New approach to phenotypic variability and karyotype-phenotype correlation in Turner syndrome

Author(s):  
Jamil Miguel-Neto ◽  
Annelise B. Carvalho ◽  
Antonia Paula Marques-de-Faria ◽  
Gil Guerra-Júnior ◽  
Andréa T. Maciel-Guerra

AbstractPhenotypic variability of Turner syndrome (TS) challenges clinicians, and undiagnosed mosaicism may lead to conflicting results of karyotype-phenotype correlations. This study assessed the extent of phenotypic variability and investigated the presence of karyotype-phenotype correlations.The sample comprised 80 patients with ≥50 cells analyzed in karyotype. Twenty were 45,X/46,X,+mar; three groups of 20 patients were constructed by matching those girls with the nearest-aged patient with 45,X, 45,X/46,XX and 45,X/46,X,i(Xq) or 46,X,i(Xq) karyotype.Data were obtained on height z-score, dysmorphic features, echocardiogram and urinary system sonography. The number of dysmorphic features ranged from one to 16 and was not correlated to age at diagnosis or height. The groups did not differ in height, number of dysmorphic features, cardiovascular and urinary system anomalies and frequency of any specific feature, except for short fourth metacarpal.Wide phenotypical variability of TS may be objectively described and its clinical picture is not correlated to karyotype.

2021 ◽  
Vol 58 (1) ◽  
pp. 34-37
Author(s):  
Sunetra Mondal ◽  
Rana Bhattacharjee ◽  
Subhankar Chowdhury ◽  
Satinath Mukhopadhyay

2013 ◽  
Vol 33 (1) ◽  
pp. 74-76
Author(s):  
S Basnet ◽  
A Eleena ◽  
AK Sharma

Many children are frequently brought to the paediatric clinic for evaluation of short stature. Evaluation for these children does not go beyond x-ray for bone age estimation and growth hormone analysis. Most of them are considered having constitutional or genetic cause for their short stature. However, shuttle dysmorphic features could be missed in many of them. Hence, many children might be having chromosomal anomaly as an underlying cause. We report a case of 40 months who had been evaluated several times in the past for pneumonia, otitis media and short stature is finally diagnosed to have Turner syndrome. DOI: http://dx.doi.org/10.3126/jnps.v33i1.8174 J Nepal Paediatr Soc. 2013;33(1):74-76


2018 ◽  
Vol 34 (2) ◽  
pp. 86-93 ◽  
Author(s):  
John C. Herriges ◽  
Ellen M. Arch ◽  
Pamela A. Burgio ◽  
Erin E. Baldwin ◽  
Danielle LaGrave ◽  
...  

To date, 13 patients with interstitial microduplications involving Xq25q26.2 have been reported. Here, we report 6 additional patients from 2 families with duplications involving Xq25q26.2. Family I carries a 5.3-Mb duplication involving 26 genes. This duplication was identified in 3 patients and was associated with microcephaly, growth failure, developmental delay, and dysmorphic features. Family II carries an overlapping 791-kb duplication that involves 3 genes. This duplication was identified in 3 patients and was associated with learning disability and speech delay. The size and gene content of published overlapping Xq25q26.2 duplications vary, making it difficult to define a critical region or establish a genotype-phenotype correlation. However, patients with overlapping duplications have been found to share common clinical features including microcephaly, growth failure, intellectual disability, learning difficulties, and dysmorphic features. The 2 families presented here provide additional insight into the phenotypic spectrum and clinical significance of duplications in this region.


2012 ◽  
Vol 113 (4) ◽  
pp. 279-288
Author(s):  
V. Cabras ◽  
A. Milia ◽  
C. Montaldo ◽  
Anna Lisa Nucaro

This report describes the usefulness of the BAC genome array-CGH platform in the detection of cryptic rearrangements. We examined ten patients with normal and/or abnormal karyotypes and dysmorphic features, associated with mental retardation, autism and/or epilepsy. This approach led us to discover further cryptic chromosomal rearrangements, not previously detected by conventional cytogenetic procedures, and allowed us to better delineate genotype/phenotype correlation. Our experience shows the validity of the BAC platform as a reliable method for genome-wide screening of chromosomal aberrations in patient with idiopathic mental retardation and/or in association with autism and epilepsy.


2003 ◽  
Vol 72 (2) ◽  
pp. 478-487 ◽  
Author(s):  
Elfride De Baere ◽  
Diane Beysen ◽  
Christine Oley ◽  
Birgit Lorenz ◽  
Julie Cocquet ◽  
...  

2018 ◽  
Vol 7 (4.7) ◽  
pp. 476
Author(s):  
Basri . ◽  
Syarli .

This study aims to recommend a new approach in the ranking system by analyzing the combination of the Z-Score method and the Fuzzy Multi-Attribute Decision Making (FMADM) method. This fusion is based on the merging of the advantages of Z-Score and FMADM as a superiority method in statistical rank data processing with weighting data distribution. The lack of Z-Score in processing multi-attributes weighted data can be improved by the FMADM method. In this study, the integration of the Analytical Hierarchy Process (AHP) and Weighted Product (WP) methods was used as the FMADM method with the Z-Score statistical technique. The results of the analysis in the case study show that the integration of the Z-Score and AHP-Weighted Product (Z-WeP) methods can provide maximum results with similarities to the Z-Score results by 86%. Analysis of criterion values on alternatives also shows that Z-WeP can work better than some other of FMADM approaches.   


2020 ◽  
Author(s):  
Yulii D. Shikhmurzaev ◽  
Vladislav D. Shikhmurzaev

AbstractA new approach to formulating mathematical models of increasing complexity to describe the dynamics of viral epidemics is proposed. The approach utilizes a map of social interactions characterizing the population and its activities and, unifying the compartmental and the stochastic viewpoints, offers a framework for incorporating both the patterns of behaviour studied by sociological surveys and the clinical picture of a particular infection, both for the virus itself and the complications it causes. The approach is illustrated by taking a simple mathematical model developed in its framework and applying it to the ongoing pandemic of SARS-CoV-2 (COVID-19), with the UK as a representative country, to assess the impact of the measures of social distancing imposed to control its course.


Author(s):  
Roman Petrovich Stepchenkov

Diseases of the urinary system are quite common, both among adults and among children. If, in case of infectious and inflammatory diseases of the urinary organs, an assessment of the clinical picture and general analysis of the urine is sufficient to make a diagnosis, in a number of other situations — trauma and rupture of the bladder, abnormalities of its development, malignant neoplasms — visualization of the organ is needed. One of these diagnostic methods is cystography.


2012 ◽  
Vol 4 (3) ◽  
pp. 144-148 ◽  
Author(s):  
Haruko Tanji ◽  
Katsuo Nakajima ◽  
Manabu Wada ◽  
Takeo Kato

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