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Child with De Novo t(1;6)(p22.1;p22.1) translocation and features of ectodermal dysplasia with hypodontia and
Alexander Asamoah1, Amy B Decker, Anne Wiktor
1Department of Medical Genetics, Henry Ford Hospital, Detroit, Michigan 48202, USA. aasamoa1@hfhs.org
Insights
A balanced translocation between chromosomes 1 and 6 in a young girl was linked to developmental delays and ectodermal dysplasia symptoms. This rare genetic rearrangement may indicate submicroscopic gene disruption.
Area of Science:
- Genetics
- Developmental Biology
- Clinical Medicine
Background:
- Ectodermal dysplasia encompasses a group of genetic disorders affecting ectodermal structures like hair, nails, teeth, and sweat glands.
- Developmental delays, including speech delay, and physical anomalies are common in various genetic syndromes.
- Chromosomal translocations can disrupt gene function and lead to complex phenotypes.
Purpose of the Study:
- To present a case of a 6.5-year-old girl with a balanced translocation t(1;6)(p22.1;p22.2).
- To investigate the potential link between this specific chromosomal rearrangement and symptoms of ectodermal dysplasia and developmental delay.
- To highlight a novel association between a balanced translocation and ectodermal dysplasia.
Main Methods:
- Clinical evaluation of a pediatric patient presenting with developmental speech delay and ectodermal abnormalities.
- Karyotyping to identify chromosomal abnormalities in the patient and her parents.
- Review of patient's physical characteristics, developmental milestones, and family history.
Main Results:
- The patient exhibited microcephaly, partial anodontia, poor hair and nail growth, decreased sweating, hyperacusis, and mild developmental delay.
- Karyotyping revealed a balanced translocation between chromosomes 1 and 6: 46,XX,t(1;6)(p22.1;p22.2).
- Parental karyotypes were normal, suggesting a de novo translocation in the patient.
Conclusions:
- The balanced translocation t(1;6)(p22.1;p22.2) is potentially associated with ectodermal dysplasia and developmental delay.
- The rearrangement may involve submicroscopic deletion or disruption of critical genes regulating ectodermal development.
- This case represents a unique chromosomal abnormality linked to ectodermal dysplasia, expanding the known genetic causes.
Abstract:
We report on a 6.5-year-old girl with a balanced translocation between the short arms of chromosomes 1 and 6. She was referred for genetics evaluation because of developmental speech delay and congenital absence of several deciduous and permanent teeth. She was very sensitive to noise (hyperacusis), had poor hair and nail growth, decreased sweating, and turned very red with high fever. She had microcephaly (head circumference at the second centile; weight and height were at 25th centile), short palpebral fissures, epicanthal folds, sparse eyelashes, large ears, partial anodontia, short finger and toenails, and dry skin. She had mild developmental delay. Family history was significant for learning problems in two paternal uncles, one paternal aunt, and several paternal cousins. Thyroid studies, calcium, phosphorus, and alkaline phosphatase levels were normal. Her karyotype was 46,XX,t(1;6)(p22.1;p22.2), and parental karyotypes were normal. This apparently balanced translocation may have resulted in either a submicroscopic loss or disruption of a gene or genes involved in ectodermal dysplasia. There are no reported cases of ectodermal dysplasia associated with this chromosome rearrangement.
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