A Novel 4q32.3 Deletion in a Child: Additional Signs and the Role of MARCH1.

IF 0.4 Q4 PEDIATRICS
Journal of pediatric genetics Pub Date : 2021-11-02 eCollection Date: 2021-12-01 DOI:10.1055/s-0041-1736458
Xena Giada Pappalardo, Martino Ruggieri, Raffaele Falsaperla, Salvatore Savasta, Umberto Raucci, Piero Pavone
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引用次数: 0

Abstract

The 4q deletion syndrome is an uncommon condition manifesting with broad clinical expression and phenotypic variability. We report a 5-year-old boy affected by 4q deletion syndrome who showed minor craniofacial features, growth failure, mild developmental delay, severe speech delay, and marked irascibility and aggressivity. Moreover, he showed precocious and crowded primary dentition, digital hyperlaxity, and congenital bilateral adducted thumbs, signs which were previously unreported in the syndrome. The array comparative genomic hybridization analysis revealed a 4q partial terminal deletion of ∼329.6 kb extending from 164.703.186 to 165.032.803 nt, which includes part of MARCH1 (membrane associated ring-CH-type finger 1) gene (OMIM#613331). Same rearrangement was found in his healthy mother. Clinical phenotype of the child and its relationship to the deleted region is presented with a revision of the cases having the same copy number losses from the literature and genomic variant databases.

一种新的儿童4q32.3缺失:附加信号和MARCH1的作用。
4q缺失综合征是一种罕见的疾病,具有广泛的临床表达和表型变异性。我们报告一个5岁的男孩,他患有4q缺失综合征,表现出轻微的颅面特征,生长衰竭,轻度发育迟缓,严重的语言迟缓,以及明显的易怒和攻击性。此外,他还表现出原生牙列早熟和拥挤,手指过度松弛,先天性双侧拇指内收,这些症状在以前的综合征中未被报道过。阵列比较基因组杂交分析显示,4q部分末端缺失约329.6 kb,从164.703.186延伸到165.032.803 nt,其中包括MARCH1(膜相关环- ch型手指1)基因(omim# 613331)的一部分。在他健康的母亲身上也发现了同样的重排。儿童的临床表型及其与缺失区域的关系是通过对文献和基因组变异数据库中具有相同拷贝数损失的病例的修订提出的。
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来源期刊
自引率
0.00%
发文量
32
期刊介绍: The Journal of Pediatric Genetics is an English multidisciplinary peer-reviewed international journal publishing articles on all aspects of genetics in childhood and of the genetics of experimental models. These topics include clinical genetics, molecular genetics, biochemical genetics, medical genetics, dysmorphology, teratology, genetic counselling, genetic engineering, formal genetics, neuropsychiatric genetics, behavioral genetics, community genetics, cytogenetics, hereditary or syndromic cancer genetics, genetic mapping, reproductive genetics, fetal pathology and prenatal diagnosis, multiple congenital anomaly syndromes, and molecular embryology of birth defects. Journal of Pediatric Genetics provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis of childhood genetics. Journal of Pediatric Genetics encourages submissions from all authors throughout the world. The following articles will be considered for publication: editorials, original and review articles, short report, rapid communications, case reports, letters to the editor, and book reviews. The aim of the journal is to share and disseminate knowledge between all disciplines in the field of pediatric genetics. This journal is a publication of the World Pediatric Society: http://www.worldpediatricsociety.org/ The Journal of Pediatric Genetics is available in print and online. Articles published ahead of print are available via the eFirst service on the Thieme E-Journals platform.
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