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Mosaic trisomy 15 and hemihypertrophy.

M Gérard-Blanluet1, A Elbez, A Bazin

  • 1Service de Pédiatrie Néonatale, Centre Hospitalier Intercommunal, 40 Avenue de Verdun, 94010, Créteil, France. marion.gerard@chicreteil.fr

Annales De Genetique
|November 6, 2001
PubMed
Summary

This study details a rare case of mosaic trisomy 15, presenting with developmental delay and hemihypertrophy, distinct from Prader-Willi or Angelman syndromes. This finding highlights a novel association in genetic disorders.

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Area of Science:

  • Genetics
  • Developmental Biology
  • Clinical Medicine

Background:

  • Mosaic trisomy, characterized by the presence of an extra chromosome in some cells, can lead to diverse clinical presentations.
  • Prader-Willi and Angelman syndromes are typically associated with chromosome 15 abnormalities, but not exclusively.

Observation:

  • A case of mosaic trisomy 15 (11%) was identified during amniocentesis.
  • The patient exhibited mental retardation, facial dysmorphism, and progressive right hemihypertrophy, with no features of Prader-Willi or Angelman syndromes.
  • Postnatal evaluations, including blood karyotype, were normal, but mosaicism was confirmed in fibroblasts, placenta, and cord.

Findings:

  • Molecular analysis excluded uniparental disomy for chromosome 15.
  • This case represents the first reported instance of hemihypertrophy associated with mosaic trisomy 15.

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  • The patient experienced developmental delay alongside the observed hemihypertrophy.
  • Implications:

    • This case expands the known phenotypic spectrum of mosaic trisomy 15.
    • It underscores the importance of considering mosaic trisomy in cases with unexplained developmental delay and hemihypertrophy.
    • Further research is needed to understand the mechanisms linking mosaic trisomy 15 to hemihypertrophy.