How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review

Objective: Most genetic disorders, especially rare and manifested with an unspecific constellation of developmental anomalies, are challenging to diagnose before birth. The paper aims to present a rare case of terminal 21q22 deletion to extend the knowledge on this rare genetic disease, mostly to fa...

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Autores principales: Miroslaw Wielgos, Przemyslaw Kosinski, Piotr Jedrzejak, Małgorzata Krajewska-Walasek, Magdalena Bartnik-Glaska, Beata Nowakowska, Aleksandra Jezela-Stanek
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/6e9d5640b0e040ffab3593fbb4641111
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spelling oai:doaj.org-article:6e9d5640b0e040ffab3593fbb46411112021-11-18T04:44:51ZHow does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review1028-455910.1016/j.tjog.2021.09.029https://doaj.org/article/6e9d5640b0e040ffab3593fbb46411112021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002692https://doaj.org/toc/1028-4559Objective: Most genetic disorders, especially rare and manifested with an unspecific constellation of developmental anomalies, are challenging to diagnose before birth. The paper aims to present a rare case of terminal 21q22 deletion to extend the knowledge on this rare genetic disease, mostly to facilitate prenatal guidance by pointing the diagnostic features. Case report: The fetus was diagnosed prenatally, at 21 weeks of gestation, due to ultrasound markers detected in a routine ultrasound scan. Post-mortem dysmorphological assessment has verified the diagnosis. To the best of our knowledge, this is the second report of prenatal presentation of partial monosomy 21q. Conclusion: By giving the detailed phenotype description and presenting a comprehensive literature review on the subject, we delineate its phenotype, which was different from what has been shown in the literature. Specifically, the clinical presentation of aberration within regions 2 and 3 (referring to the term proposed by Lyle et al., in 2009) of 21q22 bands is not characterised by multiple or severe malformations, which matters for prenatal counselling and diagnostics.Miroslaw WielgosPrzemyslaw KosinskiPiotr JedrzejakMałgorzata Krajewska-WalasekMagdalena Bartnik-GlaskaBeata NowakowskaAleksandra Jezela-StanekElsevierarticleTerminal 21q22 deletionPrenatal diagnosisaCGHGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 1121-1125 (2021)
institution DOAJ
collection DOAJ
language EN
topic Terminal 21q22 deletion
Prenatal diagnosis
aCGH
Gynecology and obstetrics
RG1-991
spellingShingle Terminal 21q22 deletion
Prenatal diagnosis
aCGH
Gynecology and obstetrics
RG1-991
Miroslaw Wielgos
Przemyslaw Kosinski
Piotr Jedrzejak
Małgorzata Krajewska-Walasek
Magdalena Bartnik-Glaska
Beata Nowakowska
Aleksandra Jezela-Stanek
How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
description Objective: Most genetic disorders, especially rare and manifested with an unspecific constellation of developmental anomalies, are challenging to diagnose before birth. The paper aims to present a rare case of terminal 21q22 deletion to extend the knowledge on this rare genetic disease, mostly to facilitate prenatal guidance by pointing the diagnostic features. Case report: The fetus was diagnosed prenatally, at 21 weeks of gestation, due to ultrasound markers detected in a routine ultrasound scan. Post-mortem dysmorphological assessment has verified the diagnosis. To the best of our knowledge, this is the second report of prenatal presentation of partial monosomy 21q. Conclusion: By giving the detailed phenotype description and presenting a comprehensive literature review on the subject, we delineate its phenotype, which was different from what has been shown in the literature. Specifically, the clinical presentation of aberration within regions 2 and 3 (referring to the term proposed by Lyle et al., in 2009) of 21q22 bands is not characterised by multiple or severe malformations, which matters for prenatal counselling and diagnostics.
format article
author Miroslaw Wielgos
Przemyslaw Kosinski
Piotr Jedrzejak
Małgorzata Krajewska-Walasek
Magdalena Bartnik-Glaska
Beata Nowakowska
Aleksandra Jezela-Stanek
author_facet Miroslaw Wielgos
Przemyslaw Kosinski
Piotr Jedrzejak
Małgorzata Krajewska-Walasek
Magdalena Bartnik-Glaska
Beata Nowakowska
Aleksandra Jezela-Stanek
author_sort Miroslaw Wielgos
title How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
title_short How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
title_full How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
title_fullStr How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
title_full_unstemmed How does terminal 21q22 deletion really manifest? Delineation based on prenatal diagnosis and literature review
title_sort how does terminal 21q22 deletion really manifest? delineation based on prenatal diagnosis and literature review
publisher Elsevier
publishDate 2021
url https://doaj.org/article/6e9d5640b0e040ffab3593fbb4641111
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