Tuğ Esra, Yirmibeş Karaoğuz Meral, Kayhan Gülsüm, Ergün Mehmet Ali, Perçin Ferda E
Department of Medical Genetics, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey.
Am J Med Genet A. 2014 Jul;164A(7):1770-6. doi: 10.1002/ajmg.a.36495. Epub 2014 Mar 26.
Partial trisomy 11q is a rare syndrome and may be observed due to an intra-chromosomal duplication or an inter-chromosomal insertion. The deletions of the short arm of chromosome 12 are also uncommon structural aberrations. Only a small fraction of structural chromosome anomalies are related to the unbalanced progeny of balanced translocation carrier parents. We here report on a 10-month-old baby boy who shows a very mild phenotype related to unique chromosomal abnormality, partial trisomy of 11q, and partial monosomy of 12p, due to the maternal balanced reciprocal translocation (11;12). The proband showed a 49.64 Mb duplication of 11q14.1-q25 and 0.44 Mb deletion of 12p13.33 in chromosomal array analysis. Since it is known that the duplications may cause a milder phenotype than deletions. Dysmorphic facial features, minor cardiac anomalies, respiratory distress, central nervous system anomalies, and psychomotor delay observed in the patient was similar to the reported pure 11q duplication cases, while behavioral problems observed in pure monosomy 12p cases could not be evaluated due to the young age of the patient. Phenotype-genotype correlation will be discussed in view of all the reported pure partial 11q trisomies and pure partial 12p deletion cases.
11q部分三体综合征是一种罕见的综合征,可能由于染色体内重复或染色体间插入而出现。12号染色体短臂的缺失也是不常见的结构畸变。只有一小部分染色体结构异常与平衡易位携带者父母的不平衡子代有关。我们在此报告一名10个月大的男婴,他表现出与独特的染色体异常相关的非常轻微的表型,即由于母亲的平衡相互易位(11;12)导致的11q部分三体和12p部分单体。在染色体阵列分析中,先证者显示11q14.1-q25有49.64 Mb的重复和12p13.33有0.44 Mb的缺失。由于已知重复可能比缺失导致更轻微的表型。患者中观察到的面部畸形特征、轻微心脏异常、呼吸窘迫、中枢神经系统异常和精神运动发育迟缓与报道的纯11q重复病例相似,而由于患者年龄小,无法评估纯12p单体病例中观察到的行为问题。将结合所有报道的纯11q部分三体和纯12p部分缺失病例讨论表型-基因型相关性。