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Clinical and molecular description of a fetus in prenatal diagnosis with a rare de novo ring 10 and deletions of 12.59 Mb in 10p15.3-p14 and 4.22 Mb in 10q26.3.

Abstract
Ring chromosomes are rare cytogenetic findings and are mostly associated with an abnormal phenotype. We report on the prenatal diagnosis of a ring chromosome 10 in a fetus in which talipes equinovarus was incidentally found during routine obstetric ultrasound at 22 weeks of gestation. Amniocentesis was undertaken and cytogenetic analysis revealed a de novo non-mosaic apparently stable ring chromosome 10 replacing one of the two homologs. Multiplex Ligation-dependent Probe Amplification (MLPA) revealed subtelomeric deletions in both the short and long arm of chromosome 10. Analysis with high resolution micro-array based comparative genomic hybridization (array-CGH), defined the ring chromosome as del 10p15.3-p14 (12.59 Mb in size) and del 10q26.3 (4.22 Mb in size) and revealed the genes that are deleted. After elected termination of the pregnancy at 27th week of gestation a detailed autopsy of the fetus allowed for genotype-phenotype correlations. To our knowledge, this is the first case of a de novo ring chromosome 10 which is reported during prenatal diagnosis and is thoroughly investigated with array CGH and autopsy study.
AuthorsG Christopoulou, M Tzetis, A E Konstantinidou, A Tsezou, E Kanavakis, S Kitsiou-Tzeli, V Velissariou
JournalEuropean journal of medical genetics (Eur J Med Genet) Vol. 55 Issue 1 Pg. 75-9 (Jan 2012) ISSN: 1878-0849 [Electronic] Netherlands
PMID21914491 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2011 Elsevier Masson SAS. All rights reserved.
Topics
  • Amniocentesis
  • Autopsy
  • Chromosome Deletion
  • Chromosomes, Human, Pair 10 (genetics)
  • Comparative Genomic Hybridization
  • Fatal Outcome
  • Female
  • Fetus (cytology, pathology)
  • Genetic Association Studies
  • Gestational Age
  • Humans
  • Male
  • Pregnancy
  • Pregnancy Outcome
  • Prenatal Diagnosis
  • Ring Chromosomes
  • Ultrasonography, Prenatal

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