KMID : 1189120130100010052
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´ëÇÑÀÇÇÐÀ¯ÀüÇÐȸÁö 2013 Volume.10 No. 1 p.52 ~ p.56
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Low-frequency Mosaicism of Trisomy 14, Missed by Array CGH
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Lee Cha-Gon
Yun Jun-No Park Sang-Jin Sohn Young-Bae
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Abstract
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Mosaic trisomy 14 syndrome is a well-known but unusual chromosomal abnormality with a distinct and recognizable phenotype. Array comparative genomic hybridization (CGH) analysis has recently become a widely used method for detecting DNA copy number changes, in place of traditional karyotype analysis. However, the array CGH shows a limitation for detecting the low-level mosaicism. Here, we report the detailed clinical and cytogenetic findings of patient with low-frequency mosaic trisomy 14, initially considered normal based on usual cut-off levels of array CGH, but confirmed by G-banding karyotyping. Our patient had global developmental delay, short stature, congenital heart disease, craniofacial dysmorphic features, and dark skin patches over her whole body. Estimated mosaicism proportion was 23.3% by G-banding karyotyping and 18.0% by array CGH.
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KEYWORD
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Array CGH, Mosaicism, Trisomy 14, Developmental delay, Intellectual disability
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