background participants

Participant 232


On this page, you will find information about a UDN participant.

Sharing information on this website is not a requirement of UDN participation. Only descriptions about participants who give explicit consent will appear here. While these participant pages are helpful to understand our participants’ stories, they do not begin to describe their diagnostic odysseys. A special thank you goes out to our participants and their families for sharing their experiences.

 

Male, age 7, with global developmental delay, eye and vision abnormalities, and gastrointestinal dysmotility

Date of Report

Jun 10, 2025

Description

From birth, the participant had difficulties feeding due to aspirations, requiring a G-tube from 3 months old until age 4. During infancy and early childhood, he was noted to have weak cartilage in the bronchial tubes (bronchomalacia) but this has since improved.

The participant experiences frequent ear and sinus infections and has eye abnormalities that impair his depth perception and cause his eyes to turn inward. He also experiences episodes where he does not sweat (anhidrosis) and has a decreased sensitivity to pain. As a result, the participant overheats easily and wears a cooling vest. Additionally, he has severe constipation which has led to fecal vomiting and multiple hospitalizations.

In terms of development, the participant has had language impairment and challenges with coordination. He did not speak until the age of 3 and prefers to toe-walk with an uncoordinated gait. He has average intellectual abilities. The participant also has hypogammaglobulinemia and was recently diagnosed with Avoidant/Restrictive Food Intake Disorder (ARFID).

Symptoms / Signs

Top 3-4 symptoms:

  • Global developmental delay
  • Constipation (Gastrointestinal dysmotility)
  • Eye and vision abnormalities (Hypertelorism, Opsoclonus, Vertical nystagmus)

Organized head to toe:

  • Thin upper lip (Thin upper lip vermilion)
  • Widely spaced eyes (Hypertelorism)
  • Rapid, multi-directional eye movement (Opsoclonus)
  • Vertical repetitive, uncontrolled eye movement (Vertical nystagmus)
  • Small hole in the heart (Patent foramen ovale)
  • Heart differences (Left ventricular hypertrophy)
  • Asthma
  • Changes in lung tissue (Abnormal pulmonary interstitial morphology)
  • Head tilted to one side (Torticollis)
  • Low muscle tone (Hypotonia)
  • Hip dysplasia
  • Autism
  • Obstructive sleep apnea
  • Developmental regression
  • Abnormality of the face (frontal bossing)
  • Partial inability to sweat (Partial Anhidrosis)
  • Impaired pain sensation
  • Weak immune system (Humoral immunodeficiency; decreased circulating total IgG
Current Treatments
  • Albuterol
  • Azelastine nasal spray aerosol
  • Budesonide-formoterol FGA
  • Caraway oil/levomenthol
  • Cetirizine
  • Cyproheptadine
  • Dexmethylphenidate
  • Elderberry fruit and flower, oral
  • Epinephrine injections
  • Esomeprazole
  • Ferrous sulfate
  • Fluticasone furoate
  • Guanfacine
  • Hydroxyzine
  • Lidocaine-prilocaine
  • Nutritional supplement, caloric oral powder
  • Nystatin topical cream
  • Omega-3/EPA/fish oil
  • Ondansetron
  • Pediatric multivitamin, chewable tablet
  • Polyethylene glycol
  • Prucalopride succinate
  • Prucalopride
  • Sodium chloride nasal spray aerosol
  • Symbicort
Prior Treatments
  • Anal botox
  • Botox injections
  • Bronchoscopy
  • Bronchoscopy with lavage
  • DISE (Drug-Induced Sleep Endoscopy)
  • Direct laryngoscopy
  • Disimpaction
  • Ear exam under anesthesia
  • Esophagogastroduodenoscopy (EGD)
  • Expansion pharyngoplasty
  • Gastrostomy tube placement
  • Injection, onabotulinumtoxinA
  • Lingual tonsillectomy
  • Microlaryngoscopy
  • Myringotomy with tympanostomy
  • Nasal endoscopy
  • Nasogastric tube placement
  • Posterior midline glossectomy
  • Rigid bronchoscopy
  • Supraglottoplasty
  • Tonsillectomy and adenoidectomy
  • Turbinate cauterization
  • Tympanostomy tube placement
Considered treatments
Previously Considered Diagnoses

Autism spectrum disorder

Other Photographs
Genetic Variants of Interest

Clinicians and researchers are investigating the following genetic changes to see if they are causing the participant’s symptoms:

Gene
Inheritance Pattern
Position (hg19)
Transcript
DNA Change
Protein Change
Autosomal dominant and recessive
chr12:g.57894114G>T; chr12:g.57910230C>T
NM_004990.4
c.1102G>T; c.2569C>T
p.Asp368Tyr; p.Arg857Ter
X-linked inheritance
chrX:g.40551523G>A
NM_004229.4
c.1892C>T
p.Ala631Val
BSN
Unknown
chr3:g.49662482C>T; chr3:g.49698316C>T
NM_003458.4
c.299C>T; c.9038C>T
p.Ser100Phe; p.Ser3013Leu
Autosomal Dominant
chr12:g.116406783_ 116406785del
NM_015335.5
c.6187_6189del
p.Ser2063del
Autosomal dominant and recessive
chr1:g.9784870G>A
NM_005026.5
c.2873G>A
p.Gly958Asp
Contact

If this participant sounds like you or someone you know, please contact us!

Disclaimer

The information provided here is based on individual patient experiences. This information is not meant to substitute for advice of a qualified health care provider. Please do not use this information to diagnose or develop a treatment plan for a health problem or disease without consulting a qualified health care provider.

Any mention of products or services is not meant as a recommendation of the products or services. Please discuss any options with a qualified health care provider.

Developments in medical research may impact the information that appears here. No assurance can be given that the information in this site will include the most recent findings or developments.

The use of any information provided on this site is solely at your own risk.

Top