Kolgeci Selim, Kolgeci Jehona, Azemi Mehmedali, Daka Aferdita, Shala-Beqiraj Ruke, Kurtishi Ilir, Sopjani Mentor
Obstetrics and Gynecology Clinic, University Clinical Centre of Kosova, Prishtina, Kosova.
Pediatric Clinic, University Clinical Centre of Kosova, Prishtina, Kosova.
Acta Inform Med. 2015 Jun;23(3):178-83. doi: 10.5455/aim.2015.23.179-183. Epub 2015 May 25.
The present study is carried out to evaluate the risk of giving birth to children with Down syndrome in a family with Robertsonian translocation 14q;21q, and to find the dermatoglyphic changes present in carriers of this translocation.
Cytogenetics diagnosis has been made according to Moorhead and Seabright method, while the analysis of prints (dermatoglyphics analysis) was made with the Cummins and Midlo method.
Cytogenetic diagnosis has been made in a couple who suffered the spontaneous miscarriages and children with Down syndrome. Robertsonian translocation between chromosomes 14 and 21 (45, XX, der (14; 21) (q10; q10)) was found in a female partner who had four pregnancies, in two of which was found fetus karyotype with trisomy in chromosome 21 and pregnancies were terminated. The outcome of fourth pregnancy was twin birth, one of them with normal karyotype and another with Down syndrome due to Robertsonian translocation inherited by mother side. Specific dermatoglyphics traits are found in the child carrying Down syndrome, whereas several traits of dermatoglyphics characteristic of Down syndrome have been displayed among the silent carriers of Robertsonian translocation 14q;21q.
Robertsonian translocation found in female partner was the cause of spontaneous miscarriages, of giving birth to a child with Down syndrome, and of trisomy of chromosome 21 due to translocation in two pregnancies.
本研究旨在评估一个患有罗伯逊易位14q;21q的家庭中生育唐氏综合征患儿的风险,并找出这种易位携带者身上存在的皮纹变化。
细胞遗传学诊断按照穆尔黑德和西布赖特方法进行,而指纹分析(皮纹分析)则采用康明斯和米德洛方法。
对一对经历过自然流产和生育唐氏综合征患儿的夫妇进行了细胞遗传学诊断。在一名有过四次妊娠的女性伴侣中发现了14号和21号染色体之间的罗伯逊易位(45, XX, der (14; 21) (q10; q10)),其中两次妊娠中胎儿核型显示21号染色体三体,妊娠终止。第四次妊娠的结果是双胞胎出生,其中一个核型正常,另一个因从母亲一方遗传的罗伯逊易位而患有唐氏综合征。在患有唐氏综合征的孩子身上发现了特定的皮纹特征,而在罗伯逊易位14q;21q的隐性携带者中也显示出一些唐氏综合征特有的皮纹特征。
女性伴侣中发现的罗伯逊易位是自然流产、生育唐氏综合征患儿以及两次妊娠中因易位导致21号染色体三体的原因。