Wieser Iris, Wohlmuth Christoph, Rittinger Olaf, Fischer Thorsten, Wertaschnigg Dagmar
Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria.
Department for Clinical Genetics, Paracelsus Medical University, Salzburg, Austria.
Am J Med Genet A. 2015 Oct;167A(10):2294-9. doi: 10.1002/ajmg.a.37145. Epub 2015 May 5.
Trisomy 13 mosaicism is a rare genetic disorder affecting a small minority of all trisomy 13 cases. It occurs when two cell populations that are karyotypically different are present in the same individual and are derived from a single zygote. As a rule, the phenotype is mitigated to a less dysmorphic appearance and longer survival, making genetic counseling a difficult task. Capillary hemangiomas are a common feature of full trisomy 13, seen in 27-56% of all cases. We report on an 18-months-old girl with extensive cutaneous anomalies, mild dysmorphic features, and slight psychomotor delay, without structural defects and provide an up-to-date review of all cases of trisomy 13 mosaicism with skin involvement. To our knowledge, this is the second clinical report of a patient with trisomy 13 mosaicism with hemangiomas and port wine stains, but no structural defects. © 2015 Wiley Periodicals, Inc.
13三体嵌合体是一种罕见的遗传疾病,在所有13三体病例中仅占少数。当同一个体中存在两种核型不同的细胞群,且它们都来源于同一个受精卵时,就会出现这种情况。通常,其表型会有所减轻,外观畸形程度降低,生存期延长,这使得遗传咨询成为一项艰巨的任务。毛细血管瘤是完全型13三体的常见特征,在所有病例中占27% - 56%。我们报告了一名18个月大的女童,她有广泛的皮肤异常、轻度畸形特征和轻微的精神运动发育迟缓,无结构缺陷,并对所有有皮肤受累的13三体嵌合体病例进行了最新综述。据我们所知,这是第二例关于患有13三体嵌合体且有血管瘤和葡萄酒色斑但无结构缺陷患者的临床报告。© 2015威利期刊公司