PMID- 30474384 OWN - NLM STAT- MEDLINE DCOM- 20190429 LR - 20190429 IS - 0030-6002 (Print) IS - 0030-6002 (Linking) VI - 159 IP - 47 DP - 2018 Nov TI - [Trisomy 9p and clinical heterogeneity: case report of an unusual presentation]. PG - 1994-2000 LID - 10.1556/650.2018.31223 [doi] AB - Whole or partial trisomy of the short arm of chromosome 9 (9p) is considered to be one of the more frequent chromosome abnormalities compatible with life. The duplication may affect various organs, however the most common symptoms are certain specific facial dysmorphisms and abnormalities of the fingers, toes and nails. A one month old boy presented with failure to thrive, jaundice, ventricular septal defect (VSD) and dysmorphic face. He displayed symptoms of heart failure. The cardiologic examination revealed a significant VSD, hypoplasia of the aortic arch, pulmonary hypertension, decompensated circulatory failure and moderate left ventricle dysfunction. Routine cytogenetic analysis revealed a supernumerary marker chromosome. Fluorescence in situ hybridization (FISH) identified this as the short arm of chromosome 9. The child's karyotype was determined as 47,XY,+der(9)dup(9)(p10p24)dn. Due to his worsening condition and the high risk of the operation, it was decided to forego the procedure. After a short palliative care the child passed away. The child's clinical presentation and the uncharacteristic severity of his condition show that chromosome abnormalities involving duplicated genetic material are extremely heterogeneous. Thus treatment of each child should be individualized and may also involve difficult ethical considerations. Orv Hetil. 2018; 159(47): 1994-2000. FAU - Lengyel, Anna AU - Lengyel A AD - II. Gyermekgyogyaszati Klinika, Genetikai Reszleg, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest, Pf. 2., 1428. FAU - Kosik, Anna AU - Kosik A AD - I. Gyermekgyogyaszati Klinika, Intenziv Terapias Osztaly, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest. FAU - Pinti, Eva AU - Pinti E AD - II. Gyermekgyogyaszati Klinika, Genetikai Reszleg, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest, Pf. 2., 1428. FAU - Lodi, Csaba AU - Lodi C AD - I. Gyermekgyogyaszati Klinika, Intenziv Terapias Osztaly, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest. FAU - Tory, Kalman AU - Tory K AD - I. Gyermekgyogyaszati Klinika, MTA-SE Lendulet Nephrogenetikai Kutatocsoport, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest. FAU - Fekete, Gyorgy AU - Fekete G AD - II. Gyermekgyogyaszati Klinika, Genetikai Reszleg, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest, Pf. 2., 1428. FAU - Haltrich, Iren AU - Haltrich I AD - II. Gyermekgyogyaszati Klinika, Genetikai Reszleg, Semmelweis Egyetem, Altalanos Orvostudomanyi Kar Budapest, Pf. 2., 1428. LA - hun PT - Case Reports PT - Journal Article TT - 9p triszomia es a klinikai sokszinuseg: egy varatlan megjelenesu eset ismertetese. PL - Hungary TA - Orv Hetil JT - Orvosi hetilap JID - 0376412 SB - IM MH - Abnormalities, Multiple/*diagnosis/genetics MH - Chromosomes, Human, Pair 9/*genetics MH - Humans MH - Infant, Newborn MH - Male MH - Syndrome MH - Trisomy/*diagnosis OTO - NOTNLM OT - 9-es kromoszomatriszomia OT - chromosome 9 trisomy OT - citogenetika OT - congenital OT - cytogenetics OT - heart defects OT - szivfejlodesi rendellenesseg EDAT- 2018/11/27 06:00 MHDA- 2019/04/30 06:00 CRDT- 2018/11/27 06:00 PHST- 2018/11/27 06:00 [entrez] PHST- 2018/11/27 06:00 [pubmed] PHST- 2019/04/30 06:00 [medline] AID - 10.1556/650.2018.31223 [doi] PST - ppublish SO - Orv Hetil. 2018 Nov;159(47):1994-2000. doi: 10.1556/650.2018.31223.