PMID- 9184249 OWN - NLM STAT- MEDLINE DCOM- 19970723 LR - 20190816 IS - 0009-9163 (Print) IS - 0009-9163 (Linking) VI - 51 IP - 4 DP - 1997 Apr TI - Prenatal diagnosis of mosaic tetrasomy 21q confirmed by fluorescence in situ hybridization. PG - 260-3 AB - We describe the first case of a live-born neonate with mosaic tetrasomy 21q confirmed by fluorescence in situ hybridization (FISH). A 38-year-old Caucasian female presented for amniocentesis for maternal age. Initial chromosome analysis of the amniocytes using GTG-banding showed a mos47,XY, +?i(12p)/46,XY karyotype. Follow-up studies with FISH identified the isochromosome as an i(21q); mos47,XY, +i(21q)/46,XY. The patient was delivered at 38+ weeks gestation and umbilical cord blood samples were obtained. Chromosome analysis of 43 cord blood lymphocytes demonstrated a 46,XY karyotype in all cells. However, peripheral lymphocytes taken 1 day after birth showed 1 out of 120 lymphocytes to have an extra chromosome determined to be an i(21q). While initial clinical exam of the neonate revealed similarities to Down syndrome, long-term follow up of our patient will be required to provide the first definitive description of the mosaic tetrasomy 21 syndrome. FAU - Nagarsheth, N P AU - Nagarsheth NP AD - The Mount Sinai School of Medicine, The Mount Sinai Medical Center, New York, NY 10029, USA. nn@doc.mssm.edu FAU - Mootabar, H AU - Mootabar H LA - eng PT - Case Reports PT - Journal Article PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 SB - IM MH - *Chromosome Aberrations MH - *Chromosome Disorders MH - *Chromosomes, Human, Pair 21 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - *Prenatal Diagnosis EDAT- 1997/04/01 00:00 MHDA- 1997/04/01 00:01 CRDT- 1997/04/01 00:00 PHST- 1997/04/01 00:00 [pubmed] PHST- 1997/04/01 00:01 [medline] PHST- 1997/04/01 00:00 [entrez] AID - 10.1111/j.1399-0004.1997.tb02466.x [doi] PST - ppublish SO - Clin Genet. 1997 Apr;51(4):260-3. doi: 10.1111/j.1399-0004.1997.tb02466.x.