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Published on: February 5, 2021
Upper airway malformation associated with partial trisomy 11q
Hui-quan Zhao1, Alan F Rope, Howard M Saal
1Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Ohio 45229, USA.
Insights
Trisomy 11q, a genetic condition, causes developmental delays and distinct facial features. A newly identified issue in some patients is upper airway obstruction due to an abnormal epiglottis, possibly linked to the 11q21-23.2 region.
Area of Science:
- Genetics
- Developmental Biology
- Pediatrics
Background:
- Trisomy 11q is a chromosomal abnormality linked to a spectrum of congenital anomalies.
- Commonly observed features include intellectual disability, growth retardation, hypotonia, characteristic facial dysmorphia, cardiac defects, and limb malformations.
Observation:
- This study presents four cases of partial trisomy 11q, distinct from the typical 11/22 translocation.
- A novel observation in three of these patients was upper airway obstruction.
- This obstruction was attributed to a malformed epiglottis.
Findings:
- The recurrent themes in trisomy 11q patients were confirmed.
- Upper airway obstruction due to epiglottic malformation is a previously unreported finding in trisomy 11q.
- The critical chromosomal region implicated in this specific malformation is 11q21-23.2.
Implications:
- This finding expands the known phenotype of trisomy 11q.
- It highlights the importance of evaluating airway function in affected individuals.
- Further research into the 11q21-23.2 region may elucidate the genetic basis of epiglottic development.
Abstract:
11q trisomy is associated with a recognizable pattern of multiple malformations. Review of the literature reveals the following recurrent themes common to complex and isolated 11q trisomy: mental retardation, pre- and postnatal growth retardation, hypotonia, a distinct pattern of facial features, congenital heart defects, and limb malformations. We report four patients with partial trisomy 11q, none of which arose from the common 11/22 translocation. Three of the four patients had the previously unreported finding of upper airway obstruction secondary to a malformed epiglottis. The critical region for this malformation appears to be 11q21-23.2.
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