PMID- 15589876 OWN - NLM STAT- MEDLINE DCOM- 20050125 LR - 20061115 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 82 IP - 6 DP - 2004 Dec TI - Primary amenorrhea in a woman with a cryptic complex chromosome rearrangement involving the critical regions Xp11.2 and Xq24. PG - 1666-71 AB - OBJECTIVE: To characterize a complex chromosome rearrangement (CCR) previously detected by G-banding in peripheral blood lymphocytes, as 46,X,-2,-11,-22,-X,+mar 1+mar2+mar3+mar4 in a patient with primary amenorrhea. DESIGN: Case report. SETTING: University faculty of Medicine and hospital. PATIENT(S): A 36-year-old woman with primary amenorrhea. INTERVENTION(S): Fluorescence in situ hybridization (FISH). MAIN OUTCOME MEASURE(S): Use of commercially available M-FISH probe (24 colors simultaneously) and whole chromosome painting probes for chromosomes 2, 11, 22, and X to characterize the CCR. RESULT(S): The use of conventional and multiple FISH allowed the redefinition of the CCR, showing a cryptic insertion of chromosome 11 in marker 3 previously suspected by M-FISH. The combination of G-banding and FISH data revealed that four chromosomes and seven breakpoints, including 2q21, 2q31, 11q22.1, 11q22.3, 22q13.3, Xp11.21, and Xq24, were implicated in this CCR. CONCLUSION(S): This report confirms the importance of a combination of G-banding and FISH (M-FISH and conventional FISH) techniques to characterize the de novo CCR. These techniques also were useful in defining two possible critical chromosome regions, Xp11.21 and Xq24, in which genes of potential interest for a primary amenorrhea could be located. FAU - Hernando, Cristina AU - Hernando C AD - Departament Biologia Cellular, Fisiologia i Immunologia, Facultat de Medicina, Universitat Autonoma de Barcelona, Barcelona, Spain. FAU - Plaja, Alberto AU - Plaja A FAU - Catala, Vicens AU - Catala V FAU - Sarret, Enric AU - Sarret E FAU - Egozcue, Josep AU - Egozcue J FAU - Fuster, Carme AU - Fuster C LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Adult MH - Amenorrhea/*genetics MH - Chromosome Banding MH - *Chromosome Mapping MH - Chromosomes, Human/*genetics MH - Chromosomes, Human, Pair 11/*genetics MH - Chromosomes, Human, Pair 2/*genetics MH - Chromosomes, Human, Pair 22/*genetics MH - Female MH - *Gene Rearrangement MH - Humans MH - In Situ Hybridization, Fluorescence/methods EDAT- 2004/12/14 09:00 MHDA- 2005/01/26 09:00 CRDT- 2004/12/14 09:00 PHST- 2004/01/21 00:00 [received] PHST- 2004/05/04 00:00 [revised] PHST- 2004/05/04 00:00 [accepted] PHST- 2004/12/14 09:00 [pubmed] PHST- 2005/01/26 09:00 [medline] PHST- 2004/12/14 09:00 [entrez] AID - S0015-0282(04)02410-0 [pii] AID - 10.1016/j.fertnstert.2004.05.085 [doi] PST - ppublish SO - Fertil Steril. 2004 Dec;82(6):1666-71. doi: 10.1016/j.fertnstert.2004.05.085.