Ring chromosome 2 in a child with growth failure and few congenital abnormalities

Insights

A rare ring chromosome 2 mosaic was identified in a newborn female experiencing severe growth issues. Despite the chromosomal abnormality, her psychomotor development remained normal up to 19 months old.

Area of Science:

  • Genetics
  • Developmental Biology
  • Human Chromosome Research

Background:

  • Mosaicism involving ring chromosomes can lead to variable clinical presentations.
  • Ring chromosome 2 is a rare chromosomal abnormality.
  • Understanding the origin and impact of mosaic chromosomal abnormalities is crucial for genetic counseling.

Observation:

  • A newborn female presented with severe intrauterine growth retardation (IUGR) and postnatal growth failure.
  • She exhibited minor physical abnormalities.
  • A mosaic karyotype of 46,XX/46,XX,r(2)(p25q37) was detected, with the ring chromosome 2 present in 77.8% of cells.

Findings:

  • G- and R-banding confirmed the breakpoints of the ring chromosome 2 at p25 and q37.
  • The ring chromosome 2 was de novo, absent in parents and sibling.
  • The presence of a normal cell line (46,XX) suggested the abnormality occurred post-conception.

Implications:

  • This case highlights the occurrence of ring chromosome 2 mosaicism and its association with significant growth deficits.
  • The normal psychomotor development in the infant suggests that the impact of this specific ring chromosome 2 mosaicism may vary.
  • Further research is needed to elucidate the long-term outcomes and developmental trajectory in individuals with ring chromosome 2 mosaicism.

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