%0 Case Reports %T Novel USP9X variant associated with syndromic intellectual disability in a female: A case study and review. %A Meira JGC %A Magalhães BS %A Ferreira IBB %A Tavares DF %A Kobayashi GS %A Leão EKEA %J Am J Med Genet A %V 185 %N 5 %D 05 2021 %M 33638286 %F 2.578 %R 10.1002/ajmg.a.62141 %X Heterozygous variants in USP9X are associated with female-restricted X-linked mental retardation (MRXS99F), a rare syndrome characterized by neurodevelopmental delay, intellectual disability (ID), and a wide variety of additional congenital anomalies. Here, we report a girl harboring a novel de novo loss-of-function variant in USP9X (c.4091delinsAG, p.Thr1364Lysfs*7), and literature review revealed novel prenatal features associated with MRXS99F, expanding the genotypic and phenotypic landscape of the syndrome. It is important to consider X-linked diseases in girls with ID and perform directed molecular investigation to provide correct diagnosis and prognosis.