%0 Systematic Review %T An atypical Aymé-Gripp phenotype detected by exome sequencing. %A Caiazza M %A Budillon A %A Monda E %A Aruta G %A Esposito A %A Del Vecchio Blanco F %A Piluso G %A Nigro V %A Scarano G %A Limongelli G %J Am J Med Genet A %V 194 %N 1 %D 2024 01 15 %M 37712597 %F 2.578 %R 10.1002/ajmg.a.63406 %X Aymé-Gripp Syndrome (AGS) is an ultra-rare syndrome characterized by peculiar facial traits combined with early bilateral cataracts, sensorineural hearing loss, and variable neurodevelopmental abnormalities. Only a few cases carrying a pathogenic variant in MAF have been described to date. A significant effort is then required to expand the genotypic and phenotypic spectrum of this condition. In this paper, we report the peculiar case of a 6-year-old girl carrying a de novo missense pathogenic variant in MAF, being the first case reported to show a milder phenotype with no cataracts and deafness displayed. Furthermore, we performed a systematic review of previously published cases, focusing on clinical manifestation and genotype.