Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature

A female child born preterm with intrauterine growth retardation and presenting with facial dysmorphism with clefts, microcephaly, limb deformities, and congenital abnormalities involving cardiovascular and urinary systems is described. Chromosomal analysis showed a de novo 46,XX,r(4)(p15.3q35) kary...

Full description

Saved in:
Bibliographic Details
Main Authors: C. S. Paththinige, N. D. Sirisena, U. G. I. U. Kariyawasam, L. P. C. Saman Kumara, V. H. W. Dissanayake
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2016/4645716
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562473114271744
author C. S. Paththinige
N. D. Sirisena
U. G. I. U. Kariyawasam
L. P. C. Saman Kumara
V. H. W. Dissanayake
author_facet C. S. Paththinige
N. D. Sirisena
U. G. I. U. Kariyawasam
L. P. C. Saman Kumara
V. H. W. Dissanayake
author_sort C. S. Paththinige
collection DOAJ
description A female child born preterm with intrauterine growth retardation and presenting with facial dysmorphism with clefts, microcephaly, limb deformities, and congenital abnormalities involving cardiovascular and urinary systems is described. Chromosomal analysis showed a de novo 46,XX,r(4)(p15.3q35) karyotype. The clinical features of the patient were compared with the phenotypic characteristics of 17 previously reported cases with ring chromosome 4 and those with Wolf-Hirschhorn syndrome (4p-). Clinical features observed in this case are consistent with the consensus phenotype in ring chromosome 4. Patent ductus arteriosus and bilateral talipes equinovarus observed in this baby widen the phenotypic spectrum associated with ring chromosome 4.
format Article
id doaj-art-6f1b8c77867c49818a0ed4157bcdd4ad
institution Kabale University
issn 2090-6544
2090-6552
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Genetics
spelling doaj-art-6f1b8c77867c49818a0ed4157bcdd4ad2025-02-03T01:22:29ZengWileyCase Reports in Genetics2090-65442090-65522016-01-01201610.1155/2016/46457164645716Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the LiteratureC. S. Paththinige0N. D. Sirisena1U. G. I. U. Kariyawasam2L. P. C. Saman Kumara3V. H. W. Dissanayake4Human Genetics Unit, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaHuman Genetics Unit, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaHuman Genetics Unit, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaCastle Street Hospital for Women, 00800 Colombo, Sri LankaHuman Genetics Unit, Faculty of Medicine, University of Colombo, 00800 Colombo, Sri LankaA female child born preterm with intrauterine growth retardation and presenting with facial dysmorphism with clefts, microcephaly, limb deformities, and congenital abnormalities involving cardiovascular and urinary systems is described. Chromosomal analysis showed a de novo 46,XX,r(4)(p15.3q35) karyotype. The clinical features of the patient were compared with the phenotypic characteristics of 17 previously reported cases with ring chromosome 4 and those with Wolf-Hirschhorn syndrome (4p-). Clinical features observed in this case are consistent with the consensus phenotype in ring chromosome 4. Patent ductus arteriosus and bilateral talipes equinovarus observed in this baby widen the phenotypic spectrum associated with ring chromosome 4.http://dx.doi.org/10.1155/2016/4645716
spellingShingle C. S. Paththinige
N. D. Sirisena
U. G. I. U. Kariyawasam
L. P. C. Saman Kumara
V. H. W. Dissanayake
Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
Case Reports in Genetics
title Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
title_full Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
title_fullStr Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
title_full_unstemmed Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
title_short Ring Chromosome 4 in a Child with Multiple Congenital Abnormalities: A Case Report and Review of the Literature
title_sort ring chromosome 4 in a child with multiple congenital abnormalities a case report and review of the literature
url http://dx.doi.org/10.1155/2016/4645716
work_keys_str_mv AT cspaththinige ringchromosome4inachildwithmultiplecongenitalabnormalitiesacasereportandreviewoftheliterature
AT ndsirisena ringchromosome4inachildwithmultiplecongenitalabnormalitiesacasereportandreviewoftheliterature
AT ugiukariyawasam ringchromosome4inachildwithmultiplecongenitalabnormalitiesacasereportandreviewoftheliterature
AT lpcsamankumara ringchromosome4inachildwithmultiplecongenitalabnormalitiesacasereportandreviewoftheliterature
AT vhwdissanayake ringchromosome4inachildwithmultiplecongenitalabnormalitiesacasereportandreviewoftheliterature