Background:Chromosomal abnormality is a common cause of congenital anomalies,psychiatric disorders,and mental retardation.However,the double trisomy 48,XXX,+18 is a rare chromosome abnormality.Methods:Case report and ...Background:Chromosomal abnormality is a common cause of congenital anomalies,psychiatric disorders,and mental retardation.However,the double trisomy 48,XXX,+18 is a rare chromosome abnormality.Methods:Case report and literature review.Results:A 7-hour-old girl presented to our unit because of poor response after birth.She presented with multiple dysmorphic features,including small for gestational age infant,flat nasal bridge,widely-spaced eyes,the left thumb deformities,flat facial profile,raised sternum,ventricular septal defect,the third lateral brain ventricle enlargement,and small liver.This case expands the spectrum of malformations reported in association with the double trisomy 48,XXX,+18.The literature on 16 fetuses or infants with the 48,XXX,+18 were also reviewed.Conclusion:These data suggested that in patients with clinical features similar to trisomy 18,especially with anomalies of the ears and/or reproductive malformations,double trisomy(48,XXX,+18)should be considered and karyotyping should be performed although it is a rare disease.展开更多
基金supported by Zhejiang Provincial Natural Science Foundation of China(LR13H090002)the National Natural Science Foundation of China(81170787 and 81371215)
文摘Background:Chromosomal abnormality is a common cause of congenital anomalies,psychiatric disorders,and mental retardation.However,the double trisomy 48,XXX,+18 is a rare chromosome abnormality.Methods:Case report and literature review.Results:A 7-hour-old girl presented to our unit because of poor response after birth.She presented with multiple dysmorphic features,including small for gestational age infant,flat nasal bridge,widely-spaced eyes,the left thumb deformities,flat facial profile,raised sternum,ventricular septal defect,the third lateral brain ventricle enlargement,and small liver.This case expands the spectrum of malformations reported in association with the double trisomy 48,XXX,+18.The literature on 16 fetuses or infants with the 48,XXX,+18 were also reviewed.Conclusion:These data suggested that in patients with clinical features similar to trisomy 18,especially with anomalies of the ears and/or reproductive malformations,double trisomy(48,XXX,+18)should be considered and karyotyping should be performed although it is a rare disease.
