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Published on: February 21, 2015
17p13.3 Microduplication Syndrome: Further Delineating the Clinical Spectrum
Chantal Farra1, Lina Abdouni1, Abeer Hani2
1Department of Pathology and Laboratory Medicine, Division of Medical Genetics, American University of Beirut Medical Center, Beirut, Lebanon.
Abstract:
17p13.3 microduplication syndrome has been associated with a clinical spectrum of phenotypes, and depending on the genes involved in the microduplication, it is categorized into two classes (Class I and Class II). We herein, describe two patients diagnosed with Class I 17p13.3 microduplication by BACs-on-Beads (BoBs) assay and further confirmed by fluorescence in situ hybridization (FISH). Our patients (Patient 1: 4-year-old male; Patient 2: 2-year-old male) presented with developmental delay, intellectual disability, and dysmorphic facial features. When compared with the literature, our patients manifested distinctive features (Patient 1: primary hypothyroidism; Patient 2: bilateral cryptorchidism) that were not previously described in the duplication 17p13.3 spectrum.
Insights
This study details two male patients with Class I 17p13.3 microduplication syndrome, presenting with developmental delay and intellectual disability. Distinctive features like hypothyroidism and cryptorchidism were observed, expanding the known phenotype of this genetic disorder.
Area of Science:
- Genetics
- Human Diseases
- Molecular Biology
Background:
- 17p13.3 microduplication syndrome presents a spectrum of phenotypes, classified into Class I and Class II based on implicated genes.
- Genetic duplications in this region are linked to various developmental and intellectual impairments.
Observation:
- Two pediatric male patients were diagnosed with Class I 17p13.3 microduplication using BACs-on-Beads (BoBs) and fluorescence in situ hybridization (FISH) assays.
- Both patients exhibited developmental delay, intellectual disability, and characteristic dysmorphic facial features.
Findings:
- Patient 1 presented with primary hypothyroidism, a feature not previously documented in the 17p13.3 microduplication spectrum.
- Patient 2 exhibited bilateral cryptorchidism, another novel finding within the described clinical spectrum.
Implications:
- These findings expand the known clinical variability of Class I 17p13.3 microduplication syndrome.
- The identification of new phenotypic features aids in more accurate diagnosis and genetic counseling for affected families.
- Further research into the specific genes within the 17p13.3 region may elucidate the mechanisms underlying these distinct clinical manifestations.
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