reported by <a href="#30" class="mim-tip-reference" title="Poyhonen, M. H., Peippo, M. M., Valanne, L. K., Kuokkanen, K. E., Koskela, S. M., Bartsch, O., Rasi, S., Wiebe, G. J., Kahkonen, M., Kaariainen, H. A. &lt;strong&gt;Hypertrichosis, hyperkeratosis, abnormal corpus callosum, mental retardation and dysmorphic features in three unrelated families.&lt;/strong&gt; Clin. Dysmorph. 13: 85-90, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15057123/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15057123&lt;/a&gt;]" pmid="15057123">Poyhonen et al. (2004)</a>, <a href="#44" class="mim-tip-reference" title="Zweier, M., Peippo, M. M., Poyhonen, M., Kaariainen, H., Begemann, A., Joset, P., Oneda, B., Rauch, A. &lt;strong&gt;The HHID syndrome of hypertrichosis, hyperkeratosis, abnormal corpus callosum, intellectual disability, and minor anomalies is caused by mutations in ARID1B.&lt;/strong&gt; Am. J. Med. Genet. 173A: 1440-1443, 2017.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/28323383/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;28323383&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.38143&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="28323383">Zweier et al. (2017)</a> identified de novo heterozygous frameshift mutations in the ARID1B gene (<a href="/entry/614556#0011">614556.0011</a> and <a href="/entry/614556#0012">614556.0012</a>). The mutations, which were found by trio-based exome sequencing in the patients and their parents, were confirmed by Sanger sequencing. Functional studies of the variants were not performed, but both were predicted to result in a loss of function and haploinsufficiency. The patients were originally reported as having a different disorder (HHID), but the findings of <a href="#44" class="mim-tip-reference" title="Zweier, M., Peippo, M. M., Poyhonen, M., Kaariainen, H., Begemann, A., Joset, P., Oneda, B., Rauch, A. &lt;strong&gt;The HHID syndrome of hypertrichosis, hyperkeratosis, abnormal corpus callosum, intellectual disability, and minor anomalies is caused by mutations in ARID1B.&lt;/strong&gt; Am. J. Med. Genet. 173A: 1440-1443, 2017.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/28323383/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;28323383&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.38143&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="28323383">Zweier et al. (2017)</a> confirmed that the patients had CSS1. Genetic analysis of the other patient (P1) reported by <a href="#30" class="mim-tip-reference" title="Poyhonen, M. H., Peippo, M. M., Valanne, L. K., Kuokkanen, K. E., Koskela, S. M., Bartsch, O., Rasi, S., Wiebe, G. J., Kahkonen, M., Kaariainen, H. A. &lt;strong&gt;Hypertrichosis, hyperkeratosis, abnormal corpus callosum, mental retardation and dysmorphic features in three unrelated families.&lt;/strong&gt; Clin. Dysmorph. 13: 85-90, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15057123/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15057123&lt;/a&gt;]" pmid="15057123">Poyhonen et al. (2004)</a> did not reveal pathogenic mutations or copy number variations affecting the ARID1B gene, but the father was not available for study. <a href="#44" class="mim-tip-reference" title="Zweier, M., Peippo, M. M., Poyhonen, M., Kaariainen, H., Begemann, A., Joset, P., Oneda, B., Rauch, A. &lt;strong&gt;The HHID syndrome of hypertrichosis, hyperkeratosis, abnormal corpus callosum, intellectual disability, and minor anomalies is caused by mutations in ARID1B.&lt;/strong&gt; Am. J. Med. Genet. 173A: 1440-1443, 2017.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/28323383/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;28323383&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/ajmg.a.38143&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="28323383">Zweier et al. (2017)</a> could not exclude a pathogenic noncoding variant in P1. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=28323383+15057123" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><strong><em>Associations Pending Confirmation</em></strong></p><p>
See <a href="/entry/604958">604958</a> for discussion of a possible association between variation in the ACTL6A gene and a form of Coffin-Siris syndrome.</p>
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<a href="#Jones2006" class="mim-tip-reference" title="Jones, K. L. (ed.). &lt;strong&gt;Smith&#x27;s Recognizable Patterns of Human Malformation. (6th ed.)&lt;/strong&gt; Philadelphia: Elsevier Saunders (pub.) 2006. Pp. 666-667.">Jones (2006)</a>
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[<a href="https://doi.org/10.1002/ajmg.a.32111" target="_blank">Full Text</a>]
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Bonneau, D., Berthier, M., Oriot, D., Munnich, A.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/1915529/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">1915529</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=1915529" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/BF02072639" target="_blank">Full Text</a>]
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/19215055/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">19215055</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=19215055" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ajmg.a.32671" target="_blank">Full Text</a>]
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12910500/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12910500</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12910500" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ajmg.a.20158" target="_blank">Full Text</a>]
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<a id="Burlina1990" class="mim-anchor"></a>
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Burlina, A. B., Sherwood, W. G., Zacchello, F.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2373113/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2373113</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2373113" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/BF02034749" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1001/archpedi.1978.02120320027005" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1001/archpedi.1970.02100050435009" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1111/j.1399-0004.1992.tb03265.x" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1001/archneur.1985.04060040060012" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1002/1096-8628(20010215)99:1&lt;1::aid-ajmg1127&gt;3.0.co;2-a" target="_blank">Full Text</a>]
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[<a href="https://doi.org/10.1002/ajmg.a.31287" target="_blank">Full Text</a>]
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Clin. Genet. 48: 177-182, 1995.
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[<a href="https://doi.org/10.1111/j.1399-0004.1995.tb04084.x" target="_blank">Full Text</a>]
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<a id="Tsurusaki2012" class="mim-anchor"></a>
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Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others.
<strong>Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome.</strong>
Nature Genet. 44: 376-378, 2012.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/22426308/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">22426308</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=22426308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/ng.2219" target="_blank">Full Text</a>]
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<a id="Tunnessen1978" class="mim-anchor"></a>
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Tunnessen, W. W., McMillan, J. A., Levin, M. B.
<strong>The Coffin-Siris syndrome.</strong>
Am. J. Dis. Child. 132: 393-395, 1978.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/645658/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">645658</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=645658" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1001/archpedi.1978.02120290065011" target="_blank">Full Text</a>]
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<a id="Vergano2014" class="mim-anchor"></a>
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Vergano, S. S., Deardorff, M. A.
<strong>Clinical features, diagnostic criteria, and management of Coffin-Siris syndrome.</strong>
Am. J. Med. Genet. 166C: 252-256, 2014.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/25169447/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">25169447</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=25169447" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ajmg.c.31411" target="_blank">Full Text</a>]
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Verloes, A., Bonneau, D., Guidi, O., Berthier, M., Oriot, D., Van Maldergem, L., Koulischer, L.
<strong>Brachymorphism-onychodysplasia-dysphalangism syndrome.</strong>
J. Med. Genet. 30: 158-161, 1993.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8445623/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8445623</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8445623" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1136/jmg.30.2.158" target="_blank">Full Text</a>]
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<a id="Weiswasser1973" class="mim-anchor"></a>
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Weiswasser, W. H., Hall, B. D., Delavan, G. W., Smith, D. N.
<strong>Coffin-Siris syndrome: two new cases.</strong>
Am. J. Dis. Child. 125: 838-840, 1973.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/4708277/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">4708277</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4708277" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1001/archpedi.1973.04160060048010" target="_blank">Full Text</a>]
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<a id="Wieczorek2013" class="mim-anchor"></a>
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Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others.
<strong>A comprehensive molecular study on Coffin-Siris and Nicolaides-Baraitser syndromes identifies a broad molecular and clinical spectrum converging on altered chromatin remodeling.</strong>
Hum. Molec. Genet. 22: 5121-5135, 2013.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/23906836/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">23906836</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23906836" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/hmg/ddt366" target="_blank">Full Text</a>]
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<a id="Zweier2017" class="mim-anchor"></a>
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Zweier, M., Peippo, M. M., Poyhonen, M., Kaariainen, H., Begemann, A., Joset, P., Oneda, B., Rauch, A.
<strong>The HHID syndrome of hypertrichosis, hyperkeratosis, abnormal corpus callosum, intellectual disability, and minor anomalies is caused by mutations in ARID1B.</strong>
Am. J. Med. Genet. 173A: 1440-1443, 2017.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/28323383/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">28323383</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=28323383" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/ajmg.a.38143" target="_blank">Full Text</a>]
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Cassandra L. Kniffin - updated : 02/17/2020
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Cassandra L. Kniffin - updated : 05/09/2019<br>Ada Hamosh - updated : 01/31/2019<br>Cassandra L. Kniffin - updated : 5/4/2016<br>Ada Hamosh - updated : 4/29/2016<br>Ada Hamosh - updated : 4/30/2012<br>Nara Sobreira - updated : 7/20/2010<br>Cassandra L. Kniffin - updated : 9/8/2008<br>Marla J. F. O'Neill - updated : 4/24/2008<br>Cassandra L. Kniffin - reorganized : 8/8/2006<br>Cassandra L. Kniffin - updated : 7/28/2006<br>Victor A. McKusick - updated : 4/26/2006<br>Sonja A. Rasmussen - updated : 4/23/2001<br>Victor A. McKusick - updated : 2/21/2001<br>Victor A. McKusick - updated : 8/17/2000<br>Victor A. McKusick - updated : 1/21/1998<br>Victor A. McKusick - updated : 12/11/1997
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Creation Date:
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Victor A. McKusick : 6/4/1986
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alopez : 05/20/2021
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ckniffin : 05/14/2021<br>carol : 08/04/2020<br>carol : 08/03/2020<br>carol : 02/20/2020<br>carol : 02/19/2020<br>ckniffin : 02/17/2020<br>alopez : 07/17/2019<br>carol : 05/09/2019<br>ckniffin : 05/09/2019<br>carol : 05/09/2019<br>carol : 05/06/2019<br>alopez : 03/19/2019<br>carol : 01/31/2019<br>carol : 06/28/2018<br>ckniffin : 06/27/2018<br>carol : 12/14/2017<br>carol : 12/13/2017<br>carol : 12/11/2017<br>carol : 10/13/2016<br>alopez : 10/07/2016<br>carol : 07/09/2016<br>alopez : 5/10/2016<br>alopez : 5/5/2016<br>ckniffin : 5/4/2016<br>carol : 4/29/2016<br>alopez : 5/4/2012<br>alopez : 5/3/2012<br>terry : 4/30/2012<br>carol : 7/20/2010<br>terry : 5/12/2010<br>terry : 12/16/2009<br>wwang : 9/12/2008<br>ckniffin : 9/8/2008<br>wwang : 4/25/2008<br>terry : 4/24/2008<br>carol : 8/8/2006<br>ckniffin : 7/28/2006<br>wwang : 5/4/2006<br>wwang : 4/27/2006<br>terry : 4/26/2006<br>ckniffin : 11/29/2004<br>cwells : 11/5/2003<br>terry : 5/17/2001<br>mcapotos : 4/23/2001<br>cwells : 2/27/2001<br>terry : 2/21/2001<br>mcapotos : 8/30/2000<br>terry : 8/17/2000<br>terry : 8/17/2000<br>mark : 1/25/1998<br>terry : 1/21/1998<br>terry : 12/11/1997<br>mark : 12/13/1995<br>mark : 11/1/1995<br>mimadm : 9/24/1994<br>davew : 7/5/1994<br>terry : 5/13/1994<br>pfoster : 2/16/1994<br>carol : 11/10/1993
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<span class="mim-font">
<strong>#</strong> 135900
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COFFIN-SIRIS SYNDROME 1; CSS1
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<em>Alternative titles; symbols</em>
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COFFIN-SIRIS SYNDROME; CSS<br />
FIFTH DIGIT SYNDROME<br />
MENTAL RETARDATION, AUTOSOMAL DOMINANT 12; MRD12<br />
HYPERTRICHOSIS, HYPERKERATOSIS, MENTAL RETARDATION, AND DISTINCTIVE FACIAL FEATURES; HHID
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<strong>SNOMEDCT:</strong> 10007009; &nbsp;
<strong>ORPHA:</strong> 1465; &nbsp;
<strong>DO:</strong> 0070042; &nbsp;
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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6q25.3
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Coffin-Siris syndrome 1
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135900
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Autosomal dominant
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3
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ARID1B
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614556
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because of evidence that Coffin-Siris syndrome-1 (CSS1) is caused by heterozygous mutation in the ARID1B gene (614556) on chromosome 6q25.</p>
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<strong>Description</strong>
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<p>Coffin-Siris syndrome is a multiple malformation syndrome characterized by mental retardation associated with coarse facial features, hypertrichosis, sparse scalp hair, and hypoplastic or absent fifth fingernails or toenails. Other more variable features may include poor overall growth, craniofacial abnormalities, spinal anomalies, and congenital heart defects (review by Vergano and Deardorff, 2014). Mutations in the ARID1B gene are the most common cause of Coffin-Siris syndrome (Wieczorek et al., 2013). </p><p><strong><em>Genetic Heterogeneity of Coffin-Siris Syndrome</em></strong></p><p>
Forms of Coffin-Siris syndrome have been shown to be caused by mutations in genes encoding subunits of the SWI/SNF complex, also known as the BAF complex, which functions as a chromatin remodeling factor. These include CSS2 (614607), caused by mutation in the ARID1A gene (603024); CSS3 (614608), caused by mutation in the SMARCB1 gene (601607); CSS4 (614609), caused by mutation in the SMARCA4 gene (603254); CSS5 (616938), caused by mutation in the SMARCE1 gene (603111); CSS6 (617808), caused by mutation in the ARID2 gene (609539); CSS7 (618027), caused by mutation in the DPF2 gene (601671); CSS8 (618362), caused by mutation in the SMARCC2 gene (601734); CSS9 (615866), caused by mutation in the SOX11 gene (600898); CSS10 (618506), caused by mutation in the SOX4 gene (184430); CSS11 (618779), caused by mutation in the SMARCD1 gene (601735); and CSS12 (619325), caused by mutation in the BICRA gene (605690).</p><p>A similar phenotype, Nicolaides-Baraitser syndrome (NCBRS; 601358), is also caused by mutation in a subunit of this complex, i.e., SMARCA2 (600014).</p>
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<strong>Clinical Features</strong>
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<p>Coffin and Siris (1970) described 3 unrelated girls with mental retardation and absent nail and terminal phalanx of the fifth finger. The nails and distal phalanges of the lateral toes were either absent or hypoplastic. No similar cases were found in any of the 3 families. </p><p>Poyhonen et al. (2004) reported 3 unrelated Finnish females with hypertrichosis, mild to moderate mental retardation, and dysmorphic facial features, including low anterior hairline, thick arched eyebrows, nose with broad tip and columella below alae nasi, short philtrum, thick drooping lower lip, and simple posteriorly rotated ears. The patients also had rough skin with hyperkeratotic plaques. Feet and finger tips were broad. Brain MRI showed thick and short corpus callosum. Zweier et al. (2017) reported follow-up of the 3 Finnish women reported by Poyhonen et al. (2004), who were 25 (P1), 26 (P2), and 19 (P3) years of age. Clinical reassessment of the patients revealed the previously described phenotype, although hypertrichosis was less apparent and even considered within the normal range. Additional features included mild short stature, myopia, strabismus, coarse facies, and mild nail hypoplasia. The patients had significant behavioral abnormalities, including severe obsessive-compulsive disorder, withdrawal, stubborn and obstinate behavior, and autistic features. Language was limited, and they were noted to have a hoarse or high-pitched voice. However, all were able to read, write, and count. Menarche occurred normally. As an infant, patient 2 had a ventricular septal defect, patent ductus arteriosus, mild coarctation of the aorta, and hip dislocation. </p><p>Hoyer et al. (2012) reported 8 unrelated patients with mental retardation. All patients presented with moderate to severe psychomotor retardation, and most showed evidence of muscular hypotonia. In many patients, expressive speech was reported to be more severely affected than receptive function. Although there was no distinct recognizable facial gestalt, common findings included short stature, abnormal head shape and low-set, posteriorly rotated, and abnormally shaped ears, downslanting palpebral fissures, a bulbous nasal tip, a thin upper lip, minor teeth anomalies, and brachydactyly or single palmar creases. Only 1 patient had autistic features. </p><p>Tsurusaki et al. (2012) reported 5 patients with Coffin-Siris syndrome. All 5 patients had developmental delay and absent or hypoplastic fifth fingernails/toenails with absent/hypoplastic fifth phalanx of the hand; all had hirsutism and a coarse facial appearance with flat nasal bridge, broad nose, and thick lips. Frequent infections were reported in all of the patients. </p><p>Santen et al. (2012) reported 3 patients with Coffin-Siris syndrome who had moderate to severe intellectual disability and severe speech delay. All had coarse facial features with thick eyebrows and low frontal hairline; hypertrichosis was also present in all. Two had fifth finger brachydactyly; one of these and the other patient without brachydactyly had a hypoplastic nail on the fifth finger. Two had agenesis of the corpus callosum and one had partial agenesis. Three additional subjects with deletions involving ARID1B had some facial similarities with the patients carrying truncation mutations but lacked hypoplastic or absent fingernails or toenails. Santen et al. (2012) noted that few affected individuals in published reports fulfill the complete spectrum of the CSS phenotype, and it is a subject of debate whether all individuals with CSS represent the same entity. </p>
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<strong>Other Features</strong>
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<p>Mattei et al. (1981) reported 2 affected sisters of North African origin. One sister had massive unilateral hydronephrosis. Consanguinity was suspected, but not proven, and autosomal recessive inheritance was suggested. As noted by Gorlin (1981), the sibs reported by Mattei et al. (1981) had Coffin-Siris syndrome, not Coffin-Lowry syndrome (303600) as originally reported. </p><p>Haspeslagh et al. (1984) analyzed 23 published cases of Coffin-Siris syndrome. The female:male ratio was about 4:1. </p><p>Qazi et al. (1990) described a white female infant with the typical features of Coffin-Siris syndrome including thick eyebrows, flat nasal bridge, anteverted and broad nasal tip, generalized hypertrichosis, scalp hypotrichosis, absence of the fifth fingernails and toenails, absence of the distal phalanges of the fifth fingers and of the second to fifth toes, small patellas, inguinal hernia, and sucking and feeding difficulties. There was decreased fetal activity and intrauterine growth retardation. </p><p>Rabe et al. (1991) described 2 sisters, 3 and 6 years of age, with a disorder resembling Coffin-Siris syndrome. Both sibs had developmental retardation, facial and skeletal anomalies, and hyperphosphatasia. A major diagnostic clue was hypoplasia/aplasia of the terminal phalanx of the fifth finger, recognized radiologically. </p><p>Swillen et al. (1995) presented data on cognitive development, language, behavior, and social skills of 9 girls and 3 boys, aged 2.5 to 19 years, with Coffin-Siris syndrome. Mental retardation was mild in 3 patients and moderate in 9 others. Speech development was severely retarded with little interest in language. In the 7 patients aged 7 to 19 years, language comprehension was appropriate to the mental level. Gross motor functioning and autonomy, with the lowest score on 'task orientation,' were equal to the mental development. Most frequently, aggressive disturbed behavior was observed, especially in the youngest children, while mixed disturbed behavior was observed in the oldest patients. Five of 12 patients presented symptoms of pervasive developmental disorder, with 2 of the 11 scoring in the pathologic range. Obsessive interests, strong dependence on patterns and rituals, and unusual fears were characteristic behavioral problems also when the children got older. </p><p>Bonioli et al. (1995) described a family in which 3 sisters with first-cousin parents had a phenotype resembling Coffin-Siris syndrome. Hypoplasia of the distal phalanges and mental retardation were features. Two of the sisters died at 10 days and 1 day of age of cardiac abnormalities. At the age of 16 months, the surviving sister showed hypertrichosis, synophrys, umbilical hernia, rectal prolapse, bilateral clinodactyly of the fifth finger with hypoplastic nails, and lesser hypoplasia of the other nails and distal phalanges. </p><p>Fleck et al. (2001) reviewed Coffin-Siris syndrome and reported 18 new cases. The most frequent findings included some degree of mental retardation or developmental delay, coarse facial appearance, feeding difficulties, frequent infections, and hypoplastic to absent fifth fingernails and fifth distal phalanges. </p><p>DeBassio et al. (1985) described seemingly typical abnormalities of the hindbrain in patients with Coffin-Siris syndrome. The authors noted that the Dandy-Walker malformation (220200) was present in the original case of Coffin and Siris (1970) and in the case of Tunnessen et al. (1978). Imai et al. (2001) described a male infant with typical Coffin-Siris syndrome and the Dandy-Walker malformation complex, characterized by hypoplasia of the cerebellar vermis and cystic dilatation of the fourth ventricle without enlargement of the posterior fossa, as well as partial agenesis of the corpus callosum. The authors stated that this infant confirms that the full continuum of the Dandy-Walker complex can occur in Coffin-Siris syndrome. </p><p>Burlina et al. (1990) found partial biotinidase deficiency (see 253260) in association with the Coffin-Siris syndrome; Bonneau et al. (1991) were unable to confirm this finding. </p><p>De Jong and Nelson (1992) described choanal atresia (608911) in 2 unrelated patients with the Coffin-Siris syndrome. </p><p>Imaizumi et al. (1995) described a patient with Coffin-Siris syndrome who presented at 4 months of age with recurrent hypoglycemia attacks. Detailed examination at the age of 7 months revealed no cause of the hypoglycemia. </p><p>Brunetti-Pierri et al. (2003) reported an Italian girl with Coffin-Siris syndrome who had premature thelarche. At age 12 months, she had bilateral breast enlargement, accelerated linear growth, and advanced bone age. No exogenous exposure to estrogen compounds was found, endogenous hormone levels were normal, and there was no evidence of precocious puberty (see 176400). The thelarche completely regressed by age 2.5 years. Flynn and Milunsky (2006) reported a mother and 2 daughters of Jamaican origin who had some of the features of Coffin-Siris syndrome, but could be excluded from the strict clinical diagnosis because of hypertelorism and relatively mild coarse facial features. One of the daughters demonstrated premature thelarche at age 11 months which had resolved by age 6 years 7 months. The authors suggested autosomal dominant inheritance in this family. </p><p>Kellermayer et al. (2007) reported an 8-year-old Latina girl with features consistent with Coffin-Siris syndrome, including patent ductus arteriosus, developmental delay, frequent respiratory infections, microcephaly, facial dysmorphism, hearing loss, sacral dimple, and sternal and digital anomalies. She developed recurrent episodes of emesis with lower abdominal pain. Gastrointestinal studies showed a lengthy, redundant duodenum without obstruction and a heterotopic pancreatic rest at the pyloric orifice, as well as 2 papillary structures in the duodenum. The findings broadened the variable upper gastrointestinal manifestations of the disorder, but the etiology of the patient's recurrent emesis remained unclear. </p><p>Baban et al. (2008) described an 8.5-year-old girl with classic features of Coffin-Siris syndrome as well as a structural brain malformation and endocrinologic deficiency not previously reported in CSS patients. Cerebral MRI at 3.5 years of age showed global hypoplasia of the pituitary gland with an ectopic neurohypophysis along the course of the pituitary stalk, dysmorphic corpus callosum, and mega cisterna magna; she also had growth hormone deficiency, treated with recombinant GH with significant clinical improvement. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Diagnosis</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Fleck et al. (2001) proposed developmental delay, coarse facial appearance, hirsutism, and hypoplastic or absent fifth distal phalanges as minimal diagnostic criteria for the diagnosis of Coffin-Siris syndrome. </p><p><strong><em>Differential Diagnosis</em></strong></p><p>
Senior (1971) described 6 unrelated children who had broad nose with prominent nares and mild mental retardation in addition to short stature and small fifth toenails. These children may have had a distinct disorder, which Verloes et al. (1993) called brachymorphism-onychodysplasia-dysphalangism (BOD) syndrome (113477). </p><p>Brautbar et al. (2009) described a 7-year-old girl with hypoplastic nails, especially on the 5th digit of each extremity, which were more noticeable on the feet, coarse face, broad nose, wide mouth, thick eyebrows, long eyelashes, accommodative esotropia, inguinal and umbilical hernia, large premium atrial septal defect and cleft mitral valve, hirsutism, and mild developmental delay. Brautbar et al. (2009) suggested that even though the patient met the minimal clinical diagnostic criteria of CSS, some features, such as mild developmental delay and the more severe involvement of the feet when compared to the hands, were more consistent with BOD syndrome. Brautbar et al. (2009) suggested that CSS and BOD syndrome are probably allelic disorders. </p><p>Hanson et al. (1976) noted that hypoplastic nails and terminal phalanges can also be found in the fetal anticonvulsant syndrome. The second patient reported by Weiswasser et al. (1973) was subsequently published as an example of fetal hydantoin syndrome by Hanson and Smith (1975). </p><p>Fryns (1986) suggested that some reported cases of Cornelia de Lange syndrome (122470) may in fact be cases of Coffin-Siris syndrome. Musio et al. (2006) reported 5 cases of X-linked Cornelia de Lange syndrome (300590) and noted overlapping features with Coffin-Siris syndrome. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Inheritance</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Carey and Hall (1978) reported affected brother and sister and Franceschini et al. (1986) described affected sibs, suggesting autosomal recessive inheritance. Richieri-Costa et al. (1986) reported a child with Coffin-Siris syndrome born of consanguineous parents, consistent with autosomal recessive inheritance. </p><p>Haspeslagh et al. (1984) reported 2 affected sisters and partial expression in their father. The authors noted that Tunnessen et al. (1978) had also reported partial expression in 1 parent, and suggested autosomal dominant inheritance with variable expression. </p><p>Levy and Baraitser (1991) reviewed 31 reported cases and added 2 new cases. They noted that a case reported by Baraitser and Winter (1983) in an atlas of clinical genetics was subsequently shown to have trisomy 9p. Levy and Baraitser (1991) concluded that evidence for recessive inheritance was not fully convincing and suggested that some of the published single cases and even sibships may prove to be chromosomal rather than mendelian in nature. Levy and Baraitser (1991) stated that their practice is to counsel a 10% recurrence risk. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Cytogenetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>McGhee et al. (2000) described an 11-year-old girl with Coffin-Siris syndrome and a de novo, apparently balanced reciprocal translocation, t(7;22)(q32;q11.2). The 7q breakpoint in this patient was very similar to that reported by McPherson et al. (1997) with a balanced t(1;7)(q21.3;q34). Together, these patients provided evidence that the 7q32-q34 region contains the gene responsible for Coffin-Siris syndrome. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Hoyer et al. (2012) performed Sanger sequencing of candidate genes, including ARID1B, in a region on chromosome 6q25 that was deleted in a patient with mental retardation (see 612863). A total of 8 mutations in the ARID1B gene (see, e.g., 614556.0001-614556.0005) were found in 8 (0.9%) of 887 individuals with mental retardation. All mutations were in the heterozygous state, occurred de novo, and resulted in haploinsufficiency of the ARID1B gene. Given the known function of ARID1B, the findings indicated that chromatin-remodeling defects are an important contributor to neurodevelopmental disorders. </p><p>In 5 patients with Coffin-Siris syndrome, Tsurusaki et al. (2012) identified 4 nonsense or frameshift mutations in ARID1B (e.g., 614556.0006, 614556.0007), which encodes a subunit of the SWI/SNF complex. Three of these mutations occurred de novo. One of the patients carried a microdeletion involving ARID1B. In a total of 20 affected individuals with a similar constellation of clinical features, Tsurusaki et al. (2012) identified germline mutations in one of 6 SWI/SNF subunit genes. </p><p>By exome sequencing, Santen et al. (2012) identified 3 de novo truncating mutations in the ARID1B gene (614556.0008-614556.0010) in individuals with syndromic mental retardation. Array-based copy number variation analysis in 2,000 individuals with intellectual disability revealed an additional 3 subjects with a deletion affecting ARID1B. </p><p>Using a combination of whole-exome sequencing, next-generation sequencing of 23 SWI/SNF complex genes, and molecular karyotyping, Wieczorek et al. (2013) identified mutations in 28 (60%) of 46 patients with a clinical phenotype consistent with Coffin-Siris syndrome or Nicolaides-Baraitser syndrome (NCBRS; 601358), which shows similar features. Mutations in the ARID1B gene accounted for 76% of the identified mutations, and all of the mutations were truncating, resulting in haploinsufficiency. Wieczorek et al. (2013) observed that patients with ARID1B mutations had a milder phenotype, with hypoplastic rather than absent finger- and toenails, fewer growth defects, and fewer additional congenital anomalies compared to patients with mutations in other genes. Some of the patients with ARID1B mutations had an initial diagnosis of NCBRS, suggesting that these syndromes may represent a phenotypic spectrum rather than 2 distinct disorders. Functional studies of the variants and studies of patient cells were not performed. </p><p>By screening 6 genes of the BAF complex in 63 patients with a clinical diagnosis of CSS, Santen et al. (2013) identified pathogenic variants in 71% of patients. ARID1B mutations were the most common, found in 28 patients, and thus accounted for 68% of the mutation load. All ARID1B mutations occurred de novo and resulted in a truncated protein. Functional studies of the variants and studies of patient cells were not performed. </p><p>In 2 (P2 and P3) of 3 unrelated Finnish women with CSS1, originally reported by Poyhonen et al. (2004), Zweier et al. (2017) identified de novo heterozygous frameshift mutations in the ARID1B gene (614556.0011 and 614556.0012). The mutations, which were found by trio-based exome sequencing in the patients and their parents, were confirmed by Sanger sequencing. Functional studies of the variants were not performed, but both were predicted to result in a loss of function and haploinsufficiency. The patients were originally reported as having a different disorder (HHID), but the findings of Zweier et al. (2017) confirmed that the patients had CSS1. Genetic analysis of the other patient (P1) reported by Poyhonen et al. (2004) did not reveal pathogenic mutations or copy number variations affecting the ARID1B gene, but the father was not available for study. Zweier et al. (2017) could not exclude a pathogenic noncoding variant in P1. </p><p><strong><em>Associations Pending Confirmation</em></strong></p><p>
See 604958 for discussion of a possible association between variation in the ACTL6A gene and a form of Coffin-Siris syndrome.</p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>See Also:</strong>
</span>
</h4>
<span class="mim-text-font">
Jones (2006)
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
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</p>
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Santen, G. W. E., Aten, E., Vulto-van Silfhout, A. T., Pottinger, C., van Bon, B. W. M., van Minderhout, I. J. H. M., Snowdowne, R., van der Lans, C. A. C., Boogaard, M., Linssen, M. M. L., Vijfhuizen, L., van der Wielen, M. J. R., and 11 others.
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Senior, B.
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Am. J. Dis. Child. 122: 7-9, 1971.
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Swillen, A., Glorieux, N., Peeters, M., Fryns, J.-P.
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Tsurusaki, Y., Okamoto, N., Ohashi, H., Kosho, T., Imai, Y., Hibi-Ko, Y., Kaname, T., Naritomi, K., Kawame, H., Wakui, K., Fukushima, Y., Homma, T., and 19 others.
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Tunnessen, W. W., McMillan, J. A., Levin, M. B.
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Weiswasser, W. H., Hall, B. D., Delavan, G. W., Smith, D. N.
<strong>Coffin-Siris syndrome: two new cases.</strong>
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Wieczorek, D., Bogershausen, N., Beleggia, F., Steiner-Haldenstatt, S., Pohl, E., Li, Y., Milz, E., Martin, M., Thiele, H., Altmuller, J., Alanay, Y., Kayserili, H., and 44 others.
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