Case Report

De Novo Trisomy 1q10q23.3 Mosaicism Causes Microcephaly, Severe Developmental Delay, and Facial Dysmorphic Features but No Cardiac Anomalies

Table 1

Clinical features in 7 patients, including presented case, with duplication of the proximal long arm of chromosome 1.

Mertens  et al., 1987 [2] Chen  et al., 2008 [1] Hirshfeld  et al., 2001 [6] Machlitt  et al., 2005 [3] Patel  et al., 2009 [4] Sifakis  et al., 2014 [5]Present case

Karyotype 46,XY,inv dup(1)(q11q22)46,XY,dir dup(1)(pterq25::q12qpter)46,XX,dir dup(1)(pterq23::q12q23::q23qter)/46 XX46,XY,der(1)(1qter q21::1p36.3qter)46,XY,+1,der(1;22)(q10;q10) 25/46,XY6546,XX,der(1)(pterq31::q31q12::q31qter)47,XX,+der(1)(::q10q23.3::)4/46,XX12.ish der(1)(CEP1+,wcp1+)

% mosaicAmniotic fluid, 100%27%100%Blood, 25%

Age of DxDeliveryDeliveryDeliveryPrenatalPostmortemPrenatal9 months

GA (wk)37TermTerm233922,4Term

BW (g/percentile)2800/P253260/P253100/P25440/P123300/P25501/P123120/P25

SexMaleFemaleMaleMaleFemaleFemale

Skull anomalies++++

Brain anomalies++++++

Abnormal palate+++u+

Micro/retrognathia+++++++

Low set/malrotated ears++++++

Eye anomalies+u

Cardiovascular anomalies+++

Respiratory anomalies+

Gastrointestinal anomalies+++++

Kidney anomalies+++

Genital anomalies++

Hand/foot anomalies++++++

OthersExcessive neck skinSelective deficiency antibody response to polysaccharide antigensSUA13 pair ribs, defect vertebra bodies, and collagenopathyHbSC

Survival11 monthsDead
2 weeks
15 yrTOPTOP2 years

Dx: diagnosis; GA: gestational age; BW: birth weight; SUA: single umbilical artery; HbSC: sickle cell type SC; TOP: termination of pregnancy; +: present; −: absent; u: unknown.