BIẾN ĐỔI DI TRUYỀN VÀ ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN TRISOMY MỘT PHẦN NST 13: BÁO CÁO CA BỆNH

Trần Thị Huyền, An Thùy Lan, Hoàng Thị Thanh Mộc, Đinh Thị Hồng Nhung, Trần Thị Nga, Lê Thị Liễu, Ngô Thị Bích Ngọc, Nguyễn Xuân Huy, Dương Thị Thu Thủy, Hoàng Tiến Chung, Phạm Quốc Tuấn, Ngô Diễm Ngọc

##plugins.themes.vojs.article.main##

Abstract

Partial trisomy of chromosome 13 is a rare syndrome, manifested with diverse clinical symptoms such as neurological malformations, complex congenital heart defects, and craniofacial malformations. Severe symptoms can manifest from the fetal period causing miscarriage, stillbirth, or death in the first year. Some cases may have a longer life span, with multiple malformations such as: abnormal face, slow development, congenital heart disease, polydactyly, facial malformations, seizures. This study reports 1 case of a patient with partial trisomy 13 with clinical manifestations: abnormal face, cleft palate, congenital hydrocephalus, psychomotor retardation. The patient had the following chromosome analysis results: 46,XX,+der(13)t(13;21)(q32;q21),-21mat, the chromosomal abnormality originated from the mother. With this chromosome analysis result, in addition to the partial trisomy of chromosome 13, the patient also has a partial monosomy of chromosome 21. Partial monosomy of chromosome 21 at 21p13-q21 is also a rare chromosome abnormality with common symptoms of mild to moderate mental retardation.

##plugins.themes.vojs.article.details##

References

1. Thư Viện Y Học Quốc Gia – MedlinePlus: Trisomy 13.
2. Boue J, Boue A, Lazou P. Retrospective and prospective epidemiological studies of 1500 karyotyped spontaneous human abortions. Teratology 1975;12(1):11-26. https://doi.org/10.1002/tera.1420120103
3. Lindstrand A, Malmgren H, Sahlén S et al. Detailed molecular and clinical characterization of three patients with 21q deletions. Clin Genet 2010;77(2):145-154. https://doi.org/10.1111/j.1399-0004.2009.01289.x
4. Riegel M, Hargreaves P, Baumer A et al. Unbalanced 18q/21q translocation in a patient previously reported as monosomy 21. Eur J Med Genet 2005;48(2):167-174. https://doi.org/10.1016/j.ejmg.2005.01.026
5. Choi KC, Shin HS, Park YE et al. Partial Trisomy 13 (Patau Syndrome)- An Autopsy Report. Journal of Pathology and Translational Medicine 2002;36(5): 338-440.
6. Zhuang J, Chen C, Zhang H et al. Identification of partial trisomy 13q in two unrelated patients using single nucleotide polymorphism array and literature overview. Zhuang et al. Mol Cytogenet 2022;15(1):31. https://doi.org/10.1186/s13039-022-00608-y
7. Abuhamda A, Elsous A, Sharif F. Partial Trisomy of Chromosome 13 with a Novel Translocation (8;13) and Unique Clinical Presentation in a Palestinian Infant. Case Reports in Medicine 2019;2019(1):4561761. https://doi.org/10.1155/2019/4561761
8. Chen CP, Lin SP, Lee CC et al. Perinatal findings of partial trisomy 13q (13q14.1–>qter) resulting from paternal pericentric inversion of chromosome 13. Prenat Diagn 2005;25(6):527–528. https://doi.org/10.1002/pd.1177
9. Mathijssen IB, Hoovers JM, Mul AN et al. Array comparative genomic hybridization analysis of a familial duplication of chromosome 13q: a recognizable syndrome. Am J Med Genet A 2005;136(1):76–80. https://doi.org/10.1002/ajmg.a.30758
10. Wakui K, Toyoda A, Kubota T et al. Familial 14-Mb deletion at 21q11.2–q21.3 and variable phenotypic expression. J Hum Genet 2002;47(10):511-516. https://doi.org/10.1007/s100380200076