Review of a rare maternally-derived unbalanced translocation involving deletion of chromosome 10q26.3 and duplication of chromosome 15q22.2→15q26.3 in a 32-year-old male patient: A case report

Rare Pub Date : 2024-01-01 DOI:10.1016/j.rare.2024.100041
Paige Heckel , Elizabeth VanSickle , Lia Zitano , Salah Ebrahim , Timothy Moss
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Abstract

Deletion of the most distal segment of chromosome 10q in conjunction with duplication of terminal 15q is a rare chromosomal disorder, appearing to be a unique finding within the present literature. We report a 32-year-old male patient with an unbalanced translocation between chromosomes 10 and 15, resulting in a 344 kb terminal deletion of chromosome 10q26.3 and a 41 Mb duplication of chromosome 15q22.2→15q26.3 as a result of a maternally-derived balanced translocation. Patient features included global developmental delay and severe cognitive impairment, significant kyphoscoliosis, diffuse core, extremity, and facial hypotonia, and finger irregularities including broad thumbs, broad fingertips with persistent fetal finger pads, and right-handed flexion contracture. The unique features of the present case, including the age of the patient, may assist in providing a broader understanding of features associated with unbalanced translocations between telomeric portions of chromosomes 10 and 15 as well as provide insight into adult phenotyping which is not currently addressed in available literature.

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回顾性分析一名 32 岁男性患者的罕见母源不平衡易位,涉及 10q26.3 染色体缺失和 15q22.2→15q26.3 染色体重复:病例报告
10q 染色体最远端的缺失与 15q 末端的重复是一种罕见的染色体疾病,在目前的文献中似乎是一个独特的发现。我们报告了一名 32 岁男性患者,他的 10 号染色体和 15 号染色体之间存在非平衡易位,导致 10q26.3 染色体末端 344 kb 缺失,以及 15q22.2→15q26.3 染色体 41 Mb 重复,这是母源平衡易位的结果。患者的特征包括全面发育迟缓和严重的认知障碍,明显的脊柱后凸,弥漫性核心、四肢和面部肌张力低下,以及手指不规则,包括拇指宽大、指尖宽大伴有持续性胎儿指垫和右手屈曲挛缩。本病例的独特之处,包括患者的年龄,可能有助于人们更广泛地了解与 10 号染色体和 15 号染色体端粒部分之间不平衡易位相关的特征,并为成人表型提供见解,而目前的文献尚未涉及成人表型。
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