Molecular cytogenetic characterization of del(X)(p22.33)mat and de novo dup(4)(q34.3q35.2) in a male fetus with multiple anomalies of facial dysmorphism, ventriculomegaly, congenital heart defects, short long bones and clinodactyly

Copyright © 2023. Published by Elsevier B.V..

OBJECTIVE: We present molecular cytogenetic characterization of del(X) (p22.33)mat and de novo dup(4) (q34.3q35.2) in a male fetus with multiple anomalies of facial dysmorphism, ventriculomegaly, congenital heart defects, short long bones and clinodactyly.

CASE REPORT: A 36-year-old, gravida 3, para 1, woman with short stature (152 cm) underwent amniocentesis at 17 weeks of gestation because of advanced maternal age. Amniocentesis revealed a karyotype of 46,Y,del(X)(p22.33)mat, dup(4)(q34.3q35.2). The mother had a karyotype of 46,X,del(X)(p22.33). Array comparative genomic hybridization (aCGH) analysis on the DNA extracted from cultured amniocytes revealed arr Xp22.33 × 0, 4q34.3q35.2 × 3. Prenatal ultrasound at 23 weeks of gestation revealed multiple anomalies of flat nasal bridge, ventriculomegaly, atrioventricular septal defect (AVSD) and clinodactyly. The pregnancy was subsequently terminated, and a malformed fetus was delivered with facial dysmorphism. Cytogenetic analysis of the umbilical cord revealed 46,Y,del(X)(p22.33)mat, dup(4)(q34.3q35.2)dn. aCGH analysis on the DNA extracted from the umbilical cord revealed arr [GRCh37 (hg19)] 4q34.3q35.2 (181,149,823-188,191,938) × 3.0, arr Xp22.33 (470,485-2,985,006) × 0 with a 7.042-Mb duplication of 4q34.3-q35.2 and a 2.514-Mb deletion of Xp22.33.

CONCLUSION: A male fetus with del(X)(p22.33) and dup(4)(q34.3q35.2) may present congenital heart defects and short long bones on prenatal ultrasound.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Taiwanese journal of obstetrics & gynecology - 62(2023), 3 vom: 15. Mai, Seite 453-456

Sprache:

Englisch

Beteiligte Personen:

Chen, Chih-Ping [VerfasserIn]
Huang, Jian-Pei [VerfasserIn]
Chen, Yi-Yung [VerfasserIn]
Chen, Shin-Wen [VerfasserIn]
Chern, Schu-Rern [VerfasserIn]
Wu, Peih-Shan [VerfasserIn]
Wu, Fang-Tzu [VerfasserIn]
Pan, Yen-Ting [VerfasserIn]
Chen, Wen-Lin [VerfasserIn]
Pan, Chen-Wen [VerfasserIn]
Wang, Wayseen [VerfasserIn]

Links:

Volltext

Themen:

4q34.3q35.2 duplication
Case Reports
Congenital heart defects
Short long bones
Xp22.33 deletion

Anmerkungen:

Date Completed 17.05.2023

Date Revised 17.05.2023

published: Print

Citation Status MEDLINE

doi:

10.1016/j.tjog.2023.03.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356911098