Wolf-Hirschhorn syndrome
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Pathology
- malformation syndrome associated with a hemizygous chromosome 4p16.3 deletion
Genetics
- chromsome 4p16.3 deletion
- sub-telomeric deletions in the short arm of chromosome 4 involving WHSC1 at chromosome 4p16.3
- WHSC1 is deleted in every case
- deletion of linked genes contributes to both the severity disease & the presence of the additional syndromic features
- linked genes include: MSX1
- the NELFA gene may be affected
Clinical manifestations
- profound mental retardation
- heart defects
- facial clefting