Partial trisomy 13 with features similar to C syndrome
1Department of Medical Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. shubha@sgpgi.ac.in
Insights
A child presented with partial trisomy 13, a condition causing specific physical features and developmental delay. This occurred due to a chromosomal rearrangement inherited from a carrier mother, highlighting the importance of genetic counseling.
Area of Science:
- Genetics
- Developmental Biology
- Clinical Medicine
Background:
- Partial trisomy 13 is a rare chromosomal abnormality.
- Pericentric inversions can lead to unbalanced rearrangements in offspring.
- Accurate genetic diagnosis is crucial for understanding phenotypic outcomes.
Observation:
- A case of partial trisomy 13 was identified.
- The proband exhibited trigonocephaly, upslant eyes, long smooth philtrum, polydactyly, agenesis of the right kidney, and mild developmental delay.
- The mother, phenotypically normal, carried a pericentric inversion of chromosome 13.
Findings:
- The child inherited a recombinant chromosome 13 from the mother.
- This recombinant chromosome resulted in partial trisomy 13 in the proband.
- The mother's balanced inversion was the source of the unbalanced segregation.
Implications:
- Early genetic diagnosis and counseling are vital for families with chromosomal abnormalities.
- Prenatal testing and carrier screening are recommended for at-risk relatives.
- Understanding the mechanism of recombination in inversions aids in predicting reproductive risks.
Abstract:
We report a case of partial trisomy 13 with trigonocephaly, upslant eyes, long smooth philtrum, polydactyly, agenesis of right kidney and mild developmental delay. In this family phenotypically normal mother had pericentric inversion of chromosome 13 and the child (proband) received recombinant 13 from the mother. Genetic counselling of the family for reproductive risks and testing siblings of the mother for detection of balanced carriers is essential.
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