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Microarray analysis of unbalanced translocation in Wolf-Hirschhorn syndrome.
[wolf-hirschhorn syndrome]
Wolf-
Hirschhorn
syndrome
(
WHS
)
is
caused
by
deletions
involving
chromosome
region
4
p
16
.
3
,
which
is
characterized
by
growth
delay
,
mild
-
to
-
severe
mental
retardation
,
hypotonia
,
facial
dysmorphisms
and
shows
extensive
phenotypic
variability
include
feeding
difficulties
,
epilepsy
and
congenital
anomalies
.
Variation
in
the
size
of
the
deletion
involving
chromosome
region
4
p
16
.
3
may
explain
the
clinical
variation
.
However
,
previous
studies
indicate
that
duplication
for
another
chromosome
region
due
to
an
unbalanced
translocation
elucidate
approximately
40
-
45
%
WHS
patients
.
Therefore
,
we
used
whole
genomic
cytogenetics
array
to
analyze
the
entire
genome
at
a
significantly
higher
resolution
over
conventional
cytogenetics
to
characterize
the
exact
subtelomeric
aberration
region
of
one
patient
with
developmental
delay
and
several
facial
characteristics
reminiscent
Wolf-
Hirschhorn
syndrome
.
Here
we
report
that
our
patient
had
3
.
7
Mb
deletion
at
the
4
p
16
.
2
and
6
.
8
Mb
duplication
at
8
p
23
.
1
resulted
from
the
unbalanced
translocations
der
(
4
)
t
(
4
;
8
)
(
p
16
.
2
;
p
23
.
1
)
.
We
confirmed
that
our
patient
with
monosomy
4
p
16
.
2
which
is
consistent
with
Wolf-
Hirschhorn
syndrome
and
trisomy
8
p
23
.
1
.
The
combination
of
the
4
p
deletion
with
8
p
partial
trisomy
explains
the
complex
phenotype
presented
by
our
patient
.
Diseases
Validation
Diseases presenting
"epilepsy"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
canavan disease
classical phenylketonuria
cohen syndrome
cowden syndrome
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
kabuki syndrome
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
pendred syndrome
phenylketonuria
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated