Kennerknecht I, Barbi G, Rodens K
Abteilung Klinische Genetik, Universität Ulm, Germany.
Am J Med Genet. 1993 Dec 1;47(8):1157-60. doi: 10.1002/ajmg.1320470805.
We report on a patient with primordial growth retardation, mental retardation, and minor anomalies (triangular face, open sagittal suture, frontal bossing, telecanthus, upturned nose, micrognathia, and small mouth with downturned corners). The diagnosis of Russell-Silver syndrome (RSS) had been considered but was abandoned when cytogenetic evaluation showed a partial trisomy 1q or duplication 1q (46,XY,15, + der(15)t(1;15)(q42;qter). Data from another 5 reports of dup(1)(q42-->qter) do not allow delineation of a typical syndrome. However, individuals with dup(1q), del(15q), and Russell-Silver syndrome share common manifestations (i.e., low birth weight, growth retardation, triangular face, low set/abnormal ears, micrognathia, renal anomalies.
我们报告了一名患有原发性生长发育迟缓、智力障碍和轻微异常(三角脸、矢状缝开放、额部隆起、内眦距增宽、鼻尖上翘、小颌畸形以及口角下垂的小嘴)的患者。曾考虑诊断为罗素 - 西尔弗综合征(RSS),但当细胞遗传学评估显示部分1q三体或1q重复(46,XY,15, + der(15)t(1;15)(q42;qter))时放弃了该诊断。另外5例dup(1)(q42→qter)报告的数据无法明确典型综合征。然而,dup(1q)、del(15q)和罗素 - 西尔弗综合征患者有共同表现(即低出生体重、生长发育迟缓、三角脸、低位/异常耳、小颌畸形、肾脏异常)。