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2008 | 49 | 4 |

Tytuł artykułu

Mosaic cri-du-chat syndrome in a girl with a mild phenotype

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
We report on the clinical observation of a girl patient with few signs of cri-du-chat syndrome. The chromosomal analysis in lymphocyte culture showed 46,XX,del(5)(p15.3) in 38% of cells. Psychological tests revealed motor, perceptive and visual-spatial problems, as well as immaturity and emotional dependence. The phoniatric evaluation showed poor vocabulary, difficulty with repeating words or numbers in sequence, and better receptive than expressive language. The spectrographic measurements showed disturbance of fundamental frequency (F₀) in vocal pronunciation. The anatomic findings of the laryngoscopic evaluation were normal, indicating that the voice and speech problems were functional disorders. The present case revealed moderate clinical signs and vocal disturbance associated with a low percentage of 5p- cells and the breakpoint at 5p15.3. The short terminal deletion with a possible loss of the critical region for cat-like cry and the presence of a normal cell line, explain the cry not so typical at birth (weak but not high-pitched), the intermediate values of F₀, and the moderate mental retardation. This case is compared with other mosaic 5p- patients reported in the literature.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

49

Numer

4

Opis fizyczny

p.415-420,fig.,ref.

Twórcy

  • Laboratory of Human Genetics and Mutagenesis, Biology Institute, Federal University of Bahia, Bahia, Brazil
  • DNA - Laboratory of Medical Genetics and Molecular Biology, Salvador, Bahia, Brazil
  • Institute of Sciences of Health, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
autor
  • Psychology Department, Salvador University (UNIFACS), Salvador, Bahia, Brazil
autor
  • Ororhinolaryngology Department, Santo Antonio Hospital, Salvador, Bahia, Brazil
  • Laboratory of Human Genetics and Mutagenesis, Biology Institute, Federal University of Bahia, Bahia, Brazil
  • Opththalmology Department, Medicine College, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil

Bibliografia

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  • Chen C-P, Lee C-C, Chang T-Y, et al. 2004. Prenatal diagnosis of mosaic distal 5p deletion and review of the literature. Prenatal Diagnosis 24: 50-57.
  • Clawson A, 1992. Bender infantil: Manual de diagnóstico clínico, 7th ed. Porto Alegre:Artes Médicas.
  • Cornish KM, Bramble D, Munir F, Pigram J, 1999. Cognitive functioning in children with typical cri du chat (5p-) syndrome. Developmental Medicine and Child Neurology 41: 263-266.
  • Gersh M, Goodart SA, Pasztor LM, et al. 1995. Evidence for a distinct region causing a cat-like cry in patients with 5p deletions. American Journal of Human Genetics 56: 1404-1410.
  • Hammer E, 1991. Aplicaçőes clínicas dos desenhos projetivos. Săo Paulo: Ed. Casa do Psicólogo.
  • Kolck OLV, 1968. Interpretaçăo psicológica de desenhos. Săo Paulo: Biblioteca Pioneira de Cięncias Sociais.
  • Kjaer I, Niebuhr E, 1999. Studies of the cranial base in 23 patients with Cri-du-Chat syndrome suggest a cranial developmental field involved in the condition. American Journal of Medical Genetics 82: 6-14.
  • Lejeune J, Lafourcade J, Berger R, etal. 1963. Trois cas de delétion partielle du bras court d’une chromosome 5. Comptes Rendues de l'Académie des Sciences 257: 3098-102.
  • Mainardi PC, Pastore G, Castronovo C, Godi M, Guala A, Tamiazzo S, et al. 2006. The natural history of Cri du Chat Syndrome. A report from the Italian Register, European Journal of Medical Genetics 49: 363-383.
  • Niebuhr E, 1978a. The cri du chat syndrome. Epidemiology, cytogenetics and clinical features. Human Genetics 44: 227-275.
  • Niebuhr E, 1978b. Cytologic observations in 35 individuals with 5p- karyotype. Human Genetics 42: 143-156.
  • Overhauser J, Huang X, Gersh M, et al. 1994. Molecular and phenotypic mapping of the short arm of chromosome 5: sub localization of the critical region to cri du chat syndrome. Human Molecular Genetics 3: 247-252.
  • Perfumo C, Mainardi P, Cali A, et al. 2000. The first three mosaic cri du chat syndrome patients with two rearranged cell lines. Journal of Medical Genetics 37: 967-972.
  • Philip J, Brandt NJ, Friis-Hansen B, et al. 1970. A deleted B chromosome in a mosaic mother and her Cri du Chat progeny. Journal of Medical Genetics 7: 33-36.
  • Romano C, Ragusa RM, Scillato F, 1991. Phenotypic and phoniatric findings in mosaic cri du chat syndrome. American Journal of Medical Genetics 39: 391-393.
  • Schinzel A, 2001. Catalogue of unbalanced chromosome aberrations in man, 2nd ed. Walter de Gruyter, Berlin; New York.
  • Shaffer LG, Tommerup N, ISCN 2005. In: Karger S, Basel, eds. An International System for Human Cytogenetic Nomenclature.
  • Zellweger H, 1966. Cri-du-Chat with mosaicism. Lancet 2: 57.
  • Weis MLL, 1997. Provas do diagnóstico operatório. In: Psicopedagogia Clínica: uma visăo diagnostica dos problemas de aprendizagem escolar. 3rd. Rio de Janeiro: DP&A.

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Bibliografia

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