PMID- 12116238 OWN - NLM STAT- MEDLINE DCOM- 20021008 LR - 20051116 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 110 IP - 3 DP - 2002 Jul 1 TI - Clinical, cytogenetic, and molecular findings in 45,X/47,XX,+18 mosaicism: clinical report and review of the literature. PG - 278-82 AB - We report cytogenetic and molecular findings performed in a patient with double mosaic aneuploidy. Chromosome analysis of amniotic fluid cells from a 17-week-old fetus was performed because of advanced maternal age. Two karyotypes were detected: 45,X and 47,XX,+18 (50:50%). The same cell lines were determined in uncultured and cultured amniocytes of a second amniotic fluid sample, in fetal lymphocytes, and in uncultured and cultured cells of achilles tendon by conventional cytogenetics and fluorescence in situ hybridization (FISH). In the different investigated tissues, the percentage of cells with 45,X karyotype ranged from 20-99% and the percentage of cells with 47,XX,+18 ranged from 1-80%. The pregnancy was terminated at 22 + 0 weeks because of a severe cardiac malformation. Pathologic examination showed a fetus with aspects typical for manifestation of trisomy 18 and monosomy X, especially in the internal organs. The parent and cell stage of origin was determined by short tandem repeat typing and revealed a maternal meiotic division error that led to trisomy 18, as well as a somatic loss of a paternal sex chromosome. Only two other patients with the same mosaicism have been reported so far. Genetic counseling and prognosis remains challenging. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Schubert, Regine AU - Schubert R AD - Institute of Human Genetics, University of Bonn, Bonn, Germany. regine.schubert@ukb.uni-bonn.de FAU - Eggermann, Thomas AU - Eggermann T FAU - Hofstaetter, Cornelia AU - Hofstaetter C FAU - von Netzer, Barbara AU - von Netzer B FAU - Knopfle, Gisela AU - Knopfle G FAU - Schwanitz, Gesa AU - Schwanitz G LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 SB - IM MH - Adult MH - Amniocentesis MH - Cells, Cultured MH - *Chromosome Aberrations MH - Chromosomes, Human, Pair 18/*genetics MH - Embryonic and Fetal Development/genetics MH - Fatal Outcome MH - Female MH - Fetal Death MH - Fetus/abnormalities MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Microsatellite Repeats MH - Mosaicism MH - Pregnancy MH - Sex Chromosome Aberrations MH - X Chromosome/*genetics RF - 16 EDAT- 2002/07/13 10:00 MHDA- 2002/10/09 04:00 CRDT- 2002/07/13 10:00 PHST- 2002/07/13 10:00 [pubmed] PHST- 2002/10/09 04:00 [medline] PHST- 2002/07/13 10:00 [entrez] AID - 10.1002/ajmg.10442 [doi] PST - ppublish SO - Am J Med Genet. 2002 Jul 1;110(3):278-82. doi: 10.1002/ajmg.10442.