Case1: Male, United States, Birth onset
CasePresentingHPOs: HP:0001558, HP:0003552, HP:0002804, HP:0001762, HP:0001188, HP:0000023, HP:0001385, HP:0006380, HP:0004482, HP:0004322, HP:0003782, HP:0011220, HP:0000160, HP:0000470, HP:0000301, HP:0002751, HP:0003306, HP:0001270, HP:0003808, HP:0003044, HP:0012453, HP:0001193, HP:0012785, HP:0003273, HP:0012894, HP:0002174, HP:0004370, HP:0002362, HP:0002942, HP:0012418, HP:0002789, HP:0002205, HP:0002870, HP:0003458, HP:0040129, HP:0003236, HP:0003388, HP:0002015, HP:0003557, HP:0003803, HP:0003715, HP:0012240, HP:0100295 (Decreased fetal movement, Muscle stiffness, Arthrogryposis multiplex congenita, Talipes equinovarus, Hand clenching, Inguinal hernia, Hip dysplasia, Knee flexion contracture, Relative macrocephaly, Short stature, Eunuchoid habitus, Prominent forehead, Small mouth, Short neck, Abnormality of facial musculature, Kyphoscoliosis, Spinal rigidity, Motor delay, Abnormal muscle tone, Shoulder flexion contracture, Bilateral wrist flexion contracture, Ulnar deviation of the hand or of fingers of the hand, Flexion contracture of finger, Hip contracture, Paraspinal muscle hypertrophy, Postural tremor, Abnormality of temperature regulation, Shuffling gait, Thoracic kyphosis, Hypoxemia, Tachypnea, Recurrent respiratory infections, Obstructive sleep apnea, EMG: myopathic abnormalities, Abnormal nerve conduction velocity, Elevated serum creatine phosphokinase, Easy fatigability, Dysphagia, Increased variability in muscle fiber diameter, Type 1 muscle fiber predominance, Myofibrillar changes, Increased intramyocellular lipid droplets, Muscle fiber atrophy)
HPOsFreeText: Jaw contracture, Heel contracture, Strong bilateral grasp, Occasional grunting, Supplemental oxygen required, Ultrastructural evidence of accumulation of mitochondria, Focal Z-line streaming and broadening
CaseNotHPOs: HP:0100543, HP:0001315, HP:0001324, HP:0002486, HP:0100288, HP:0002353, HP:0002363, HP:0003116, HP:0003798 (Cognitive impairment, Reduced/absent deep tendon reflexes, Muscle weakness, Myotonia, EMG: myokymic discharges, EEG abnormality, Abnormality of brainstem morphology, Abnormal echocardiogram, Nemaline bodies)
NotHPOsFreeText: N/A
CaseAddInfo: Case is de novo and confirmed via parental testing
CasePreviousTesting: Negative Results from WES: ACTA1, MYH3, TPM2, HSPG2, TNNT3, TNNI2, FKRP, CRYAB, and microarray.
CaseGenotypingMethod: DNA was obtained from blood and WES was performed on the samples using Illumina technology. Mutations were analyzed and filtered.
Variant: NM_152263.4(TPM3):c.670_672GAA[1] (p.Glu225del)
ClinVar: 235143 https://www.ncbi.nlm.nih.gov/clinvar/variation/235143/
gnomAD: Not in gnomAD