Burgess Trent, Brown Natasha J, Stark Zornitza, Bruno Damien L, Oertel Ralph, Chong Belinda, Calabro Vanessa, Kornberg Andrew, Sanderson Christine, Kelly Julian, Howell Katherine B, Savarirayan Ravi, Hinds Rupert, Greenway Anthea, Slater Howard R, White Susan M
Victorian Clinical Genetics Service, MCRI, Royal Children's Hospital, Parkville, Australia.
Am J Med Genet A. 2014 Jan;164A(1):77-86. doi: 10.1002/ajmg.a.36203. Epub 2013 Nov 21.
A recurrent proximal microdeletion at 15q25.2 with an approximate 1.5 megabase smallest region of overlap has recently been reported in seven patients and is proposed to be associated with congenital diaphragmatic hernia (CDH), mild to moderate cognitive deficit, and/or features consistent with Diamond-Blackfan anemia. We report on four further patients and define the core phenotypic features of individuals with this microdeletion to include mild to moderate developmental delay or intellectual disability, postnatal short stature, anemia, and cryptorchidism in males. CDH and structural organ malformations appear to be less frequent associations, as is venous thrombosis. There is no consistent facial dysmorphism. Features novel to our patient group include dextrocardia, obstructive sleep apnea, and cleft lip.
最近有报道称,7例患者存在15q25.2处复发性近端微缺失,其最小重叠区域约为1.5兆碱基,该微缺失被认为与先天性膈疝(CDH)、轻度至中度认知缺陷和/或符合先天性纯红细胞再生障碍性贫血的特征有关。我们报告了另外4例患者,并确定了具有这种微缺失的个体的核心表型特征,包括轻度至中度发育迟缓或智力残疾、出生后身材矮小、贫血以及男性隐睾症。CDH和结构性器官畸形似乎是较少见的关联,静脉血栓形成也是如此。没有一致的面部畸形。我们患者组的新特征包括右位心、阻塞性睡眠呼吸暂停和唇裂。