Supernumerary chromosome der(22)t(11;22): Emanuel syndrome associates with novel features
E Yosunkaya Fenerci1, G S Guven, D Kuru
1Department of Medical Biology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey. yosunkayafenerci@hotmail.com
Abstract:
Emanuel syndrome results from +der(22)t(11q23;22q11). Cleft palate, ear anomalies, heart defects, genital anomalies, hypotonia, and mental retardation are the main features of the syndrome. We report a nine-year-old boy with the t(11;22)(q23;q11) chromosome, transmitted in an unbalanced fashion from his mother, and originated in the maternal grandmother's meiosis. In addition to mental retardation, hypotonia, craniofacial anomalies, and cryptorchidism, he has novel findings such as, joint hyperextensibility, left liver lobe agenesis, left sided malposition of the gallbladder and pancreas hypoplasia. This is the first report associating these features with Emanuel syndrome.
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