We present a year-old girl, the longest living patient with Patau syndrome in Croatia, followed-up from the birth until the age of 12 years. PDF | Known as D trisomy, Patau syndrome is the third chromosomopathy according to frequency. One of the newborn carries the trisomy In over 80%. Patau SyndromeBy Reba Sines. Patau SyndromeCaused by having an extra copy of the chromosome 13; 3. Also by the.
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Am J Med Genet A. Aug;(8) doi: /ajmg.a Epub A tumor profile in Patau syndrome (trisomy 13). Satgé D(1). Patau syndrome is a syndrome caused by a chromosomal abnormality, in which some or all of the cells of the body contain extra genetic material from. Patau syndrome occur as a result of meiotic nondisjunction resulting in a gamete with two chromosome 13s rather than one. When this gamete fuses with a.
The increasing numbers of reported malignancies in patients with trisomy 18 supports the indication for an early screening process.
Specific screening recommendations are outlined consisting of imaging exams and laboratory values performed at specific intervals. Sergi C1,2,3,4, Kos M5,6. Abstract We present a patient with trisomy 18 syndrome and bilateral Wilms' tumor representing the second case of the literature. Physicians should remain alert to the possibility of WT in patients with trisomy 18 who may survive beyond infancy. In this event, it may be essential to consider periodic abdominal ultrasound for screening purposes.
A critical review of the literature is presented. Based on maternal weight and gestational age, FF distributions for normal, trisomy 13, trisomy 18, and triploid pregnancies were constructed and used to adjust prior risks for these abnormalities.
The model was evaluated on an independent blinded set of pregnancies for which SNP-based NIPT did not return a result, and for which retrospectively gathered pregnancy outcome information was available.
Compared with incidence rates expected based on maternal age MA and gestational age GA , cases with a high FFBR score had a significantly increased rate of trisomy 13, trisomy 18, or triploidy combined 5.
For cases that did not receive a high FFBR score, the incidence of a chromosome abnormality or loss was not significantly different than that expected based on MA and GA. In the study cohort, the sensitivity of the FFBR model for detection of trisomy 13, trisomy 18, or triploidy was Google Scholar Chabra, S.
American Journal of Medical Genetics, 72, — Analysis of the gross anatomical variations found in four cases of trisomy American Journal of Medical Genetics, 2, 31— Trisomy 13 appearing as a mimic of a triploid partial mole.
Journal of Ultrasound in Medicine, 20, — Three cases of trisomy 13 mosaicism and a review of the literature. Clinical Genetics, 51, — Trisomy 13 mosaicism at prenatal diagnosis: Dilemmas in interpretation. The mother at 27 weeks gestational age did intrauterine ultrasound and showed severe left-sided pelvic-ureteral junction PUJ stenosis Figure 1. The baby was born at term by normal vaginal delivery, and at birth, he presented with dysmorphic features in the form of microcephaly head circumference 30 cm, below 3rd percentile , trigonocephaly, hypotelorism, depressed nose bridge, long philtrum, and high arch palate Figure 2.
The baby had ashy blonde hair, small flat hemangioma in the occipital area of the head, left-sided inguinal hernia, hydrocele, and laryngomalacia. Figure 1: Antenatal ultrasound showed left-sided pelvic-ureteral junction stenosis.
Figure 2: Trigonocephaly, hypotelorism, depressed nose bridge, and long philtrum. Left-sided nephrostomy was done and then operated at the age of 4 months for pyeloplasty.
Urine output, serum electrolytes, and kidney functions were normal. The baby was operated at the age of one month for pyloric stenosis; then, he tolerated oral feeding and passed stool.
Brain CT showed normal brain and craniosynostosis of metopic suture Figure 5. By echocardiography, the baby had small atrial septum defect ASD and ventricular septum defect VSD with a left to right shunt.
Chest CT showed patchy area of consolidation in the posterior segment of the lower lobe of the left lung which was highly suggestive of sequestration Figure 6. Figure 3: Abdominal CT showed left-sided pelvic-ureteral junction severe stenosis.
Figure 5: CT showed metopic suture craniosynostosis. Figure 6: Chest CT showed the patchy area of consolidation in the posterior segment of the lower lobe of the lung. Briefly, 0.
Chromosome spreads were then banded by treatment with 0. Twenty complete metaphase plates were visually analyzed, and karyotypes were prepared using a computerized Applied Spectral Imaging system.
The karyotype of the infant revealed the presence of a derivative chromosome 8 where a major portion of the long arm of an extra chromosome 13 had attached to the telomeric end of the short arm of chromosome 8 Figure 7. The infant karyotype can be formulated as 46,XY, der 8 t 8;13 p23;q The parents were advised to consider karyotyping in order to find out the underlying cause of the translocation and inform them about the recurrence risk of the syndrome. Figure 7: a Karyogram of the proband with derivative chromosome 8 indicated by arrow containing a large segment of the long arm of chromosome 13 resulting in unbalanced karyotype—partial trisomy 13qqter and partial monosomy 8ppter.
The baby, by his 7 month of age, was unable to roll over from back to stomach, unable to bring his hands to the middle line and putting toys in the mouth, and unable to babble but he had a social smile. He had a failure to thrive, at the age of seven months of age, and his weight was mg below 5th percentile and his head circumference was 36 cm below 5th percentile.
The baby had frequently been admitted to intensive care unit ICU ward due to recurrent chest infections that led to respiratory failure and death by the age of 7 months.
Discussion The present infant had a partial trisomy 13q syndrome due to having a derivative chromosome: der 8 t 13;8 q12;p23 not previously reported in the literature. It is expected that one of the parents or both is a carrier of a balanced translocation between the chromosomes 8; For this reason, chromosomal analysis of both parents is highly recommended to find out the origin of the derivative chromosome and provide the family with the proper counseling, such as recurrence risk and reproductive options [ 5 ].
The constellation of the congenital anomalies observed in the present case can be largely attributed to the partial trisomy 13 [ 6 ]. Isolated partial monosomy 8p Moreover, craniofacial abnormalities like microcephaly, high and narrow forehead, epicanthal folds, high arched palate, and low set ears.
Furthermore, congenital heart defects atrioventricular defects, septal defects, and pulmonary stenosis and congenital diaphragmatic hernia [ 7 , 8 ]. We believe that the partial trisomy 13q with the concomitant partial monosomy 8p is the cause of the multiple dysmorphic features and the novel clinical presentation, e.