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Trisomy 8 mosaicism syndrome.

Marzena Wiśniewska1, Małgorzata Mazurek

  • 1Department of Medical Genetics, Karol Marcinkowski University of Medical Sciences, Poznań, Poland. wisniew@sk5.usoms.poznan.pl

Journal of Applied Genetics
|June 27, 2002
PubMed
Summary

This case study highlights a 15-year-old boy initially evaluated for Marfan syndrome. Chromosomal analysis revealed trisomy 8 mosaicism, offering a new diagnosis for his symptoms.

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Area of Science:

  • Genetics
  • Clinical Medicine
  • Pediatrics

Background:

  • Marfan syndrome is a genetic disorder affecting connective tissue, often presenting with skeletal, ocular, and cardiovascular abnormalities.
  • The patient, a 15-year-old male, had a long-standing clinical history suggestive of Marfan syndrome.
  • Symptoms included skeletal defects, mild intellectual disability, and facial dysmorphic features.

Observation:

  • The patient's prolonged evaluation for Marfan syndrome involved assessment of multiple physical characteristics.
  • Despite extensive evaluation for Marfan syndrome, a definitive diagnosis remained elusive for many years.
  • Detailed clinical observation noted skeletal abnormalities, cognitive impairment, and distinct facial features.

Findings:

  • Chromosomal analysis was performed to investigate the underlying cause of the patient's complex phenotype.
  • The chromosomal analysis identified a trisomy 8 mosaicism in the patient.
  • This genetic finding provides a potential explanation for the observed clinical features.

Implications:

  • Trisomy 8 mosaicism should be considered in the differential diagnosis of patients with features overlapping Marfan syndrome.
  • Accurate genetic diagnosis is crucial for appropriate patient management and genetic counseling.
  • This case underscores the importance of comprehensive genetic testing in complex pediatric cases.

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