PMID- 9926515 OWN - NLM STAT- MEDLINE DCOM- 19990218 LR - 20150901 IS - 0001-6578 (Print) IS - 0001-6578 (Linking) VI - 39 IP - 6 DP - 1998 Nov-Dec TI - FISH analysis in both classical and atypical cases of Williams-Beuren syndrome. PG - 398-403 AB - Williams-Beuren syndrome (WBS) is a rare neurodevelopmental disorder, characterized by distinct facial changes, growth deficiency, mental retardation, supravalvular aortic stenosis (SVAS)/peripheral pulmonary stenosis, and associated at times with infantile hypercalcemia. A pilot study has been carried out to assess the reliability of the detection of hemizygosity at the elastin locus by fluorescence in situ hybridization (FISH) analysis as a diagnostic test in both classical and atypical WBS. Eight subjects with classical WBS and four others in whom a diagnosis could not be confirmed on clinical criteria alone were enrolled. In the classical WBS group, five (5/8) had a visible interstitial 7q11.22-11.23 deletion detected by high-resolution banding, and all (8/8) had a submicroscopic deletion of the elastin locus on chromosome 7 by FISH analysis. In the atypical WBS group, only one (1/4) had elastin deletion. The other three, with isolated SVAS, had normal development and minimal signs of WBS. Furthermore, the patients with microscopic 7q11.22-11.23 deletion have more associated features of WBS than those without visible interstitial deletions by high-resolution banding. These results, therefore, emphasize the importance of a combined high-resolution and molecular cytogenetic (i.e., FISH) approach to diagnosis and suggest that the degree to which microscopic/submicroscopic deletions of chromosome 7 extending in beyond the elastin locus may explain some of the phenotypical variability found in WBS. FAU - Hou, J W AU - Hou JW AD - Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan. FAU - Wang, J K AU - Wang JK FAU - Wang, T R AU - Wang TR LA - eng PT - Journal Article PL - China (Republic : 1949- ) TA - Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi JT - Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui JID - 16210470R RN - 0 (Genetic Markers) RN - 9007-58-3 (Elastin) SB - IM MH - Child MH - Child, Preschool MH - Chromosomes, Human, Pair 7 MH - Elastin/*genetics MH - Female MH - Gene Deletion MH - Genetic Markers MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Infant MH - Male MH - Williams Syndrome/*diagnosis/genetics EDAT- 1999/02/02 00:00 MHDA- 1999/02/02 00:01 CRDT- 1999/02/02 00:00 PHST- 1999/02/02 00:00 [pubmed] PHST- 1999/02/02 00:01 [medline] PHST- 1999/02/02 00:00 [entrez] PST - ppublish SO - Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Nov-Dec;39(6):398-403.