Reports isolated limb malformations in prenatal diagnoses of UBA2 variants, highlighting genetic implications.
We report a case of a paternally inherited novel splice site variant in a patient prenatally diagnosed with Aplasia Cutis Congenita and Ectrodactyly (ACCES) syndrome with isolated split hand and foot malformations confirmed at birth. Intrafamilial variability has been previously reported in UBA2‐related syndromes and malformations. We suggest that the rising number of reported UBA2 variants associated with isolated split hand/ft malformations without a full ACCES phenotype highlights the functional importance of UBA2 in distal limb morphogenesis.
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Wakim et al. (2026) studied this question.
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