PMID- 17603794 OWN - NLM STAT- MEDLINE DCOM- 20080116 LR - 20200930 IS - 1552-4833 (Electronic) IS - 1552-4825 (Linking) VI - 143A IP - 15 DP - 2007 Aug 1 TI - Overlapping phenotype of Wolf-Hirschhorn and Beckwith-Wiedemann syndromes in a girl with der(4)t(4;11)(pter;pter). PG - 1760-6 AB - We report on an 8-month-old girl with a novel unbalanced chromosomal rearrangement, consisting of a terminal deletion of 4p and a paternal duplication of terminal 11p. Each of these is associated with the well-known clinical phenotypes of Wolf-Hirschhorn syndrome (WHS) and Beckwith-Wiedemann syndrome (BWS), respectively. She presented for clinical evaluation of dysmorphic facial features, developmental delay, atrial septal defect (ASD), and left hydronephrosis. High-resolution cytogenetic analysis revealed a normal female karyotype, but subtelomeric fluorescence in situ hybridization (FISH) analysis revealed a der(4)t(4;11)(pter;pter). Both FISH and microarray CGH studies clearly demonstrated that the WHS critical regions 1 and 2 were deleted, and that the BWS imprinted domains (ID) 1 and 2 were duplicated on the der(4). Parental chromosome analysis revealed that the father carried a cryptic balanced t(4;11)(pter;pter). As expected, our patient manifests findings of both WHS (a growth retardation syndrome) and BWS (an overgrowth syndrome). We compare her unique phenotypic features with those that have been reported for both syndromes. CI - (c) 2007 Wiley-Liss, Inc. FAU - Mikhail, Fady M AU - Mikhail FM AD - Department of Genetics, University of Alabama at Birmingham, Birmingham, Alabama. FAU - Sathienkijkanchai, Achara AU - Sathienkijkanchai A FAU - Robin, Nathaniel H AU - Robin NH FAU - Prucka, Sandra AU - Prucka S FAU - Biggerstaff, Julie Sanford AU - Biggerstaff JS FAU - Komorowski, Jan AU - Komorowski J FAU - Andersson, Robin AU - Andersson R FAU - Bruder, Carl E G AU - Bruder CE FAU - Piotrowski, Arkadiusz AU - Piotrowski A FAU - Diaz de Stahl, Teresita AU - Diaz de Stahl T FAU - Dumanski, Jan P AU - Dumanski JP FAU - Carroll, Andrew J AU - Carroll AJ LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Beckwith-Wiedemann Syndrome/complications/*genetics MH - *Chromosomes, Human, Pair 11 MH - *Chromosomes, Human, Pair 4 MH - Female MH - Gene Rearrangement MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Phenotype MH - Sequence Deletion MH - *Translocation, Genetic MH - Wolf-Hirschhorn Syndrome/complications/*genetics EDAT- 2007/07/03 09:00 MHDA- 2008/01/17 09:00 CRDT- 2007/07/03 09:00 PHST- 2007/07/03 09:00 [pubmed] PHST- 2008/01/17 09:00 [medline] PHST- 2007/07/03 09:00 [entrez] AID - 10.1002/ajmg.a.31821 [doi] PST - ppublish SO - Am J Med Genet A. 2007 Aug 1;143A(15):1760-6. doi: 10.1002/ajmg.a.31821.