아버지로부터 유래된 9번 염색체 장완의 부분 세염색체 1례

Case of Partial Trisomy 9q Derived from Paternal Chromosome

  • 정지은 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 송은정 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 박혜진 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 이계향 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 이경훈 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 최은진 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 김진경 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 정혜리 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 서억수 (동국대학교 의과대학 안과학교실) ;
  • 김우택 (대구가톨릭대학교 의과대학 소아과학교실)
  • Jung, Ji-Eun (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Song, Eun-Jeong (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Park, Hye-Jin (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Lee, Kye-Hyang (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Lee, Kyung-Hoon (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Choi, Eun-Jin (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Kim, Jin-Kyung (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Chung, Hai-Lee (Department of Pediatrics, School of Medicine, Catholic University of Daegu) ;
  • Seo, Eok-Su (Department of Ophthalmology, Dongguk University College of Medicine) ;
  • Kim, Woo-Taek (Department of Pediatrics, School of Medicine, Catholic University of Daegu)
  • 발행 : 2009.05.31

초록

9번 염색체 장완의 중복은 거의 드문 형태의 염색체 이상이며, 특징적인 얼굴형태와 손가락 형태, 정신지체 등이 나타나는 것으로 알려져 있다. 얼굴 형태는 정상이었으나 선천성 심장기형과 수신증, 음낭 탈장이 동반된 미숙아에게서 46,X,Y,dup(9)(q21.2q22.1)를 확인하였고, 표현형이 정상인 환아의 아버지에게서 유래된 것으로 생각되어진 예를 경험하였기에 보고하는 바이다.

There are few cases of partial trisomy of 9q, known as partial 9q trisomy syndrome with low birth weight, microcephaly, hypotelorism, beaked nose, small lip, long finger, hypertrophic pyloric stenosis, ventricular septal defect, and mental retardation. We report partial trisomy of 9q derived from a paternal chromosome, which has different features of other syndromes, including prematurity, atrial and ventricular septal defect, patent ductus arteriosus, persistent left superior vena cava, congenital hydronephrosis, and scrotal hernia.

키워드

참고문헌

  1. Turleau C, de Grouchy J, Chavin-Colin F, Roubin M. Brissaud PE, Repessc G, et al. Partial trisomy 9q: a new syndrome. Humangenetik 1975:29;233-41. https://doi.org/10.1007/BF00297629
  2. Woo KS, Kim KE, Kwon EY, Kim JP, Han JY. A case of partial trisomy 9pter --> q13 due to paternal balanced translocation t(9;21)(q13;q21). Korean J Lab Med 2000:28:155-9. https://doi.org/10.3343/kjlm.2008.28.2.155
  3. Lee DS, Chung JY, Choli EY, Lee HR, Park EJ, Kim SH, et al. A Case of duplication of chromosome 9q(q13-q21.3) as polymomhism in fetus of patient with habitual abortion. Korean J Obstet Gynecol 2001;44:1711-4.
  4. Narahara K, Takahashi Y, Kikkawa K, Wakita Y, Kimura S, Kimoto H. Assignment of ABO locus to 9q31.3----qler by study of a family in which an intrachromosomal shift involving chromosome 9 is segregating. Jinrui Idengaku Zasshi 1986;31:289-96. https://doi.org/10.1007/BF01870759
  5. Kajii T, Matsuura S, Murano I, Kuwano A. Inverted insertion(9)(q34.3q22.3q21.2) and its recombination product: duplication 9q21.2q22.3. Jinrui Idengaku Zasshi 1987:32:45-50. https://doi.org/10.1007/BF01876527
  6. Nampoothiri S, Lakshman LR, Anilkumar A, Thampi MV. Partial trisomy 9q due to maternal 9q 17q translocation. Indian Pediatr 2008:45:595-8.
  7. Jalal SM, Kukolich MK, Garcia M, Day DW. Euchromatic 9q + heteromorphism in a family. Am J Med Genet 1990;37:155-6. https://doi.org/10.1002/ajmg.1320370135
  8. Knight LA, Soon GM, Tan M. Extra G positive band on the long arm of chromosome 9. J Med Genet 1993;30:613. https://doi.org/10.1136/jmg.30.7.613
  9. Stalker HJ, Ayme S, Delneste D, Scarpelli H, Vekemans M, Der Kaloustian VM. Duplication of 9q12-q33: a case report and implications for the dup(9q) syndrome. Am J Med Genet 1993:45:456-9. https://doi.org/10.1002/ajmg.1320450412
  10. Heller A, Seidel J, Hubler A, Starke H, Beensen V, Senger G, et al. Molecular cytogenetic characterisation of partial trisomy 9q in a case with pyloric stenosis and a review. J Med Genet 2000;37:529-32. https://doi.org/10.1136/jmg.37.7.529
  11. Hengstschlager M, Prusa AR, Repa C, Drahonsky R, Deutinger J, Pollak A, et al. Patient with partial trisomy 9q and learning disability but no pyloric stenosis. Dev Med Child Neurol 2004:46:57-9. https://doi.org/10.1111/j.1469-8749.2004.tb00435.x
  12. Nakahori Y, Nakagome Y. A malformed girl with duplication of chromosome 9q. J Med Genet 1984; 21:387-8. https://doi.org/10.1136/jmg.21.5.387