[Prenatal diagnoses in a family with pericentric inversion of chromosome no. 5]

Zentralblatt Fur Gynakologie
|January 1, 1983
PubMed

Insights

A family with a chromosome 5 pericentric inversion experienced a child with Cri-du-Chat syndrome. Prenatal diagnosis identified the inversion in one pregnancy, leading to its termination.

Area of Science:

  • Human Genetics
  • Medical Genetics
  • Cytogenetics

Background:

  • Hereditary chromosomal abnormalities can lead to congenital disorders.
  • Pericentric inversions are structural rearrangements of chromosomes that can disrupt gene function.
  • Cri-du-Chat syndrome is a genetic disorder caused by a deletion on the short arm of chromosome 5.

Observation:

  • A family presented with a child diagnosed with Cri-du-Chat syndrome (46,XY,del(5)(p13)).
  • Genetic analysis revealed a hereditary pericentric inversion of chromosome 5 (p13 to q35) in the family.
  • Prenatal diagnosis was performed on three pregnancies within the family.

Findings:

  • The first pregnancy resulted in a phenotypically normal female (46,XX).
  • The second pregnancy yielded a phenotypically normal male with the identified pericentric inversion (46,XY, inv(5)(p13 to q35)).
  • The third pregnancy showed a derivative chromosome 5 (46,XX,der (5)(pter to q35::p13 to pter)) and was terminated. Fetal kidney tissue culture confirmed these cytogenetic findings.

Implications:

  • This case highlights the importance of cytogenetic analysis in families with recurrent genetic disorders.
  • Prenatal diagnosis is crucial for identifying chromosomal abnormalities and informing reproductive decisions.
  • Understanding the inheritance patterns of chromosomal inversions is vital for genetic counseling and risk assessment.

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