Article

Case Report

Korean J Lab Med 2010; 30(3): 312-317

Published online June 1, 2010 https://doi.org/10.3343/kjlm.2010.30.3.312

Copyright © Korean Society for Laboratory Medicine.

A Case of Partial Trisomy 2p23-pter Syndrome with Trisomy 18p Due to a de novo Supernumerary Marker Chromosome

Jong Ho Lee, M.D.1, Hee Soon Cho, M.D.1, Eun Sil Lee, M.D.2, and Bo-Chan Jung, M.D.3

Departments of Laboratory Medicine1 and Pediatrics2, Yeungnam University College of Medicine, Daegu; Department of Laboratory Medicine3, Pochon CHA University College of Medicine, Gumi CHA General Hospital, Gumi, Korea

Correspondence to: Hee Soon Cho, M.D.
Department of Laboratory Medicine, Yeungnam University College of Medicine, 317-1 Daemyeong-dong, Nam-gu, Daegu 705-717, Korea
Tel : +82-53-620-3633, Fax : +82-53-620-3297
E-mail : chscp@ynu.ac.kr

Received: October 28, 2009; Revised: April 22, 2010; Accepted: April 23, 2010

Abstract

Partial trisomy 2p is a rare but relatively well-defined syndrome with distinctive clinical features, including marked psychomotor delay, dysmorphic face, and congenital heart disease. The phenotype of trisomy 18p is variable, from normal appearance to moderate mental retardation. Most cases of trisomy 2p and trisomy 18p result from the inheritance of an unbalanced segregant from a balanced parental translocation or due to de novo duplication. Here, we present the first report of a combined partial trisomy 2p and trisomy 18p due to a supernumerary marker chromosome (SMC). The final karyotype of the patient was 47,XX,+der(18)t(2;18)(p23.1;q11.1)[22]/46,XX[8]. The patient had typical dysmorphic features of partial trisomy 2p23-pter syndrome and congenital heart disease. SMCs are remarkably variable in euchromatic DNA content and mosaicism level. The precise identification of the origin and composition of SMCs is essential for genotype-phenotype correlation and genetic counseling.

Keywords: Partial trisomy 2p23-pter, Trisomy 18p, Supernumerary