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Abstract
A recurrent ZSWIM6 variant, NM_020928.2:c.2737C>T [p.Arg913*], was identified in a Japanese male patient with severe neurodevelopmental delay, epilepsy, distinctive facial features, microcephaly, growth deficiency, abnormal behavior, and frequent vomiting but without frontonasal or limb malformations. In this patient, distinctive facial features gradually became apparent with age, and severe vomiting caused by gastroesophageal reflux continued even after percutaneous endoscopic gastrostomy.
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1 Tokyo Women’s Medical University, Department of Pediatrics, Tokyo, Japan (GRID:grid.410818.4) (ISNI:0000 0001 0720 6587)
2 Tokyo Women’s Medical University, Department of Transfusion Medicine and Cell Processing, Tokyo, Japan (GRID:grid.410818.4) (ISNI:0000 0001 0720 6587)
3 Tokyo Women’s Medical University, Department of Pediatric Surgery, Tokyo, Japan (GRID:grid.410818.4) (ISNI:0000 0001 0720 6587)
4 Osaka University Graduate School of Medicine, Department of Cardiovascular Medicine, Suita, Japan (GRID:grid.136593.b) (ISNI:0000 0004 0373 3971)
5 Osaka University Graduate School of Medicine, Department of Cardiovascular Medicine, Suita, Japan (GRID:grid.136593.b) (ISNI:0000 0004 0373 3971); Osaka University Graduate School of Medicine, Department of Legal Medicine, Suita, Japan (GRID:grid.136593.b) (ISNI:0000 0004 0373 3971)
6 Tokyo Women’s Medical University, Institute of Medical Genetics, Tokyo, Japan (GRID:grid.410818.4) (ISNI:0000 0001 0720 6587)