Table 3.

Multisystem Disorders in the Differential Diagnosis of EPG5-Related Disorder

Gene(s)Differential DisorderMOIPhenotype
AP3B1
AP3D1
Hermansky-Pudlak syndrome types 2 (AP3B1) & 10 (AP3D1)AR
  • Primary immunodeficiency w/(oculo-)cutaneous hypopigmentation, DD, seizures, & failure to gain weight
  • Not assoc w/ACC or cardiomyopathy
CTDP1 Congenital cataracts, facial dysmorphism, & neuropathy AR
  • Cataracts, myopathy, neuropathy, DD, brain malformation
  • Not assoc w/cardiomyopathy, immunodeficiency, or hypopigmentation
LAMTOR2 LAMTOR2-associated primary immunodeficiency (OMIM 610798)AR
  • Primary immunodeficiency w/↓ of memory B cells, cutaneous hypopigmentation, coarse facies, short stature
  • Not assoc w/neurologic features (DD, mvmt disorders) or brain malformations
LYST Chediak-Higashi syndrome AR
  • Primary immunodeficiency w/hemophagocytic lymphohistiocytosis, oculocutaneous albinism, failure to gain weight, delayed myelination, cortical atrophy, mvmt disorder, myopathy
  • Not assoc w/ACC or cardiomyopathy
PI4K2A 1
PI4KA 2
PI4 kinase deficiency (See PI4KA-Related Disorder.)ARNeurodevelopmental disabilities, dysplastic corpus callosum, immunodeficiency
RAB27A Griscelli syndrome type 2 (OMIM 607624)AR
  • Primary immunodeficiency w/hemophagocytic lymphohistiocytosis, cutaneous albinism, mvmt disorder
  • Not assoc w/ACC or cardiomyopathy
RAB3GAP1
RAB3GAP2
RAB18
TBC1D20
Warburg micro syndrome (See RAB18 Deficiency.)AR
  • Dysgenesis of corpus callosum, DD, mvmt disorder, microcephaly
  • Not assoc w/immunodeficiency or hypopigmentation
SIL1 Marinesco-Sjögren syndrome AR
  • DD, cataracts, myopathy, neuropathy, mvmt disorder, skeletal deformities
  • Not assoc w/cardiomyopathy, immunodeficiency, or hypopigmentation
SNAP29 SNAP29-associated cerebral dysgenesis (OMIM 609528)AR
  • Dysgenesis of corpus callosum, neuronal migration abnormalities, progressive microcephaly, DD, ichthyosis, palmoplantar keratoderma
  • Not assoc w/immunodeficiency or cardiomyopathy
VPS45 VPS45-associated immunodeficiency (OMIM 615285)AR
  • Primary immunodeficiency w/failure to gain weight & DD
  • Not assoc w/hypopigmentation or brain malformations

Adapted from Byrne et al [2016a], Table 3

ACC = agenesis of the corpus callosum; AR = autosomal recessive; DD = developmental delay; MOI = mode of inheritance

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From: EPG5-Related Disorder

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