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Unequal mitotic sister chromatid exchange: A rare mechanism for chromosomal abnormality resulting in duplication/deletion of chromosome 7q

Journal Article · · American Journal of Human Genetics
OSTI ID:133674
; ;  [1]
  1. Montreal Children`s Hospital, Quebec (Canada)

We report a case of unequal mitotic chromatid exchange, which has rarely been reported as a mechanism for microscopic chromosomal anomalies. The proposita was born at 40 weeks, after an uneventful pregnancy, of parents with a negative family history. The baby was small for gestational age and had dysmorphic features, including scaphocephaly, bilateral epicanthal folds and palpebral ptosis, mild hypertelorism, hypoplasia of orbital contours, right coloboma, bulbous prominent nose, retrognathism, downturned mouth, low set posteriorly rotated ears, tapering of the limbs. bilateral Sydney creases. At 5 months, she was under the 5th percentile for height, weight and head circumference, and had a mild developmental delay. The karyotype showed an abnormality of chromosome 7 in all cells, half with a duplication and half with a deletion of the same region; 46,XX,del(7)(q33{yields}q34)/46,XX,dup(7)(q33{yields}q34). This chromosomal abnormality could be explained by an unequal chromatid exchange occuring in the first mitosis of the embryo. To our knowledge, only one such human microscopic abnormality, involving chromosome Y, has been reported to date. This type of genetic unbalance could be missed by molecular techniques.

OSTI ID:
133674
Report Number(s):
CONF-941009--
Journal Information:
American Journal of Human Genetics, Journal Name: American Journal of Human Genetics Journal Issue: Suppl.3 Vol. 55; ISSN AJHGAG; ISSN 0002-9297
Country of Publication:
United States
Language:
English

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