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从基因到模糊性:一项探索13号染色体长臂缺失综合征与生殖器模糊之间神秘联系的案例研究。

From Genes to Ambiguity: A Case Study Exploring the Enigmatic Connection Between Chromosome 13q Deletion Syndrome and Ambiguous Genitalia.

作者信息

Yost McKenna, Johnson Terry, Kaiser Jacob, Yost Connor

机构信息

Obstetrics and Gynecology, A.T. Still University School of Osteopathic Medicine in Arizona, Mesa, USA.

Pediatrics and Child Health, Pediatric Associates, Wichita Falls, USA.

出版信息

Cureus. 2023 Sep 13;15(9):e45168. doi: 10.7759/cureus.45168. eCollection 2023 Sep.

Abstract

During development, the deletion of DNA from chromosome 13's short arm (q) causes a chromosomal abnormality known as chromosome 13q deletion syndrome. Chromosome 13 terminal deletions are rare and may cause various congenital disabilities, and only a few cases have been reported in the literature. The extent of chromosome 13q deletion syndrome changes lacks consistent clinical features, with no recorded cases of genital ambiguity until now. We report the case of a newborn male patient whose testes had descended on both sides; he had ambiguous genitalia, and the dorsal surface of his penis was attached to his scrotal sac. An abnormal karyotype (46, XY, deletion (13) q33) was discovered by using a G-banding analysis of chromosomes in a blood sample taken from the periphery, which revealed a deletion of chromosome 13 at the end of the first 10 cells. We can better characterize chromosome 13q deletions by establishing stronger correlations between karyotype and the distinctive phenotypes of haploinsufficient genes found on the chromosome.

摘要

在发育过程中,13号染色体短臂(q)上的DNA缺失会导致一种名为13q染色体缺失综合征的染色体异常。13号染色体末端缺失较为罕见,可能会导致各种先天性残疾,文献中仅报道了少数病例。13q染色体缺失综合征变化的程度缺乏一致的临床特征,迄今为止尚无生殖器模糊的病例记录。我们报告了一例新生男婴病例,其双侧睾丸已降入阴囊;他存在生殖器模糊,阴茎背面与阴囊相连。通过对取自外周血样本的染色体进行G显带分析,发现了异常核型(46, XY, 缺失(13)q33),在前10个细胞中均显示13号染色体末端缺失。通过在核型与该染色体上发现的单倍剂量不足基因的独特表型之间建立更强的相关性,我们可以更好地描述13q染色体缺失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fae/10499301/2f7a42278711/cureus-0015-00000045168-i01.jpg

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