Schlegel Z, Valent A, Hirsch A
Ophthalmology Department, Gonesse Hospital, 95503 Gonesse, France.
J Fr Ophtalmol. 2009 Oct;32(8):533-9. doi: 10.1016/j.jfo.2009.06.004. Epub 2009 Aug 6.
We describe a new case of a male patient with a small marker chromosome present as 80% mosaic, derived from chromosome 5 with presence of posterior iridolenticular synechia, high hyperopia, epicanthic folds, hypertelorism, moderate developmental delay with lack of speech, macrocephaly, and subtle dysmorphic features including micrognathia, slightly rotated ears, and polydactyly. The karyotype of our patient was as follows: 46, XY/47, XY +mar, characterized by FISH (fluorescence in situ hybridization) using the chromosome five painting probe. Ocular involvement in trisomic 5 subjects is a very rare event. To our knowledge, only two cases have been described to date. The present case contributes to the description of the ocular presentation and the distinct clinical phenotype of de novo partial trisomy 5 syndrome.
我们描述了一例新的男性患者,其存在一条小标记染色体,嵌合体比例为80%,该染色体源自5号染色体,伴有虹膜晶状体后粘连、高度远视、内眦赘皮、眼距过宽、中度发育迟缓伴言语缺失、巨头畸形以及包括小颌畸形、耳朵轻度旋转和多指畸形在内的细微畸形特征。我们患者的核型如下:46, XY/47, XY +mar,通过使用5号染色体涂染探针的荧光原位杂交(FISH)进行表征。5号染色体三体患者出现眼部受累是非常罕见的事件。据我们所知,迄今为止仅描述过两例。本病例有助于描述从头部分5号染色体三体综合征的眼部表现和独特的临床表型。