# Case Report: A neurodevelopmental disorder with global developmental delay, microcephaly, eye anomalies, sweat dysregulation, and skeletal implications due to an ultra-rare de novo 5q14.3q15 copy number gain

**Authors:** Costela Lacrimioara Serban, Alexandra Mihailescu, Diana Miclea, Cristian G. Zimbru, Florina Stoica, Adela Chirita-Emandi

PMC · DOI: 10.3389/fgene.2025.1549685 · Frontiers in Genetics · 2025-05-26

## TL;DR

This case report describes a rare genetic disorder caused by a copy number gain at 5q14.3q15, leading to developmental delays and physical anomalies.

## Contribution

The report provides novel insights into the genotype–phenotype correlation involving the MEF2C gene in an ultra-rare genetic condition.

## Key findings

- The patient exhibited hypotonia, microcephaly, and global developmental delay.
- Sweat dysregulation and skeletal implications like camptodactyly were observed.
- The MEF2C gene is implicated in the disorder's phenotype.

## Abstract

This case report and literature review documents an ultra-rare de novo copy number gain at 5q14.3q15. The patient’s phenotype included hypotonia, microcephaly, global developmental delay, iris hypoplasia, atrophy, sweat dysregulation, and skeletal implications, including camptodactyly. This case presentation provides novel insights into the genotype–phenotype correlation for 5q14.3q15 copy number gain, particularly highlighting the involvement of the MEF2C gene (#MIM 600662). Through comprehensive clinical and genetic evaluation, we aim to enhance the understanding of this ultra-rare genetic condition and its implications.

## Linked entities

- **Genes:** MEF2C (myocyte enhancer factor 2C) [NCBI Gene 4208]

## Full-text entities

- **Genes:** MEF2C (myocyte enhancer factor 2C) [NCBI Gene 4208] {aka C5DELq14.3, DEL5q14.3, NEDHSIL}
- **Diseases:** sweat dysregulation (MESH:D021081), atrophy (MESH:D001284), eye anomalies (MESH:D005124), developmental delay (MESH:D002658), iris hypoplasia (MESH:D007499), microcephaly (MESH:D008831), camptodactyly (MESH:C567780), hypotonia (MESH:D009123)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12146353/full.md

## References

26 references — full list in the complete paper: https://tomesphere.com/paper/PMC12146353/full.md

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Source: https://tomesphere.com/paper/PMC12146353