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Journal of Medical Genetics 2001;38:178-182; doi:10.1136/jmg.38.3.178
Copyright © 2001 by the BMJ Publishing Group Ltd.
J Med Genet 2001;38:178-182 ( March )

Letters to the editor

Pure partial 7p trisomy including the TWIST, HOXA, and GLI3 genes

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EDITOR---The clinical findings associated with 7p duplication have been well delineated. They comprise large fontanelles and sutures, hypertelorism, large, apparently low set ears, high arched palate, hip joint dislocation or contractures, a high frequency of cardiac septal defect, and mental retardation.1-5 It usually results from malsegregation of a parental balanced translocation or through abnormal recombination caused by a parental inversion. Some cases, however, result from a partial de novo 7p duplication.6-15 Because these cases represent pure 7p segmental imbalances, they are of great interest in phenotype-genotype correlation studies.

Here we present a case of pure 7p duplication resulting from an unbalanced inverted insertion of segment 7p13-p21.2 into the short arm of a chromosome 8. A comparative analysis of our case with those published previously suggests that the 7p21.1-p21.2 region might contain a critical region for the 7p duplication syndrome. Moreover, the presence in our patient of some opposite features . . . [Full text of this article]


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