BÁO CÁO CA BỆNH BẤT THƯỜNG NHIỄM SẮC THỂ HIẾM GẶP: MẤT ĐOẠN MỘT PHẦN NHIỄM SẮC THỂ 21q

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

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Abstract

SUMMARY: Partial deletion of the long arm of chromosome 21 (21q) is a rare chromosomal abnormality with highly variable phenotypic manifestations depending on the location and size of the deletion. Common clinical features include: facial abnormalities, microcephaly, heart defects, seizures, psychomotor retardation and mild to severe intellectual disability.... This study reports a case of a 5-day-old male patient was hospitalized because of respiratory failure, congenital heart defects, decreased muscle tone, and facial abnormalities. The patient had cytogenetic testing techniques performed at the National Children's Hospital with results of chromosome formula and results of fluorescence in situ hybridization (FISH): 46,XY,del(21)(q22.2).ish del(21)(D21S259/D21S341/D21S342-).

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References

[1] Roberson ED, Wohler ES, Hoover-Fong JE et al. Genomic analysis of partial 21q monosomies with variable phenotypes. Eur J Hum Genet 2011;19(2):235–238. https://doi.org/10.1038/ejhg.2010.150
[2] Su M, Benke PJ, Bademci G et al. Monosomy chromosome 21 compensated by 21q22.11q22.3 duplication in a case with small size and minor anomalies. Mol Cytogenet 2018;11:43. https://doi.org/10.1186/s13039-018-0390-4
[3] Lyle R, Bena F, Gagos S et al. Genotype-phenotype correlations in Down syndrome identified by array CGH in 30 cases of partial trisomy and partial monosomy chromosome 21. Eur J Hum Genet 2009;17(4):454–466. https://doi.org/10.1038/ejhg.2008.214
[4] Yao G, Chen XN, Flores-Sarnat L et al. Deletion of chromosome 21 disturbs human brain morphogenesis. Genet Med 2006;(1):1-7. https://doi.org/10.1097/01.gim.0000195892.60506.3f
[5] Oegema R, de Klein A, Verkerk AJ et al. Distinctive phenotypic abnormalities associated with submicroscopic 21q22 deletion including DYRK1A. Mol Syndromol 2010;1(3):113–120. https://doi.org/10.1159/000320113
[6] Fujita H, Torii C, Kosaki R et al. Microdeletion of the Down syndrome critical region at 21q22. Am J Med Genet Part A 2010;152A(4):950–953. https://doi.org/10.1002/ajmg.a.33228
[7] Valetto A, Orsini A, Bertini V et al. Molecular cytogenetic characterization of an interstitial deletion of chromosome 21 (21q22.13q22.3) in a patient with dysmorphic features, intellectual disability and severe generalized epilepsy. Eur J Med Genet 2012;55(5):362–366. https://doi.org/10.1016/j.ejmg.2012.03.011
[8] Hussein IR. Case report: Interstitial Deletion 21q22.13-Q22.3 in a Male Patient with Developmental Delay, Holoprosencephaly, Dysmorphic Features, and Multiple Congenital Anomalies. J Mol Biomark Diagn 2015;6:2. http://dx.doi.org/10.4172/2155-9929.1000222
[9] Lin D, Fang T, Lin L et al. A de novo pure 21q22.3 deletion in a 9-year-old boy with buried penis: a case report and literature review. Transl Pediatr 2021;10(10):2621-2629. https://doi.org/10.21037/tp-21-377
[10] Jespersgaard C, Damgaard IN, Cornelius N et al. Proximal 21q deletion as a result of a de novo unbalanced t(12;21) translocation in a patient with dysmorphic features, hepatomegaly, thick myocardium and delayed psychomotor development. Mol Cytogenet 2016;9:11. https://doi.org/10.1186/s13039-016-0220-5
[11] 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