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一名患有神经系统问题儿童的意外发现:嵌合型环状18号染色体。

An unexpected finding in a child with neurological problems: mosaic ring chromosome 18.

作者信息

Koç Altuğ, Kan Derya, Karaer Kadri, Ergün Mehmet A, Karaoğuz Meral Yirmibeş, Gücüyener Kivilcim, Hinreiner Sophie, Liehr Thomas, Perçin E Ferda

机构信息

Department of Medical Genetics, Faculty of Medicine, Gazi University, Ankara, Turkey.

出版信息

Eur J Pediatr. 2008 Jun;167(6):655-9. doi: 10.1007/s00431-007-0568-y. Epub 2007 Aug 1.

DOI:10.1007/s00431-007-0568-y
PMID:17668239
Abstract

Major neurological disorders may accompany rare chromosomal abnormalities. As an example of this rare condition, we present a case with microcephaly, mental retardation, developmental delay, hyperactivity, stereotypic movements, seizures and dysmorphic facial appearance in whom a mosaic ring chromosome 18 was found [45,XX,-18/46,XX,r(18)/46,XX,dicr(18)]. Although ring chromosome 18 phenotype has been known for a long time, this is the third reported patient with a dicentric ring chromosome 18 mosaicism. The presented case will contribute to the identification of the genotype-phenotype correlation in chromosome 18 anomalies.

摘要

严重的神经疾病可能伴有罕见的染色体异常。作为这种罕见病症的一个例子,我们报告一例患有小头畸形、智力发育迟缓、发育延迟、多动、刻板动作、癫痫发作和面部畸形的病例,该病例中发现了嵌合型环状染色体18 [45,XX,-18/46,XX,r(18)/46,XX,dicr(18)]。虽然环状染色体18的表型早已为人所知,但这是第三例报告的具有双着丝粒环状染色体18嵌合现象的患者。该病例将有助于确定18号染色体异常中的基因型-表型相关性。

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本文引用的文献

1
Clinical and molecular characterization of individuals with 18p deletion: a genotype-phenotype correlation.18p缺失个体的临床与分子特征:基因型-表型相关性
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18q deletions: clinical, molecular, and brain MRI findings of 14 individuals.18号染色体长臂缺失:14例个体的临床、分子及脑部磁共振成像结果
Am J Med Genet A. 2006 Feb 15;140(4):331-9. doi: 10.1002/ajmg.a.31072.
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Chromosome 18 replaced by two ring chromosomes of chromosome 18 origin.18号染色体被两条源自18号染色体的环状染色体所取代。
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Meiotic origin of two ring chromosomes 18 in a girl with developmental delay.一名发育迟缓女孩体内两条18号环状染色体的减数分裂起源
Am J Med Genet. 2002 Nov 15;113(1):101-4. doi: 10.1002/ajmg.10700.
5
Microdissection based high resolution multicolor banding for all 24 human chromosomes.基于显微切割的高分辨率多色带型分析用于人类所有24条染色体
Int J Mol Med. 2002 Apr;9(4):335-9.
6
First familial case of ring chromosome 18 and monosomy 18 mosaicism.首例18号环状染色体和18号单体嵌合体的家族性病例。
Am J Med Genet. 2001 Dec 1;104(3):257-9.
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Minute supernumerary marker chromosomes identified in two patients with a related, larger pseudodicentric chromosome.
Am J Med Genet. 2001 Oct 15;103(3):193-7. doi: 10.1002/ajmg.1565.abs.
8
Complete karyotype discrepancy between placental and fetal cells in a case of ring chromosome 18.18号环状染色体病例中胎盘细胞与胎儿细胞的完全核型差异
Prenat Diagn. 2001 Jun;21(6):481-3. doi: 10.1002/pd.99.
9
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