PMID- 16470698 OWN - NLM STAT- MEDLINE DCOM- 20060530 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 140 IP - 6 DP - 2006 Mar 15 TI - Ring chromosome 4 and Wolf-Hirschhorn syndrome (WHS) in a child with multiple anomalies. PG - 628-32 AB - We report on a 16-month-old male patient with ring chromosome 4 and deletion of Wolf-Hirschhorn syndrome (WHS) region with multiple congenital anomalies including unilateral cleft lip and palate, iris coloboma, microcephaly, midgut malrotation, hypospadias, and double urethral orifices. Peripheral chromosome analysis of the patient showed 46,XY,r(4)(p16.3q35) de novo. Multicolor fluorescence in situ hybridization (FISH) study was also performed and according to multicolor banding (MCB) a r(4)(::p16.3 --> q34.3 approximately 35.1::) was found in all metaphases. Subtelomeric 4p region, subtelomeric 4q region, as well as, Wolf-Hirschhorn critical region were deleted in ring chromosome 4. Genomic microarray analysis was also performed to delineate the size of deletion. Cranial magnetic resonance imaging (MRI) showed hypoplastic corpus callosum, delayed myelinization, and frontal and occipital lobe atrophies. Both maternal and paternal chromosomal analyses were normal. We compare the phenotypic appearance of our patient with the previously reported 16 cases of ring chromosome 4 in the medical literature. CI - 2006 Wiley-Liss, Inc. FAU - Balci, Sevim AU - Balci S AD - Department of Clinical Genetics, Hacettepe University Faculty of Medicine, Ihsan Dogramaci Children's Hospital, Ankara, Turkey. sbalci@hacettepe.edu.tr FAU - Engiz, Ozlem AU - Engiz O FAU - Aktas, Dilek AU - Aktas D FAU - Vargel, Ibrahim AU - Vargel I FAU - Beksac, M S AU - Beksac MS FAU - Mrasek, Kristin AU - Mrasek K FAU - Vermeesch, Joris AU - Vermeesch J FAU - Liehr, Thomas AU - Liehr T LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Abnormalities, Multiple/*genetics/pathology MH - Chromosome Banding MH - Chromosomes, Human, Pair 4/*genetics MH - Cleft Lip/pathology MH - Cleft Palate/pathology MH - Coloboma/pathology MH - *Craniofacial Abnormalities MH - Growth Disorders/pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Intellectual Disability/*pathology MH - Karyotyping MH - Male MH - Microcephaly/pathology MH - *Ring Chromosomes MH - Syndrome EDAT- 2006/02/14 09:00 MHDA- 2006/05/31 09:00 CRDT- 2006/02/14 09:00 PHST- 2006/02/14 09:00 [pubmed] PHST- 2006/05/31 09:00 [medline] PHST- 2006/02/14 09:00 [entrez] AID - 10.1002/ajmg.a.31131 [doi] PST - ppublish SO - Am J Med Genet A. 2006 Mar 15;140(6):628-32. doi: 10.1002/ajmg.a.31131.