De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies

Ring chromosome 6, especially if it is de novo, is a rare occurrence. The phenotype of patients with ring chromosome 6 can be highly variable ranging from almost normal to severe malformations and mental retardation. The size and structure of the ring chromosome as well as the level of mosaicism...

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Main Authors: Ahmad, Ahzad Hadi, Ramli, Siti Fatimah, Tan, May Loong, Salahshourifar, Iman, Alwi, Zilfalil, Mohd Yusoff, Narazah
Format: Article
Language:English
Published: Kobe University School of Medicine 2010
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Online Access:http://eprints.usm.my/37227/1/E79.pdf
http://eprints.usm.my/37227/
http://www.med.kobe-u.ac.jp/journal/contents/56/E79.pdf
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spelling my.usm.eprints.37227 http://eprints.usm.my/37227/ De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies Ahmad, Ahzad Hadi Ramli, Siti Fatimah Tan, May Loong Salahshourifar, Iman Alwi, Zilfalil Mohd Yusoff, Narazah QH426-470 Genetics RC Internal medicine Ring chromosome 6, especially if it is de novo, is a rare occurrence. The phenotype of patients with ring chromosome 6 can be highly variable ranging from almost normal to severe malformations and mental retardation. The size and structure of the ring chromosome as well as the level of mosaicism are important factors in determining the clinical phenotype. Here we report an eight month-old child, a product of a non consanguineous marriage, who presented with developmental retardation, hypertelorism, microcephaly, flat occiput, broad nasal bridge, large ears, micrognathia, wide spaced nipples, protruding umbilicus, short stubby fingers, clinodactyly, single palmar crease, short neck with no obvious webbing, and congenital heart defect. Conventional karyotyping and Whole Chromosome Paint of the peripheral leukocytes showed 46,XY,r(6)(p25q27) karyotype with plausible breakpoints at p25 and q27 end. Conventional karyotyping of both parents showed normal karyotype. To the best of our knowledge, this is the first report of a Malay individual with ring chromosome 6, and this report adds to the collective knowledge of this rare chromosome abnormality. Kobe University School of Medicine 2010 Article PeerReviewed application/pdf en cc_by http://eprints.usm.my/37227/1/E79.pdf Ahmad, Ahzad Hadi and Ramli, Siti Fatimah and Tan, May Loong and Salahshourifar, Iman and Alwi, Zilfalil and Mohd Yusoff, Narazah (2010) De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies. Kobe Journal of Medical Sciences, 56 (2). E79-E84. ISSN 0023-2513 http://www.med.kobe-u.ac.jp/journal/contents/56/E79.pdf
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic QH426-470 Genetics
RC Internal medicine
spellingShingle QH426-470 Genetics
RC Internal medicine
Ahmad, Ahzad Hadi
Ramli, Siti Fatimah
Tan, May Loong
Salahshourifar, Iman
Alwi, Zilfalil
Mohd Yusoff, Narazah
De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
description Ring chromosome 6, especially if it is de novo, is a rare occurrence. The phenotype of patients with ring chromosome 6 can be highly variable ranging from almost normal to severe malformations and mental retardation. The size and structure of the ring chromosome as well as the level of mosaicism are important factors in determining the clinical phenotype. Here we report an eight month-old child, a product of a non consanguineous marriage, who presented with developmental retardation, hypertelorism, microcephaly, flat occiput, broad nasal bridge, large ears, micrognathia, wide spaced nipples, protruding umbilicus, short stubby fingers, clinodactyly, single palmar crease, short neck with no obvious webbing, and congenital heart defect. Conventional karyotyping and Whole Chromosome Paint of the peripheral leukocytes showed 46,XY,r(6)(p25q27) karyotype with plausible breakpoints at p25 and q27 end. Conventional karyotyping of both parents showed normal karyotype. To the best of our knowledge, this is the first report of a Malay individual with ring chromosome 6, and this report adds to the collective knowledge of this rare chromosome abnormality.
format Article
author Ahmad, Ahzad Hadi
Ramli, Siti Fatimah
Tan, May Loong
Salahshourifar, Iman
Alwi, Zilfalil
Mohd Yusoff, Narazah
author_facet Ahmad, Ahzad Hadi
Ramli, Siti Fatimah
Tan, May Loong
Salahshourifar, Iman
Alwi, Zilfalil
Mohd Yusoff, Narazah
author_sort Ahmad, Ahzad Hadi
title De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
title_short De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
title_full De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
title_fullStr De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
title_full_unstemmed De novo Ring Chromosome 6 in a Child with Multiple Congenital Anomalies
title_sort de novo ring chromosome 6 in a child with multiple congenital anomalies
publisher Kobe University School of Medicine
publishDate 2010
url http://eprints.usm.my/37227/1/E79.pdf
http://eprints.usm.my/37227/
http://www.med.kobe-u.ac.jp/journal/contents/56/E79.pdf
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