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Familial Wolf-Hirschhorn syndrome resulting from a cryptic translocation: a clinical and molecular study.
  1. E Reid,
  2. N Morrison,
  3. L Barron,
  4. E Boyd,
  5. A Cooke,
  6. D Fielding,
  7. J L Tolmie
  1. Duncan Guthrie Institute of Medical Genetics, Yorkhill NHS Trust, Glasgow, UK.


    We present three cousins who have normal karyotypes, despite having clinical features of Wolf-Hirschhorn syndrome. Fluorescence in situ hybridisation techniques confirmed that all three relatives were monosomic for the distal short arm of chromosome 4 and that a cryptic translocation involving chromosomes 4 and 11 was segregating within the family. Segregation analysis indicated that the risk of an affected child being born to a parent carrying the translocation was 15%. Molecular analysis showed that loci D4S111 and D4S115 were not deleted in the proband, thus excluding these loci from the "Wolf-Hirschhorn critical region". Surprisingly, DNA studies also suggested that the translocation breakpoint on chromosome 4 was within the region of a preexisting paracentric inversion.

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