Greenberg F, Ledbetter D H
Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030.
Am J Med Genet. 1987 Dec;28(4):813-20. doi: 10.1002/ajmg.1320280405.
Fifteen patients with deletion of proximal 15q without typical Prader-Willi syndrome (PWS) have been reported previously [Schwartz et al, 1985]. We report on 2 additional patients without typical PWS found to have deletions of 15q11-13 on chromosome analysis done for evaluation of developmental delay. Their manifestations include broad nasal bridge with telecanthus, full nasal tip with flare of nasal alae, long upper lip, posteriorly angulated ears, highly arched palate, hypotonia, seizures and marked developmental delay. It was suggested that there may be a specific phenotype associated with this deletion which differs from PWS. Whether this deletion differs from the deletion associated with PWS awaits delineation on a molecular level.
先前已报道过15例近端15q缺失但无典型普拉德-威利综合征(PWS)的患者[施瓦茨等人,1985年]。我们报告另外2例无典型PWS的患者,他们因发育迟缓接受评估而进行染色体分析时发现有15q11 - 13缺失。他们的表现包括鼻梁宽伴内眦距增宽、鼻尖饱满伴鼻翼外扩、上唇长、耳向后成角、腭弓高、肌张力低下、癫痫发作和明显的发育迟缓。有人提出,这种缺失可能存在一种与PWS不同的特定表型。这种缺失是否与PWS相关的缺失不同,有待在分子水平上进行明确。