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Mosaic normal/15q11-q13 duplication associated with developmental delay but normal phenotype.

E Goossens1, P Decock, S Potgieter

  • 1Center for Human Genetics, University of Leuven, Belgium.

Genetic Counseling (Geneva, Switzerland)
|July 28, 1999
PubMed
Summary
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A proximal duplication in chromosome 15 (15q11-15q13) was identified in a boy with developmental delay and seizures. This genetic finding occurred in mosaic form alongside a normal cell line.

Area of Science:

  • Human Genetics
  • Chromosomal Abnormalities
  • Developmental Biology

Background:

  • Chromosome 15 duplications are rare genetic alterations.
  • Mosaicism involves the presence of two or more cell lines with different genetic makeup within an individual.
  • Proximal duplications in the 15q11-15q13 region are associated with specific neurodevelopmental phenotypes.

Observation:

  • A 4-year-old boy presented with developmental delay and a history of seizures.
  • Clinical examination revealed a normal phenotype despite the neurological symptoms.
  • Karyotyping or chromosomal microarray analysis detected a mosaic proximal duplication of chromosome 15 (15q11-15q13).

Findings:

  • The genetic analysis confirmed a mosaic duplication in the 15q11-15q13 region.

Related Experiment Videos

  • The presence of both duplicated and normal cell lines (mosaicism) was a key finding.
  • The duplication occurred proximally on the long arm of chromosome 15.
  • Implications:

    • This case highlights the importance of genetic testing in children with unexplained developmental delay and seizures.
    • Mosaic chromosomal duplications can lead to variable clinical presentations, even with a normal phenotype.
    • Understanding the spectrum of 15q duplications is crucial for genetic counseling and clinical management.