Çaksen Hüseyin, Okut Hayrettin, İkbal Mevlit
Department of Pediatric Neurology and Pediatric Genetics, Meram Medical Faculty, Necmettin Erbakan University, Meram Konya, Turkey.
Department of Biometry and Genetics, Faculty of Agricultural, Yüzüncü Yıl University, Van, Turkey.
Sudan J Paediatr. 2019;19(1):57-59. doi: 10.24911/SJP.106-1539963785.
Intellectual disability (ID) is a heterogeneous condition, affecting 1-3% of general population. In this study, karyotype analysis was performed in 33 children with idiopathic ID in a hospital with limited laboratory facilities to determine the value of karyotype analysis as a first step test in children with idiopathic ID. Thirty-three patients with idiopathic ID were included in the study. Giemsa-trypsin-Leishman (GTL) banding karyotype resolution at a standard resolution of 550 bands was performed to determine whether the patients had microdeletion/microduplication by using of conventional karyotype analysis. Of 33 children, seven (21.2%) showed various chromosomal changes. Polymorphisms including 46,XX,1qh+; 46,XX,1qh+,1qh+; 46,X,add(Y),q12; 46,XY,21ps+ and 46,XX,1qh+ were diagnosed in five children. Inversion [46,XY,inv9(p12q13)] and inversion and polymorphisms [46,XY,inv9(p12q13),13ps+] were diagnosed in two children, respectively. We believe that inv(9)(p12q13) is a benign variant. In conclusion, our findings showed that the karyotype analysis was not helpful to determine etiology in children with idiopathic ID, probably because of the low patient number in our study.
智力残疾(ID)是一种异质性疾病,影响着1%至3%的普通人群。在本研究中,在一家实验室设施有限的医院对33名特发性智力残疾儿童进行了核型分析,以确定核型分析作为特发性智力残疾儿童初步检查的价值。33名特发性智力残疾患者纳入本研究。采用吉姆萨 - 胰蛋白酶 - 利什曼(GTL)显带技术,在550条带的标准分辨率下进行核型分析,以通过传统核型分析确定患者是否存在微缺失/微重复。33名儿童中,7名(21.2%)显示出各种染色体变化。5名儿童被诊断出多态性,包括46,XX,1qh+;46,XX,1qh+,1qh+;46,X,add(Y),q12;46,XY,21ps+和46,XX,1qh+。两名儿童分别被诊断出倒位[46,XY,inv9(p12q13)]以及倒位和多态性[46,XY,inv9(p12q13),13ps+]。我们认为inv(9)(p12q13)是一种良性变异。总之,我们的研究结果表明,核型分析对确定特发性智力残疾儿童的病因并无帮助,可能是因为我们研究中的患者数量较少。