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Recombination in a male carrier of two reciprocal translocations involving chromosomes 14, 14', 15, and 21 leading to balanced and unbalanced rearrangements in offspring.
[monosomy 21]
We
report
an
unusual
case
of
a
familial
complex
chromosome
rearrangement
(
CCR
)
,
ascertained
through
prenatal
diagnosis
.
The
fetus
carried
an
apparently
balanced
CCR
with
a
recombinant
3
-
segment
chromosome
derived
from
two
paternal
reciprocal
translocations
involving
both
homologs
of
chromosome
14
and
chromosomes
15
and
21
,
respectively
.
A
probably
normal
phenotype
was
predicted
and
confirmed
after
birth
.
His
older
sister
carried
an
unbalanced
karyotype
with
partial
trisomy
14
and
partial
monosomy
21
,
and
displayed
an
apparently
normal
,
paternally
derived
chromosome
14
that
resulted
from
recombination
between
two
derivative
chromosomes
.
Fluorescent
in
situ
hybridization
(
FISH
)
and
molecular
studies
were
essential
for
the
characterization
of
the
rearrangement
.
The
"
rebuilding
,
"
through
recombination
,
of
a
chromosome
involved
in
two
different
translocations
in
a
progenitor
,
was
demonstrated
for
the
first
time
by
molecular
analysis
.
Our
family
is
another
good
example
of
how
balanced
familial
complex
translocations
are
in
a
state
of
flux
and
can
change
from
one
generation
to
the
next
.
Diseases
Validation
Diseases presenting
"prenatal diagnosis"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenomyeloneuropathy
alexander disease
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
classical phenylketonuria
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cystinuria
dentinogenesis imperfecta
epidermolysis bullosa simplex
harlequin ichthyosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kindler syndrome
krabbe disease
lamellar ichthyosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
phenylketonuria
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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