PMID- 7762970 OWN - NLM STAT- MEDLINE DCOM- 19950629 LR - 20051117 IS - 0091-7370 (Print) IS - 0091-7370 (Linking) VI - 25 IP - 1 DP - 1995 Jan-Feb TI - An atypical Turner syndrome patient with ring X chromosome mosaicism. PG - 60-5 AB - Small marker chromosomes (SMC) associated with severe Turner syndrome (TS) variants often represent reduced X chromosomes lacking the X inactivation center (XIC), perturbed dosage compensation, and unbalanced gene expression. A TS patient with mental retardation (MR), unusually short stature, facial and limb malformations, and karyotypic mosaicism involving SMCs is described. Cytogenetic and fluorescence in situ hybridization (FISH) studies of blood and lymphoblastoid cells showed that the SMC was X-chromosome derived, contained a functional centromere, and had ring formation. Karyotypes of 45/46,X,r(X) in blood cells and 45,X/46,-XX/46,X,r(X)/47,X,r(X), + r(X) in fibroblasts were found. Late-replication of the SMC was inconclusive, but the X inactivation specific transcript (XIST) locus within XIC was demonstrated by fluorescent in situ hybridization (FISH). Mechanisms are reviewed that can account for our patient's unusual TS phenotype. FAU - Cantu, E S AU - Cantu ES AD - Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston 29425, USA. FAU - Jacobs, D F AU - Jacobs DF FAU - Pai, G S AU - Pai GS LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - 0 (DNA Probes) SB - IM MH - Adult MH - Cells, Cultured MH - DNA Probes/genetics MH - Dosage Compensation, Genetic MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Mosaicism/*genetics MH - *Ring Chromosomes MH - Turner Syndrome/*genetics MH - *X Chromosome EDAT- 1995/01/01 00:00 MHDA- 1995/01/01 00:01 CRDT- 1995/01/01 00:00 PHST- 1995/01/01 00:00 [pubmed] PHST- 1995/01/01 00:01 [medline] PHST- 1995/01/01 00:00 [entrez] PST - ppublish SO - Ann Clin Lab Sci. 1995 Jan-Feb;25(1):60-5.