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J Med Genet 1999;36:865-866 ( November )

Letters to the editor

Skewed X chromosome inactivation in a female with haemophilia B and in her non-carrier daughter: a genetic influence on X chromosome inactivation?

The first 150 words of the full text of this article appear below.

EDITOR---Phenotypic expression of X linked disorders in females may be the result of an X chromosome anomaly or homozygosity for the mutated gene, but is probably most frequently the result of skewed X chromosome inactivation. Skewed X inactivation may be the result of a chance event, but may also be because of genetic factors.1 We report here the results of X inactivation analysis in a family with haemophilia B, which showed extremely skewed X inactivation both in a female haemophilia patient and in her non-carrier daughter, indicating a possible genetic influence on X chromosome inactivation in this family. Familial skewed X inactivation may interfere with carrier detection, since skewed X inactivation with the mutant gene on the inactive X chromosome may lead to a normal phenotype in a carrier.

The patient was a 40 year old female who belonged to a family with moderate haemophilia B2 (fig 1). . . . [Full text of this article]







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