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Clinician orientation sheet

NM_001366177.2:c.5756G>A

Concise orientation only. Dates, normal findings, uncertainty, source boundaries, and longitudinal context remain in the complete profile.

Molecular result and profile context

Report transcript + cDNA
NM_001366177.2:c.5756G>A
Report protein consequence
NP_060959.2:p.Trp1919*
Zygosity
Heterozygous
Molecular consequence
Nonsense / stop-gain
Laboratory classification
Pathogenic
Classification source
Family-reported formal result
Inheritance
De novo
Relevant additional finding
SYP p.Val110Met — assessed as nonpathogenic
Normalized MANE/map notation
NM_018489.3:c.5756G>A · NP_060959.2:p.Trp1919*
Variant type
Nonsense / stop-gain
Sex
Male
Age group
Ages 11–15
Protein position
Premature stop · aa 1,919

Approved public summary

A boy in the 11–15 age group with a heterozygous de novo pathogenic truncating ASH1L variant, early hypotonia and developmental differences, speech emerging at approximately three and a half to four years, a strongly context-dependent communication and learning profile, marked difficulty with processing speed and mental calculation, sensory and routine-related barriers, substantial educational and daily-living support needs, strabismus and refractive error requiring glasses and surgery, a prolonged orthodontic course for a dental-arch relationship anomaly, a parent-reported history of severe hearing impairment associated with enlarged adenoids, intermittent very long urine-holding periods, and no seizures reported by his mother.