“…They also delineated the clinical characteristics of all the patients and suggested that this variation in PACS1 defines a recognizable syndromic form of DD/ID and dysmorphic facial features ( Schuurs-Hoeijmakers et al, 2016 ). Subsequently, there have been sporadically reported cases with the same de novo mutation (c.607C > T) in PACS1 that caused ID and distinctive facial features ( Gadzicki et al, 2015 ; Stern et al, 2017 ; Martinez-Monseny et al, 2018 ; Pefkianaki et al, 2018 ; Wang et al, 2018 ; Dutta, 2019 ; Hoshino et al, 2019 ; Kurt Colak et al, 2020 ), except another novel variation (c.608G > A) which affects the same amino acid (Arg203; Miyake et al, 2018 ). As reviewed and reported recently, more than 50 cases with SHMS have been described in the literature, and all of them have DD/ID and dysmorphic facial features, including 51 postnatal individuals and three prenatal cases ( Kurt Colak et al, 2020 ; Lusk et al, 2020 ; Seto et al, 2020 ).…”