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"Essentially" pure trisomy 3q27 --> qter: further delineation of the partial trisomy 3q phenotype.
[wolf-hirschhorn syndrome]
Partial
duplication
3
q
is
a
well
defined
clinical
entity
characterized
by
growth
retardation
,
cryptorchism
,
microcephaly
,
and
characteristic
dysmorphisms
.
Most
patients
present
with
large
duplications
or
are
associated
with
a
second
chromosomal
imbalance
,
which
makes
the
definition
of
the
phenotype
difficult
.
Here
,
we
report
on
a
4
-
year
and
8
-
month
-old
girl
with
pre-
and
postnatal
measurements
in
the
high
normal
range
,
developmental
delay
,
minor
dysmorphic
features
,
and
a
de
novo
unbalanced
3
/
4
translocation
with
trisomy
3
q
27
-
-
>
qter
and
monosomy
of
the
subtelomeric
region
of
4
p
.
Conventional
karyotyping
,
FISH
with
probes
from
the
Wolf-
Hirschhorn
syndrome
critical
region
and
chromosome
4
p
locus-
specific
probes
,
microsatellite
marker-based
haplotyping
,
and
SNP
microarray
copy
number
analysis
revealed
a
terminal
4
p
deletion
of
less
than
500
kb
with
a
breakpoint
distal
to
the
Wolf-
Hirschhorn
syndrome
critical
region
,
a
chromosome
3
q
duplication
of
around
15
.
3
Mb
,
with
origin
of
the
rearrangement
in
paternal
meiosis
.
Thus
,
our
case
clearly
characterizes
the
phenotype
of
pure
partial
duplication
3
q
more
exactly
,
and
moreover
,
indicates
that
small
chromosome
rearrangements
might
lead
to
growth
in
the
upper
normal
range
or
even
cause
overgrowth
.
Diseases
Validation
Diseases presenting
"even cause overgrowth"
symptom
wolf-hirschhorn syndrome
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