2004
DOI: 10.1002/ajmg.a.30130
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A de novo complex karyotype with two independent balanced translocations and a double inversion of chromosome 6 presenting with multiple congenital anomalies

Abstract: We report a 4-year-old female with a de novo complex karyotype with multiple chromosomal rearrangements and a distinctive phenotype. Her medical history is significant for having been a twin born at 35 weeks gestation, breech presentation, with feeding problems and poor growth as an infant, gastroesophageal reflux disease, peripheral pulmonic stenosis, omphalocele, high myopia, and severe mental retardation. She is small for her age with microcephaly, posteriorly sloping forehead, shallow orbits, long palpebra… Show more

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Cited by 6 publications
(5 citation statements)
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“…Several imbalances involving chromosome 6 have been described [Schroer et al, 1980;Pivnick et al, 1990;Uhrich et al, 1991;Rubtsov et al, 1996;Stein et al, 1996;Henegariu et al, 1997;Hopkin et al, 1997;Kumar et al, 1997;Zneimer et al, 1998;Cappon et al, 2000;Gilhuis et al, 2000;Goh et al, 2000;Causio et al, 2001;Faivre et al, 2002;Temple and Shield, 2002;Giardino et al, 2003;Vermeesch and Fryns, 2003;Kline et al, 2004] and a hot spot of genomic instability corresponding to a known genomic disorder was reported on 6p (congenital adrenal hyperplasia III) [Bailey et al, 2002], thus suggesting that, as reported for other chromosomes, chromosome 6 could be prone to chromosomal imbalances due to the existence of complex genomic architecture that may create instability (Ji et al, 2000;Shaw and Lupski, 2004).…”
Section: Discussionmentioning
confidence: 91%
“…Several imbalances involving chromosome 6 have been described [Schroer et al, 1980;Pivnick et al, 1990;Uhrich et al, 1991;Rubtsov et al, 1996;Stein et al, 1996;Henegariu et al, 1997;Hopkin et al, 1997;Kumar et al, 1997;Zneimer et al, 1998;Cappon et al, 2000;Gilhuis et al, 2000;Goh et al, 2000;Causio et al, 2001;Faivre et al, 2002;Temple and Shield, 2002;Giardino et al, 2003;Vermeesch and Fryns, 2003;Kline et al, 2004] and a hot spot of genomic instability corresponding to a known genomic disorder was reported on 6p (congenital adrenal hyperplasia III) [Bailey et al, 2002], thus suggesting that, as reported for other chromosomes, chromosome 6 could be prone to chromosomal imbalances due to the existence of complex genomic architecture that may create instability (Ji et al, 2000;Shaw and Lupski, 2004).…”
Section: Discussionmentioning
confidence: 91%
“…Individuals with pericentric inversions are at risk for producing offspring with large chromosomal gains and losses, while those carrying paracentric inversions usually produce unviable gametes [Madan, 1995]. A de novo complex karyotype with multiple cytogenetic abnormalities including a double inversion of chromosome 6 presenting in a child with multiple congenital anomalies has been described using conventional cytogenetics, FISH, and spectral karyotype [Kline et al, 2004], though the parents and siblings had normal chromosome complements. Breakage of a dicentric chromosome resulting from a paracentric inversion in a parent has been reported in a patient with developmental delay, poor auditory attention, impulsiveness, and a decreased attention span [Cooke et al, 2008].…”
Section: Discussionmentioning
confidence: 99%
“…Several imbalances involving chromosome 6 have been described [Schroer et al, 1980; Pivnick et al, 1990; Uhrich et al, 1991; Rubtsov et al, 1996; Stein et al, 1996; Henegariu et al, 1997; Hopkin et al, 1997; Kumar et al, 1997; Zneimer et al, 1998; Cappon et al, 2000; Gilhuis et al, 2000; Goh et al, 2000; Causio et al, 2001; Faivre et al, 2002; Temple and Shield, 2002; Giardino et al, 2003; Vermeesch and Fryns, 2003; Kline et al, 2004] and a hot spot of genomic instability corresponding to a known genomic disorder was reported on 6p (congenital adrenal hyperplasia III) [Bailey et al, 2002], thus suggesting that, as reported for other chromosomes, chromosome 6 could be prone to chromosomal imbalances due to the existence of complex genomic architecture that may create instability (Ji et al, 2000; Shaw and Lupski, 2004).…”
Section: Discussionmentioning
confidence: 99%