case
no.
|
gender/
age at diagnosis
|
studied
material
|
de
novo/
inherited
|
GTG-banding
result
grade of mosaicism
|
final
result of the sSMC
|
test
methods
|
clinical
symptoms
|
Reference
|
08-
N-
pt23.3/
1-1 |
female/
16y |
PBL |
de novo |
47,XX,+mar[15]/
46,XX[5] |
inv dup(8)(pter→p23.3:
:p23.3→pter) |
pan centromeric probe; midi;
locus-specific probes in 8p23 |
see below |
{31; 36; 37; 47; 71} |
Patient born
after a 32-week pregnancy and uncomplicated
vaginal delivery. The mother reportedly
drank six to seven quarts of beer per day
for two to three years and throughout the
pregnancy and smoked one to two packs of
cigarettes per day. She also had a
psychiatric history, including treatment
with trifluoperazine and chlorpromazine.
Birth weight 1510 g, APGAR 7/8/-. Gavage
feeding was needed for poor suck. At 20 days
weight 1720 g, length 43 cm, OFC 29 cm (all
<5th centile), increased hair on the
forehead, camptodactyly of 5th fingers,
rocker bottom feet, hypertonia with tight
fisting of hands and limited extension of
the elbows, knees, and hips. Weight and
height were below the 5th centile throughout
development. At 2-3/12 y small skull.
Developmental delayed. Psychological testing
at 5 y full-scale IQ score of 45 (verbal 52;
performance 40; Wechsler Preschool and
Primary Scale of Intelligence); moderate
mental retardation; difficult to control,
aggressive, and having an attention deficit
at age 12-11/12. At15-5/12 y mild prominence
of the ventricles; persistent spasticity in
the lower limbs, with tight hamstring
muscles and heel cords. Facial hirsutism at
13 y with onset of puberty; MRI at 15-2/12 y
showed elongated ovaries containing multiple
cysts dispersed throughout; at 15-1/12 y
drooping eyelids, double vision, bumping
into objects, some difficulty swallowing;
Examination in the Genetics Clinic at age
15-9/12 showed: weight 41.4 kg (<5th
centile; 50th centile for 12 years), height
131 cm (<5th centile; 50th centile for
7-1/2 years), OFC 56 cm (75th centile),
inner canthal distance 3.2 cm (75-97th
centile), ears 4.7 cm (<3rd centile; 50th
centile for 9 months), hands 14.5-15 cm
(<3rd centile; 50th centile for 9 years),
palms 9 cm (3rd centile), and feet 19.5-20
cm (<3rd centile; 50th centile for 8
years). Facial hair was increased. There
were contractures of the second, third,
fourth, and fifth digits of mainly the right
hand. At 16 y, persistent ptosis |
08-
N-
pt23.2~23.1/
1-1 |
male/
prenatal |
AF/PBL |
de novo |
47,XY,+mar[7]/
46,XY[18]
mar in 21% of PBL |
inv dup(8)(pter→p23.2~23.1:
:p23.2~23.1→pter)* |
M-FISH, all
telomeres; sub-telomere 8p, 8p22 specific
probe |
Detected
prenatally due to AMA; as ultrasound was
normal pregnancy was continued; at 2y2m boy
was physically and developmentally normal |
{39} case 2 {71} |
08-
N-
pt23.1/
1-1 |
male/
30y |
PBL |
de novo
(maternal?
8%) |
47,XY,+mar[90%]/
46,XY[10%]
mar in 100% in fibroblasts |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
M-FISH, sub
telomere 8p; all telomeres, all ceps |
mild MR
and inappropriate sexual behavior,
mild dysmorphism with long face and
high arched palate, DD. |
{38; 71}identical with
?{26; 36; 47} unpublished case in Tab.
II |
08-
N-
pt23.1/
1-2 |
female/
2y |
PBL |
de novo |
47,XX,+mar[100] |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
midi; locus-specific probes in
8p23.3 and 8p22~23.1 |
see below |
{27; 28;
36; 47; 71} |
pregnancy
uneventful, delivery premature due to
rupture of embryonic membrane; birth weight
2035g; 2w after birth heart murmur due to
patent ductus arteriousus with pulmonary
hypertension; At 2.25y weight 11.72kg, HC
50.2cm, length 86cm; broad forehead,
developmental delay |
08-
N-
pt23.1/
1-3 |
male/
8y |
PBL |
de novo |
47,XY,+mar[100] |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
pan
centromeric probe; midi; locus-specific
probes in 8p23 |
Referred at
8 y for DD with no obvious dysmorphic
features. Observed to be good at sports but
no other information regarding the patient
could be obtained. |
{30} case 2 {36; 47; 71} |
08-
N-
pt23.1/
1-4 |
male/
23y |
PBL |
de novo |
47,XY,+mar[25%]/
46,XY[~75%] |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
midi,
wcp-FISH |
feminine
stature, small testes, recurrent bone
fractures, kyphosis, recurrent myocarditis,
mentally normal |
{46; 71} |
08-
N-
pt23.1/
1-5 |
n.a./
n.a. |
n.a. |
n.a. |
n.a. |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
n.a. |
n.a. |
{47} |
08-
N-
pt23.1/
1-6 |
male/
11y |
PBL |
de novo |
47,XY,+mar[~40%]/
46,XY[~60%] |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
pan
centromeric probe; midi; locus-specific
probes in 8p23 |
see below |
{30} case 1
{36; 47; 71} |
first
referred at 2 months of age for failure to
thrive, no palpable testis, bilateral
inguinal hernia; born at term by emergency
caesarean section after arrested breech;
heart murmur at birth - later found to be
patent ductus arteriousus; microphallus,
bilateral undescended testes, bilateral
inguinal hernia, recurrent bronchiolitis,
milk allergy and asthma. At age 2 years and
6 months height below 3rd centile; weight
between 3rd and 10th centile. At age 9
Attention Deficit Hyperactivity Disorder;
below average intellectual ability. At 13y,
short stature (below 3rd centile), delayed
puberty, continued behavioral problems, IQ
of 75. |
08-
N-
pt23.1/
1-7 |
n.a./
n.a. |
n.a. |
n.a. |
47,+mar[?%] |
inv dup(8)(pter→p23.1:
:p23.1→pter) |
n.a. |
n.a. |
{75} |
08-
N-
pt23.1/
1-8 |
female/
20m |
PBL |
pat
(low mosaic) |
47,XX,+mar[100%] |
inv dup(8)(pter→p23.1:
:p23.1→pter)
aCGH (hg19) on sSMC:
2 copies: 0-7.07 Mb
1 copy: 8.09-11.90 Mb |
aCGH |
DD; father
normal |
{0} |
08-
N-
pt23.1/
2-1 |
female/
4y |
PBL |
de novo |
47,XX,+mar[100%] |
der(8)(pter→p23.1::p23.3→p23.1:)
array: 0.0-6.79MB |
FISH
aCGH |
clinically
abnormal |
{0} provided from Germany
|
08-
N-
pt23/
1-1 |
female/
postnatal |
PBL |
n.a. |
47,XX,+mar[21]/
46,XX[6] |
inv dup(8)(pter→p23::p23→pter)[7]/
r(8)(::pter→p23::)[8]/
min(8)(pter→p23:)[6] |
CGH, aCGH;
MCB |
slight MR |
{101} |
08-
N-
pt23/
1-2 |
male/
8y |
PBL |
n.a. |
47,XY,+mar[?]/
46,XY[?] |
inv dup(8)(pter→p23::p23→pter) |
MCB, subtel
|
DD, MR
|
{125, case 2} |
08-
N-
pt23/
1-2 |
n .a./
postnatal |
PBL |
n.a. |
47,XN,+mar[?100%] |
inv dup(8)(pter→p23::p23→pter) |
FISH |
n.a. |
{102} |
08-
N-
pt22/
1-1 |
female/
prenatal |
AF/
PBL |
de novo |
47,XX,+mar[3]/
46,XX[14]
mar in 50% of PBL |
inv dup(8)(pter→p22:
:p22→pter) |
midi,
band-specific probes |
see below |
{45; 71} |
Amniocentesis
due to AMA. Patient born at week 41 after
normal pregnancy; Birth weight: 3410g, APGAR
9/10; no dysmorphism seen at birth. At 8m
minor epicanthal fold on the left side and
hemangiomas on right temple. No DD |
08-
N-
pt22/
1-2 |
n.a./
n.a. |
n.a. |
n.a. |
n.a. |
inv dup(8)(pter→p22:
:p22→pter) |
n.a. |
n.a. |
{47} |
|