Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality

Introduction. The coexistence of Down and Turner syndromes due to double chromosome aneuploidy is very rare; it is even more rare to find the presence of a double monoclonal chromosomal abnormality. Objective. To report a unique case of double monoclonal chromosomal abnormality with trisomy of chrom...

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Main Authors: Gioconda Manassero-Morales, Denisse Alvarez-Manassero, Alfredo Merino-Luna
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/8760504
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author Gioconda Manassero-Morales
Denisse Alvarez-Manassero
Alfredo Merino-Luna
author_facet Gioconda Manassero-Morales
Denisse Alvarez-Manassero
Alfredo Merino-Luna
author_sort Gioconda Manassero-Morales
collection DOAJ
description Introduction. The coexistence of Down and Turner syndromes due to double chromosome aneuploidy is very rare; it is even more rare to find the presence of a double monoclonal chromosomal abnormality. Objective. To report a unique case of double monoclonal chromosomal abnormality with trisomy of chromosome 21 and an X ring chromosome in all cells studied; no previous report has been found. Case Report. Female, 28 months old, with pathological short stature from birth, with the following dysmorphic features: tilted upward palpebral fissures, short neck, brachycephaly, and low-set ears. During the neonatal period, the infant presented generalized hypotonia and lymphedema of hands and feet. Karyotype showed 47,X,r(X),+21 [30]. Conclusion. Clinical features of both Down and Turner syndromes were found, highlighting short stature that has remained below 3 z score from birth to the present, associated with delayed psychomotor development. G-banded karyotype analysis in peripheral blood is essential for a definitive diagnosis.
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spelling doaj-art-3c60272c5d5c4cfab05792f91298915d2025-02-03T01:07:53ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/87605048760504Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal AbnormalityGioconda Manassero-Morales0Denisse Alvarez-Manassero1Alfredo Merino-Luna2Genetics Division, Instituto Nacional de Salud del Niño, San Borja, PeruSchool of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, PeruSchool of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, PeruIntroduction. The coexistence of Down and Turner syndromes due to double chromosome aneuploidy is very rare; it is even more rare to find the presence of a double monoclonal chromosomal abnormality. Objective. To report a unique case of double monoclonal chromosomal abnormality with trisomy of chromosome 21 and an X ring chromosome in all cells studied; no previous report has been found. Case Report. Female, 28 months old, with pathological short stature from birth, with the following dysmorphic features: tilted upward palpebral fissures, short neck, brachycephaly, and low-set ears. During the neonatal period, the infant presented generalized hypotonia and lymphedema of hands and feet. Karyotype showed 47,X,r(X),+21 [30]. Conclusion. Clinical features of both Down and Turner syndromes were found, highlighting short stature that has remained below 3 z score from birth to the present, associated with delayed psychomotor development. G-banded karyotype analysis in peripheral blood is essential for a definitive diagnosis.http://dx.doi.org/10.1155/2016/8760504
spellingShingle Gioconda Manassero-Morales
Denisse Alvarez-Manassero
Alfredo Merino-Luna
Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
Case Reports in Pediatrics
title Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
title_full Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
title_fullStr Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
title_full_unstemmed Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
title_short Down-Turner Syndrome: A Case with Double Monoclonal Chromosomal Abnormality
title_sort down turner syndrome a case with double monoclonal chromosomal abnormality
url http://dx.doi.org/10.1155/2016/8760504
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