| HPMRS1 PIGV (n = 26, excluding 2 fetus) | HPMRS2 PIGO (n = 16) | HPMRS3 PGAP2 (n = 12) | HPMRS4 PGAP3 (n = 26) | HPMRS5 PIGW (n = 3) | HPMRS6 PIGY (n = 4) |
---|---|---|---|---|---|---|
Hyperphosphatasia | 26/26 | 14/14, ND in 2 | 6/6, ND in 6 | 25/26 | 1/3 | 4/4 |
Growth parameters | ||||||
 OFC | Normal in 22/26 (microcephaly in 2/26, macrocephaly in 2/26) | Normal in 2/6 (microcephaly in 4, macrocephaly in 2, ND in 8) | Normal in 5/12 (microcephaly in 7) | Normal in 17/26 (microcephaly in 7, macrocephaly in 2) | Normal in 2 (ND in 1) | Normal in 2/4 (microcephaly in 2) |
 Height | Normal in 24/26 | Normal in 3/5 (short stature in 2, ND in 11) | Normal in 2/2, ND in 10 | Normal in 25/26 (short stature in 1/26) | Normal in 2 (ND in 1) | Normal in 2/4 (short stature in 2/4) |
 Weight | Normal in 24/26 | Normal in 4/5 (dystrophy in 1, ND in 11) | Normal in 2/2, ND in 10 | Normal in 21/26 (overweight in 2/26, dystrophy in 3/26) | Normal in 2 (ND in 1) | ND |
Neurological phenotype | ||||||
 Global developmental delay | 26/26 | 16/16 | 2/2 | 26/26 | 3/3 | 4/4 |
 Motor delay | 26/26 | 16/16 | 12/12 (mild in 5) | 26/26 | 3/3 | 4/4 |
 Speech and language developmental delay | 26/26 (no speech in 6/10) | 16 (no speech in 5/16) | 11/12 | 26/26 (no speech in 20/26) | 3/3 | 4/4 |
 Muscular hypotonia | 18/24, ND in 2 | 11/11, ND in 5 | 5/6, ND in 6 | 23/26 | 2/2, ND in 1 | ND |
 Seizures | 20/26 | 11/12, ND in 4 | 8/12 | 17/26 | Autistic traits 1/3 | 2/4 |
 Behavioral abnormalities | ND | ND | ND | 21/26 | ND | 2/4 |
 Other neurological abnormalitites | Hearing loss | Hearing impairment (5/16), thin corpus callosum | Hearing impairment | Ataxia (10/26); no walking in 8/26 | - | Regression of acquired skills (2/4) |
 | HPMRS1 (PIGV) | HPMRS2 (PIGO) | HPMRS3 (PGAP2) | HPMRS4 (PGAP3) | HPMRS5 (PIGW) | HPMRS6 (PIGY) |
Malformations | ||||||
 Cleft palate | 8/26 | 4/16 | 1/12 | 15/26 | - | 0/4 |
 Megacolon | 8/26 | 5/16 | 1/12 | 0/26 | - | 0/4 |
 Anorectal malformations | 9/26 | 3/16 | 1/12 | 0/26 | - | 0/4 |
 Vesicoureteral/renal malformations | 6/10 | 2/16 | ND | 0/26 | - | 1/4 |
 Heart defect | 5/26 | 2/16 | 2/12 | 2/26 | - | 0/4 |
 Facial gestalt | ||||||
 Apparent hypertelorism | 26/26 | 6/6, ND in 10 | 1/12 | 12/13, ND in 13 | ND | 1/4 |
 Up-slanting palpebral fissure | 26/26 | 10/11, ND in 5 | ND in 12 | 2/26 | ND | 0/4 |
 Broad nasal bridge | 26/26 | 5/6, ND in 10 | 2/12 | 13/13, ND in 13 | 1/3 ND in 2 | 1/4 |
 Broad nasal tip | 26/26 | 5/6, ND in 10 | 1/12 | 4/14, ND in 12 | ND | 1/4 |
 Short nose | 26/26 | 5/6, ND in 10 | 1/12 | 14/24, ND in 2 | ND | ND |
 Tented upper lip vermilion | 26/26 | 7/8, ND in 8 | 2/12 | 17/24, ND in 21 | 3/3 | ND |
 Large, fleshy ear lobes | - | 1/16 |  | 18/24, ND in 21 | ND | 4/4 |
 Brachytelephalangy | 26/26 | 10/10, ND in 6 | 0/12 (broad nails in 1/12) | 0/26 (broad nails in 6/26) | - | 1/4 |
 Further anomalies (rare) | Gastroesophageal reflux, optic atrophy bilateral, scoliosis, hip subluxation (right), thin corpus callosum, gingiva hyperplasia | Coronal synostosis, keratoderma, micrognathia, auricular malformations |  | Thin corpus callosum (9/26), ventriculomegaly (3/26), vermis hypoplasia (4/26) | Inguinal hernia (1/3) | Cataracts (2/4) |
Rhizomelic shortness of limbs (2/4) | ||||||
Contractures (2/4) | ||||||
Hip dysplasia (2/4) | ||||||
 Published cases | Rabe et al. 1991 [33] | Krawitz et al. 2012 [7] | Hansen et al. 2013 [4] | Howard et al. 2014 [5] | Chiyonobu et al. 2014 [3] | Ilkovski et al. 2015 [6] |
Marcelis et al. 2007 [34] | Kuki et al. 2013 [36] | Krawitz et al. 2013 [8] | Knaus et al. 2016 [19] | Hogrebe et al. 2016 [20] | ||
Nakamura et al. 2014 [16] | Jezela-Stanek et al. 2016 [18] | Pagnamenta et al. 2017 [40] | ||||
Horn et al. 2011 [28] | Xue et al. 2016 [31] | Naseer et al. 2016 [38] | Nampoothiri et al. 2017 [41] | |||
Thompson et al. 2012 [29] | Morren et al. 2017 [35] | Abdel-Hamid et al. 2017 [39] | ||||
Horn et al. 2014 [30] | Zehavi et al. 2017 [17] | 2 unpublished cases | ||||
Xue et al. 2016 [31] | Tanigawa 2017 [37] | |||||
Reynolds et al. 2017Â [32] | ||||||
6 unpublished cases |