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The mutation was confirmed by Sanger sequencing of the targeted region of RBM10. Sanger sequence of the maternal sample did not detect the mutation, suggesting that this change arose apparently de novo or was mosaic in peripheral blood DNA from the mother. Molecular testing of the clinically unaffected brother did not show the mutation. Exome sequencing also elucidated deleterious mutations in two genes for recessive conditions not related to the clinical phenotype and variants of unknown clinical significance in 14 genes for autosomal dominant conditions not related to the clinical phenotype. Review of the additional variants reported did not suggest another possible diagnosis. This was a second, 37 week gestation pregnancy to healthy 23- and 27-year-old nonconsanguineous Hispanic parents. The family history was remarkable for a maternal uncle with hip dysplasia and cardiac Obeticholic Acid nmr murmur whose co-twin died shortly after birth from complications of oligohydramnios. A paternal uncle died of sudden infant death syndrome. The infant's BW was 2,145?g (?5th centile), BL was 44?cm (?3rd centile), and BOFC was 29?cm (FARP1 abnormal hair patterning, large anterior, and posterior fontanels with widely split sagittal sutures, and overriding lambdoid sutures. There was find more a wide nasal bridge (inner canthal distance 2.8?cm, >95%), underdeveloped supraorbital ridges, sparse eyelashes, and anteverted nares. He had a wide mouth with downturned corners, high arched palate, midface hypoplasia, and severe micrognathia without a cleft palate (Fig. 4). Right fifth finger clindodactyly and slightly decreased supination on the elbows were appreciated. He did not have talipes equinovarus. A prominent chest with a short sternum (