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GENATLAS PHENOTYPE
last update : 25-10-2018
Symbol SWILS
Location 16q22.1
Name Saul-Wilson syndrome
Other name(s) microcephalis osteodysplastic dysplasia
Corresponding gene COG4
Main clinical features
  • rare skeletal dysplasia with early developmental delay, primarily involving speech, with eventual normal cognition
  • marked short stature, prominent forehead with an enlarged anterior fontanel, prominent eyes with cataracts, narrow nasal bridge with a convex nasal ridge, micrognathia, clubfoot, brachydactyly, and short distal phalanges of fingers
  • radiographic changes include platyspondyly, irregular end plates of vertebral bodies, and hypoplasia of the odontoid process with cervical instability in the spine, coxa valga, overtubulation, metaphyseal flaring and megaepiphyses in the long bones, while the hands and feet exhibit short phalanges, metacarpals and metatarsals, cone-shaped epiphyses of phalanges
  • Genetic determination not applicable
    Function/system disorder osteo-articular
    Type disease
    Remark(s)
  • heterozygous de novo p.Gly516Arg COG4 variant is responsible for SWILS, and mutation is likely gain-of-function (PMID: 30290151))