eISSN 2093-6338 is characterized by craniofacial dysmorphisms (bulbous nose, prominent philtrum, thickened alae nasi, and large prominent ears), ectodermal anomalies (sparse, slowly growing scalp hair), skeletal abnormalities (short stature, brachydactyly), multiple osteochondromas, and intellectual disability [3,4]. Here, we present a case of LGS with complex chromosomal rearrangements. This case is the second report worldwide on the complex chromosomal rearrangement causing LGS and the rst such report in Korea [3].
CASE REPORTThe patient was a 5-month-old girl, born at 39 weeks of gestation with a 3.8 kg birth weight, and with chief symptoms of clinodactyly and weakness in both thumbs. She had facial dysmorphisms such as brachycephaly, a bulbous nose, prominent alae nasi, thick nasal septum, prominent ears, and a missing uvula. She also had Langer-Giedion syndrome is a very rare genetic disorder that is caused by the deletion on chromosome 8q24.1, encompassing the TRPS1 and EXT1 genes. We describe a 5-month-old female patient who was admitted to our hospital with clinodactyly and weakness in both thumbs. The patient's karyotype was 46,XX,der(4)t(4;19)(q27;q11),der(8)t(4;8)(q27;q22.3),der(19)t(8;19)(q22.3;q11)del(8)(q23q24.1). Multiplex ligation-dependent probe amplification (MLPA) analysis showed that the patient had a heterozygous deletion, rsa 8q24(P064)x1 and rsa 8q24(P245)x1. Array comparative genomic hybridization (CGH) analysis further revealed three interstitial deletions spanning a total of 13.7 Mb at 8q23.1-q24.13. Based on clinical findings and confirmation by cytogenetic, MLPA, and array CGH analyses, the patient was diagnosed with sporadic Langer-Giedion syndrome with three-way translocations. This is the first case of Langer-Giedion syndrome with complex chromosomal rearrangements in Korea.