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Updated: Aug 13, 2026

FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
Syndromal frontonasal dysostosis in a child with a complex translocation involving chromosomes 3, 7, and 11
1Department of Pediatrics, University of Tennessee, USA.
Insights
This study details a rare de novo balanced translocation in a child with frontonasal dysostosis. This genetic finding may aid in identifying genes responsible for craniofacial malformations.
Area of Science:
- Genetics
- Developmental Biology
- Clinical Medicine
Background:
- Frontonasal dysostosis is a rare congenital disorder characterized by craniofacial abnormalities.
- Genetic factors, particularly chromosomal abnormalities, are implicated in the etiology of frontonasal dysostosis.
Observation:
- A 4-year-old boy presented with typical frontonasal dysostosis and a complex de novo balanced translocation involving chromosomes 3, 7, and 11.
- The patient exhibited multiple congenital anomalies including hypertelorism, absent nasal tip, atrial septal defect, micropenis, and structural brain abnormalities.
Findings:
- Karyotyping revealed a 46,XY,t(7;3)(3;11) translocation with four breakpoints.
- Fluorescence in situ hybridization confirmed the GTG banding interpretation of the complex chromosomal rearrangement.
Implications:
- This case highlights the potential role of de novo balanced translocations in the pathogenesis of frontonasal dysostosis.
- Identifying the specific genes disrupted by this translocation could advance understanding of midline craniofacial development and malformations.
Abstract:
We report on a 4-year-old boy with typical frontonasal dysostosis and an apparently balanced de novo translocation involving chromosomes 3, 7, and 11, and four breakpoints. The karyotype was 46,XY,t(7;3)(3;11) (7pter-->7q21.3::3q27-->3qter;3pter-->3 q23::11q21-->11qter; 11pter-->11q21::3q23-->3q27::7q21.3-->7 qter). In situ hybridization with a chromosome 3 painting probe confirmed the interpretation from GTG banding. The child had a widow's peak, marked hypertelorism, absence of the nasal tip, and widely separated nares. He also had an atrial septal defect, micropenis, small testes, clubfeet, scoliosis, block C2-4, and structural brain abnormalities on MRI. In review we found two other cases of frontonasal dysostosis with chromosome abnormalities, neither of which was similar to our case. The presence of a de novo (apparently) balanced translocation in our patient may help to locate the gene(s) for frontonasal dysplasia and perhaps other midline craniofacial malformations.
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