Trizomi 8 mosaisizmi: Bir Olgu Sunumu
Warkany sendromu 2 veya Trizomi 8 mosaisizmi iyi tanımlanmış, ancak çok nadir, kromozomal anomalidir. Fenotip normal ile şiddetli malformasyon sendromu arasında son derece değişkenlik gösterir. Geniş klinik bulgular yelpazesi nedeniyle, tanı atlanabilir. Trizomi 8 mosaisizmi pek çok organ sistemini etkileyerek intrakraniyal, genitoüriner ve iskelet sistemi anomalileri, konjenital kardiyovasküler bozukluklar, derin palmar ve plantar kıvrımlar, neoplastik ve hematolojik bozukluklara sebep olabilir. Burada dismorfik yüz ve gecikmiş gelişim nedeniyle değerlendirilen 3 yaşındaki bir erkek çocukta saptanan Trizomi 8 mosaisizmi sunulmaktadır.
Trisomy 8 mosaicism: A Case Report
Warkany syndrome 2 or trisomy 8 mosaicism is a well-described, but very rare, chromosomal abnormality. The phenotype is extremely variable ranging from normal to a severe malformation syndrome. Because of the broad spectrum of clinical findings, this condition is often underdiagnosed. Trisomy 8 mosaicism can affect several organs causing intracranial, genitourinary and skeletal system anomalies, congenital cardiovascular disorders, deep palmar and plantar creases, and neoplastic and hematological disorders. Here, we report trisomy 8 mosaicism in a 3-year-old boy evaluated for facial dysmorphism and delayed development.
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- 1. Jordan MA, Marques I, Rosendorff J, de Ravel TJ. Trisomy 8 mosaicism: a further five cases illustrating marked clinical and cytogenetic variability. Genet Couns 1998;9:139–146.
- 2. Wisniewska M, Mazurek M. Trisomy 8 mosaicism syndrome. J Appl Genet 2002;43:115–118.
- 3. Chen CP, Chen M, Pan YJ, Su YN, Chern SR, Tsai FJ, et al. Prenatal diagnosis of mosaic trisomy 8: clinical report and literature review. Taiwan J Obstet Gynecol 2011;50:331–338.
- 4. Gün I, Akpak YK, Müngen E. Common sonographic characteristics of trisomy 8 mosaicism. Int J Gynaecol Obstet 2012;119:85–86.
- 5. Wood E, Dowey S, Saul D, Cain C, Rossiter J, Blakemore K, et al. Prenatal diagnosis of mosaic trisomy 8q studied by ultrasound, cytogenetics, and array-CGH. Am J Med Genet A 2008;146A:764–769.
- 6. Glenn OA, Barkovich AJ. Magnetic resonance imaging of the fetal brain and spine: an increasingly important tool in prenatal diagnosis, part 1. AJNR Am J Neuroradiol 2006;27:1604–1611.
- 7. Pugash D, Brugger PC, Bettelheim D, Prayer D. Prenatal ultrasound and fetal MRI: the comparative value of each modality in prenatal diagnosis. Eur J Radiol 2008;68:214–226.
- 8. Glenn O, Goldstein RB, Li KC, Young SJ, Norton ME, Buse RF, et al. Fetal magnetic resonance imaging in the evaluation of fetuses referred for sonographically suspected abnormalities of the corpus callosum. J Ultrasound Med 2005;24:791–804.
- 9. M. M. Van Haelst, D. Van Opstal, D. Lindhout, F J. Los, “Management of prenatally detected trisomy 8 mosaicism’’. Prenatal Diagnosis 2001;21(12): 1075–1078.
- 10. Aykut A, Cogulu O, Ozkinay F. Mosaic trisomy 8 syndrome with a novel finding of ectopic kidney. J Genet. Couns. 2012;23:17-80.
- 11. M. Wi´sniewska and M. Mazurek, “Trisomy 8 mosaicism syndrome,” Journal of Applied Genetics 2002;43(1)115–118.