Case Report: A de novo NSD2 multiple exon deletion variant in a child with Rauch-Steindl syndrome - Summary - MDSpire

Case Report: A de novo NSD2 multiple exon deletion variant in a child with Rauch-Steindl syndrome

  • By

  • Chanchan Li

  • Mingyu Xie

  • Qi Peng

  • Xiaomei Lu

  • Baimao Zhong

  • May 15, 2026

  • 0 min

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Objective:

To identify genetic variants in the NSD2 gene associated with Rauch-Steindl syndrome (RAUST) using whole-exome sequencing.

Key Findings:
  • A novel de novo deletion spanning exons 6–22 of the NSD2 gene was identified.
  • The patient exhibited developmental delays, language retardation, facial dysmorphisms, autism, and hypotonia.
  • Clinical features were consistent with RAUST, differing from the more severe Wolf-Hirschhorn syndrome.
Interpretation:

The findings support the role of NSD2 haploinsufficiency in the pathogenesis of RAUST, highlighting its significance in clinical diagnosis and expanding the known mutational spectrum of NSD2.

Limitations:
  • The study is based on a single case, limiting generalizability.
  • Long-term follow-up data on the patient's development are not provided.
  • Further studies are needed to validate these findings across a larger cohort.
Conclusion:

This study highlights the importance of molecular genetic testing in diagnosing RAUST and contributes to understanding the phenotypic spectrum associated with NSD2 mutations, emphasizing its relevance in clinical practice.

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