Berner A L, Bağci S, Wohlleber E, Engels E, Müller A, Bartmann P, Weber R G, Reutter H
Department of Neonatology, Children's Hospital, Bonn, Germany.
Cytogenet Genome Res. 2012;136(4):308-13. doi: 10.1159/000337019. Epub 2012 Mar 17.
Carriers of completely balanced chromosomal translocations have all necessary genetic information. Nevertheless, because of the possibility of maldistribution during gametogenesis, they are at increased risk for infertility, miscarriage, stillbirth or having a child with congenital anomalies including mental retardation. As postnatal clinical reports are infrequent, prediction of clinical course for specific unbalanced karyotypes diagnosed during pregnancy remains difficult. Here, we report the 6th case of partial trisomy 6p and partial monosomy 20p due to an unbalanced adjacent-1 segregation of the rare familial translocation t(6;20)(p21;p13). We give a thorough clinical description of the present case, demonstrating broad phenotypic overlap with the 5 previously published cases reviewed here, providing important data on postnatal outcome.
完全平衡染色体易位的携带者拥有所有必要的遗传信息。然而,由于在配子发生过程中存在分配不均的可能性,他们面临不孕、流产、死产或生育患有包括智力迟钝在内的先天性异常孩子的风险增加。由于产后临床报告很少,预测孕期诊断出的特定不平衡核型的临床病程仍然困难。在此,我们报告了第6例因罕见家族性易位t(6;20)(p21;p13)的不平衡邻接-1分离导致的6p部分三体和20p部分单体病例。我们对本病例进行了全面的临床描述,表明与本文回顾的5例先前发表的病例有广泛的表型重叠,提供了关于产后结局的重要数据。