Journal
EUROPEAN JOURNAL OF HUMAN GENETICS
Volume 13, Issue 9, Pages 1033-1039Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/sj.ejhg.5201448
Keywords
growth retardation; feeding difficulties; deletion (20)(q13.2-q13.3); GNAS imprinted locus; Gnasxl
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Deletions of the long arm of chromosome 20 are rare. Here, we report on two girls with a very small interstitial deletion of the long arm of chromosome 20 presenting with severe pre- and post- natal growth retardation, intractable feeding difficulties, abnormal subcutaneous adipose tissue, similar facial dysmorphism, psychomotor retardation and hypotonia. Standard cytogenetic studies were normal, but high-resolution chromosomes analysis showed the presence of a chromosome (20)(q13.2 - q13.3) interstitial deletion. Karyotypes of both parents were normal. Molecular studies using FISH and microsatellite polymorphic markers showed that the deletion was of paternal origin and was approximatively 4.5Mb in size. A review of other reported patients with similar deletions of the long arm of chromosome 20 shows that the observed phenotype might be explained in the light of the GNAS imprinted locus in particular by the absence of the Gnasxl paternally imprinted gene and the TFA2PC gene in the deleted genetic interval.
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