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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
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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