{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:59:53Z","timestamp":1791197993319,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,12,20]],"date-time":"2013-12-20T00:00:00Z","timestamp":1387497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Genetics"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Mandibulofacial dysostosis with microcephaly (<jats:styled-content style=\"fixed-case\">MFDM<\/jats:styled-content>) is a sporadic malformation syndrome with severe craniofacial abnormalities, microcephaly, developmental delay, and dysmorphic features. Most cases of clinically diagnosed <jats:styled-content style=\"fixed-case\">MFDM<\/jats:styled-content> remain genetically unexplained, and to the best of our knowledge a total of 35 patients, 31 different mutations, 4 deletions, and 6 reports have been published. Our proband was born at 36\u2009weeks gestation with microcephaly, microcrania, cleft palate, severe retrognathia, oral and pharyngeal dysphagia, bilateral proximal radioulnar synostosis, 11 thoracic ribs, abnormal magnetic resonance imaging (<jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>) findings including simplified gyral pattern and mild dilatation of the posterior bodies of the lateral ventricles secondary to thinning of the white matter, high\u2010pitched cry due to unilateral vocal cord paralysis, and dysmorphic features. Array comparative genomic hybridization (<jats:styled-content style=\"fixed-case\">aCGH<\/jats:styled-content>)\u2009+\u2009single nucleotide polymorphism (<jats:styled-content style=\"fixed-case\">SNP<\/jats:styled-content>) analysis identified a likely <jats:italic>de novo<\/jats:italic> pathogenic deletion on chromosome 17q21.31, encompassing the <jats:italic><jats:styled-content style=\"fixed-case\">EFTUD2<\/jats:styled-content><\/jats:italic> gene. Our case represents the fifth reported proband to have <jats:styled-content style=\"fixed-case\">MFDM<\/jats:styled-content> caused by small deletions involving <jats:italic><jats:styled-content style=\"fixed-case\">EFTUD2<\/jats:styled-content><\/jats:italic>. All known mutations involving <jats:italic><jats:styled-content style=\"fixed-case\">EFTUD2<\/jats:styled-content><\/jats:italic> result in genetic haploinsufficiency, consistent with our proband's case as well. Her phenotypic features both overlap and expand on the clinical features of previously reported cases, and her genetic diagnosis also supports the use of <jats:styled-content style=\"fixed-case\">aCGH<\/jats:styled-content> as a first\u2010tier testing option for this disorder.<\/jats:p>","DOI":"10.1111\/cge.12328","type":"journal-article","created":{"date-parts":[[2013,11,25]],"date-time":"2013-11-25T10:37:26Z","timestamp":1385375846000},"page":"80-84","source":"Crossref","is-referenced-by-count":18,"title":["Array\u2010<scp>CGH<\/scp> is an effective first\u2010tier diagnostic test for <i><scp>EFTUD2<\/scp><\/i>\u2010associated congenital mandibulofacial dysostosis with microcephaly"],"prefix":"10.1111","volume":"87","author":[{"given":"S.K.","family":"Gandomi","sequence":"first","affiliation":[{"name":"Department of Clinical Diagnostics and Genetic Counseling Ambry Genetics Aliso Viejo CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Parra","sequence":"additional","affiliation":[{"name":"Department of Clinical Diagnostics and Genetic Counseling Ambry Genetics Aliso Viejo CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Neonatal\u2010Perinatal Medicine University of Arkansas\/Arkansas Children's Hospital Little Rock AR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Yap","sequence":"additional","affiliation":[{"name":"Neonatal\u2010Perinatal Medicine University of Arkansas\/Arkansas Children's Hospital Little Rock AR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010L.","family":"Gau","sequence":"additional","affiliation":[{"name":"Department of Clinical Diagnostics and Genetic Counseling Ambry Genetics Aliso Viejo CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2011.12.023"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.35696"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmedgenet-2012-101173"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-8-110"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ng.2277"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.2007.00869.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/83679"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1086\/323799"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3181f8baad"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.31416"}],"container-title":["Clinical Genetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcge.12328","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cge.12328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T11:31:41Z","timestamp":1696246301000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cge.12328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,20]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1111\/cge.12328"],"URL":"https:\/\/doi.org\/10.1111\/cge.12328","archive":["Portico"],"relation":{},"ISSN":["0009-9163","1399-0004"],"issn-type":[{"value":"0009-9163","type":"print"},{"value":"1399-0004","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,20]]}}}