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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2021
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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) |
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Terminal 21q22 deletion Prenatal diagnosis aCGH Gynecology and obstetrics RG1-991 |
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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 |
work_keys_str_mv |
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