“…Other manifestations of RTS can include various bone defects (small build, microcephaly, scoliosis, small hands and feet, prominent frontal boss, hypoplasia of the ulna/radium/calf bone, diffused or localized osteoporosis, aplastic or bipartite patella, syndactyly) dental deformations (microdontia and dental breakthrough disorders) gastrointestinal disorders (anal, duodenal or esophagus stenosis, annular pancreas and recto-vaginal fistula) genital defects (hypogonadism, amenorrhea and sterility) and psychomotor retardation. 7,8,[10][11][12] The etiology of this syndrome has been the subject of much speculation. A cytogenetic analysis performed on fibroblasts and lymphocytes revealed the presence of karyotype irregularities such as supernumerary chromosomes (mosaic trisomy: 2, 7, 8) and isochromosomes (2q, 7q, 8q and 21q).…”