Main clinical features
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delayed psychomotor development, intellectual disability, variable dysmorphic features, including microcephaly, downslanting palpebral fissures, strabismus, and external ear abnormalities, and asymptomatic persistence of fetal hemoglobin (HbF)
cognitive dysfunction varied from mild to severe, and about 30p100 of patients had autism spectrum disorder with variable dysmorphic features, including joint laxity , strabismus, microcephaly , downslanting palpebral fissures, thin upper lip, everted lower lip, flat midface, small nares, and external ear abnormalities |