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Prenatal diagnosis of partial trisomy 3q (3q27.3→qter) and partial monosomy 14q (14q31.3→qter) of paternal origin associated with fetal hypotonia,arthrogryposis, scoliosis and hyperextensible joints
Authors:Chih-Ping Chen  Yao-Lung Chang  Schu-Rern Chern  Peih-Shan Wu  Jun-Wei Su  Wen-Lin Chen  Li-Feng Chen  Wayseen Wang
Affiliation:1. Department of Medicine, Mackay Medical College, New Taipei City, Taiwan;2. Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan;3. Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan;4. Department of Biotechnology, Asia University, Taichung, Taiwan;5. School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan;6. Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan;g Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei, Taiwan;h Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Lin-Kou Medical Center, Chang Gung University, Tao-Yuan, Taiwan;i Gene Biodesign Co. Ltd, Taipei, Taiwan;j Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung, Taiwan;k Department of Bioengineering, Tatung University, Taipei, Taiwan
Abstract:We present rapid aneuploidy diagnosis of partial trisomy 3q (3q27.3→qter) and partial monosomy 14q (14q31.3→qter) of paternal origin by aCGH using uncultured amniocytes in a fetus with hypotonia, scoliosis, arthrogryposis, hyperextensible joints, facial dysmorphism, ventricular septal defect, pulmonary stenosis, clenched hands, clubfoot, scalp edema and right hydronephrosis. We discuss the genotype–phenotype correlation of 3q duplication syndrome and terminal 14q deletion syndrome. We demonstrate that fetuses with a paternal-origin deletion of 14q involving the 14q32.2 imprinted region may prenatally present the upd(14)mat-like phenotype such as hypotonia, scoliosis, arthrogryposis and hyperextensible joints.
Keywords:Dup, duplication   del, deletion   pat, paternal   mat, maternal   UPD, uniparental disomy   ACGH, array comparative genomic hybridization   FISH, fluorescence in situ hybridization   QF-PCR, quantitative fluorescent polymerase chain reaction   t, translocation   der, derivative   MLPA, multiplex ligation-dependent probe amplification
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