1990
DOI: 10.1002/ajmg.1320350104
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Chromosome mosaicism in hypomelanosis of Ito

Abstract: Our finding of chromosome mosaicism with a ring 22 in a retarded black boy with hypomelanosis of Ito prompted a review of this "syndrome." Most patients have a variety of non-dermal defects, particularly those affecting CNS function. Among karyotyped patients, most are chromosome mosaics of one sort or another. Hypomelanosis of Ito turns out to be a causable non-specific phenotype, i.e., a clinical marker for chromosome mosaicism of all different types in individuals with a dark enough skin to show lighter pat… Show more

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Cited by 97 publications
(63 citation statements)
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“…It is commonly found to be caused by chromosomal mosaicism. Chromosomes involved have included trisomy 18 mosaicism [Grazia et al, 1993;Chitayat, 1990], structural mosaicism for 19p deletion [Bocian et al, 1993], diploid/triploid mosaicism [Donnai et al, 1986], partial trisomy 10 mosaicism [Boon et al, 1996], trisomy 13 mosaicism [Pillay et al, 1998], functional disomy of Xp [Fritz, 1998], ring 22 mosaicism [Ritter et al, 1990], trisomy 22 mosaicism [Crowe et al, 1997], X/autosomal translocation mosaicism, ring 10 mosaicism, 45X/46X+ ring mosaicism, 13q11 deletion mosaicism, mosaic tetrasomy 12p, balanced 15/22 translocation [Sybert et al, 1990], translocation 7/15 unbalanced mosaicism [Pellegrino et al, 1995], and many others. Thus, it seems reasonable to extrapolate that mosaicism for any chromosome abnormality may be associated with Blaschkolinear pigment dysplasia.…”
Section: Discussionmentioning
confidence: 99%
“…It is commonly found to be caused by chromosomal mosaicism. Chromosomes involved have included trisomy 18 mosaicism [Grazia et al, 1993;Chitayat, 1990], structural mosaicism for 19p deletion [Bocian et al, 1993], diploid/triploid mosaicism [Donnai et al, 1986], partial trisomy 10 mosaicism [Boon et al, 1996], trisomy 13 mosaicism [Pillay et al, 1998], functional disomy of Xp [Fritz, 1998], ring 22 mosaicism [Ritter et al, 1990], trisomy 22 mosaicism [Crowe et al, 1997], X/autosomal translocation mosaicism, ring 10 mosaicism, 45X/46X+ ring mosaicism, 13q11 deletion mosaicism, mosaic tetrasomy 12p, balanced 15/22 translocation [Sybert et al, 1990], translocation 7/15 unbalanced mosaicism [Pellegrino et al, 1995], and many others. Thus, it seems reasonable to extrapolate that mosaicism for any chromosome abnormality may be associated with Blaschkolinear pigment dysplasia.…”
Section: Discussionmentioning
confidence: 99%
“…This criterion excludes all skin lesions that do not represent a mosaic. The underlying mechanism may be either func tional mosaicism resulting from the Lyon effect of X-inactivation or genomic mosaicism resulting from a somatic mutation or a gametic half-chromatid mutation [24], For example, in lesions of pigmentary disturbance that follow the lines of Blaschko and therefore can undoubtedly be cat egorized as nevi, cytogenetic analysis has revealed mosai cism for various chromosomal anomalies [12,13,15,16,26,27]. In the McCune-Albright syndrome, a sporadic trait characterized by a peculiar systematized pigmentary nevus in the form of broad bands following the lines of Blaschko.…”
Section: A Proposed New Definitionmentioning
confidence: 99%
“…Most patients were mosaic for aneuploidy or unbalanced translocations, with two or more chromosomally distinct cell lines either within the same tissue or between tissues. 28 Karyotyping of blood and, if necessary skin, to detect mosaicism is therefore warranted in all patients presenting with unexplained swirly pigmentary changes, as this appears to be a nonspecific clinical marker for chromosomal mosaicism, 29 particularly if an undiagnosed multiple congenital anomaly syndrome and developmental impairment are present as well.…”
Section: Discussionmentioning
confidence: 99%