| Phenotype details |
pregnancy gestational diabetes; 4m-hepatomegaly; birth 41w, weight –0.5SD, length -1SD, OFC –1SD; length -4SD, OFC -1SD, BMI 23; severe developmental delay/intellectual disability; not walking; no speech; <1y-epilepsy; no developmental regression; spastic tetraplegia, ataxic gait; autistic behaviour (stereotypies, self-injuries) sleep disturbance; MRI brain unspecific changes in paraventricular myelination, generalised cerebral atrophy, retrocerebellar arachnoid cyst; flat face; widely spaced eyes; anteverted nares, short nose; flat nasal bridge; coarseness; hypertrichosis; thick lips; full cheeks; almond-shaped eyes; thick earlobes; flat feet; hyperlordosis; hip dysplasia; genu valgum; no club feet; skeletal X-rays advanced bone age; normal skin pigmentation; umbilical hernia; strabismus, severe myopia, retinal degeneration; no hearing loss; clubbing of fingers, splenomegaly, anteriorly displaced anus, kidney asymmetry; recurrent lung infections |