Confirmation of a cryptic unbalanced translocation using whole chromosome fluorescence in situ hybridization

We report on a 7‐year‐old boy with minor anomalies, growth retardation, and developmental delay with an initial 46,XY,der(18)t(18;?)(q23;?) chromosome constitution. To determine the origin of the additional chromosome segment, several candidate regions were identified including 4q and 18q. Clinical...

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Veröffentlicht in:American journal of medical genetics 1992-11, Vol.44 (4), p.477-481
Hauptverfasser: Mewar, Reema, Kline, Antonie D., Jackson, Laird, Overhauser, Joan
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container_title American journal of medical genetics
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creator Mewar, Reema
Kline, Antonie D.
Jackson, Laird
Overhauser, Joan
description We report on a 7‐year‐old boy with minor anomalies, growth retardation, and developmental delay with an initial 46,XY,der(18)t(18;?)(q23;?) chromosome constitution. To determine the origin of the additional chromosome segment, several candidate regions were identified including 4q and 18q. Clinical comparison showed more similarities to individuals with partial dup(4q) than to those with a dup(18q). Whole chromosome fluorescence in situ hybridization (FISH) was used to demonstrate the correct origin of the translocated region, clarifying the karyotype as 46,XY,der(18)t(4;18) (q28.2;q22.2), thus generating information of clinical importance. This illustrates the use of whole chromosome FISH to identify chromosome regions that cannot be determined conclusively using standard cytogenetic banding techniques. © Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajmg.1320440418
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subjects Biological and medical sciences
Child
chromosome 18
chromosome 4
Chromosome aberrations
Chromosome Aberrations - genetics
Chromosome Aberrations - physiopathology
Chromosome Disorders
Chromosomes, Human, Pair 18
Chromosomes, Human, Pair 4
fluorescence in situ hybridization
Humans
In Situ Hybridization
Male
man
Medical genetics
Medical sciences
Microscopy, Fluorescence
Multigene Family
translocation
Translocation, Genetic - genetics
unbalanced translocation
title Confirmation of a cryptic unbalanced translocation using whole chromosome fluorescence in situ hybridization
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