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Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler

Yıl 2005, Cilt: 22 Sayı: 3, 113 - 118, 31.12.2009

Öz

Çalışmamızda konjenital malformasyonlu olgularda kromozomal anomali frekansını belirlemek amacıyla hastaların kromozomal yapısı saptandı. Tüm olgulara standart periferik kan kültürü ve Giemsa bantlama tekniği uygulandı. Sitogenetik analizi yapılan 658 olgudan 130 olgu Down sendromu, 2 olgu Edward's sendromu, 2 olgu Patau's sendromu, 5 olgu Turner sendromu, 1 olgu Klinefelter sendromu, bir olgu tetrazomi X, 5 olgu kromozomal delesyonlu ve 1 olgu da triploidi idi. Hastaların %22.3'ünde kromozomal anomaliye rastlandı. Kromozomal anomalilerin %91'i sayısal, %9'u ise yapısal düzensizliklerdi. Sonuç olarak, konjenital malformasyonlu olgulara rutin karyotip analizi yapılmalıdır


Chromosomal Abnormalities in Cases with Congenital Malformations

In this study we have investigated the chromosomal constitution of patients with congenital malformations in order to determine chromosomal anomaly frequencies. The conventional GTG banding patterns were routinely employed for chromosome identification. Among the 658 individuals with congenital malformations who were analyzed there were 130 cases of Down's syndrome, 2 of Edward's syndrome, 2 of Patau's syndrome, 5 of Turners syndrome, 1 of Klinefelters syndrome, 1 of tetrazomy X, 5 cases of chromosomal deletion, 1 case of triploidy. We found abnormal chromosomes in 22.3% of patients, 91% of which were num e rical abnormalities, remaining 9% being structural variants. We conclude that patients with congenital malformations should be routinely karyotyped.

Kaynakça

  • Connor JM, and Ferguson-Smith MA. Essential Medical Genetics. London, Blackwell Scientific Publications 2nd edition, 1997; 178.
  • Milunsky, A. Genetic Disorders and the Fetus: Diagnosis, Prevention, and Treatment. Baltimore, Johns HopkinsUniversity Pres, 3rd edn, 1992; 58–67. 3. Tuncbilek E, Boduroglu K, Alikasifoglu M. Results of the Turkish congenital malformation survey. Turk J Pediatr 1999; 41: 287–97.
  • Mitelman F. ISCN: An International System for Human Cytogenetic Nomenclature. Basel: Karger; 1995. 5. Fryns JP, Kleczkowska A, Dereymaeker A, et al. A genetic-diagnostic survey in an institutionalized p o p u l a t i o n of 173 severely mentally retarded patients. Clin Genet 1986; 30: 315–23.
  • Fryns JP, Volcke PH, Haspeslagh M, et al. A genetic diagnostic survey in an institutionalized population of 262 moderately mentally retarded patients: the Borgerstain experience. J Ment Defic Res 1990; 34: 29-40.
  • Dereymaeker AM, Fryns JP, Haegeman J, et al. A genetic-diagnostic survey in an institutionalized pop- ulation of 158 mentally retarded patients. Clin Genet 1988; 34: 126–34.
  • Gustavson, HK, Hagberg G, and Sars K. Severe mental retardation in Sweedish country. Epidemiology, gestational age, birth weight and associated CNS h a n d i c a p s in children born 1959-70. Acta Pediatr 1977; 43; 343–79.
  • Laxova R, Ridler, MAC and Bower-Bravery, M. An eti- ological survey of the severely retarded Hertfordshire children who were born between January 1,1965 and December 31, 1967. Am. J. Med Genet 1977; 1: 76–86. 10. Coco R, Penchaszadeh VB. Cytogenetic findings in 200 children with mental retardation and multiple congenital anomalies of unknown cause. Am J Med Genet 1982; 12: 155–73.
  • Cora T, Demirel S, Acar A. Chromosomal abnormali- ties in mentally retarded children in Konya region Turkey. Genet Couns 2000; 11: 53–5.
  • Nussbaum, Robert L, Willard, Huntington F. Thompson and Thompson Medical Genetics Elsevier Science Health Science 2004; 59 and 309.
  • Santos CB, Boy RT, Santos JM et al. Chromosomal investigations in patients with mental retardation and/or congenital malformations. Genet Mol Biol 2000; 23: 703–7.
  • Astete C, Youlton R, Castillo S, et al.Clinical and cyto- genetic analysis of 257 cases of Down’s syndrome. Rev. Chil Pediatr 1991; 62: 99–102.
  • Verhoeven WM, Feenstra I, Van Ravenswaay-Arts C et al. Neuropsychiatry and deletions of 18q; case report and diagnostic considerations. Genet Couns 2006; 17: 307–13.
  • Duarte AC, Cunha E, Roth JM et al. Cytogenetics of genetic counseling patients in Pelotas, Rio Grande do Sul, Brazil. Genet Mol Res 2004; 3: 303–8.
  • Iliopoulos D, Vassiliou G, Sekerli E et al. Long sur- vival in a 69,XXX triploid infant in Greece. Genet Mol Res 2005; 4: 755–9.
  • Christ LA, Crowe CA, Micale MA et al. Chromosome breakage hotspots and delineation of the critical region for the 9p-deletion syndrome. Am J Hum Genet 1999; 65: 1387–95.
  • Loevner LA, Shapiro RM, Grossman RI et al. White matter changes associated with deletions of the long arm of the chromosome 18 (18q- syndrome): A dysmyelinating syndrome? Am J Neuroradiol 1996; 17: 1843–8.
  • Sudha T, Jayam S. Pericentric inversion in homologues of chromosome 9. Indian J Pediatr 1992; 59: 759–763.
Yıl 2005, Cilt: 22 Sayı: 3, 113 - 118, 31.12.2009

Öz

Kaynakça

  • Connor JM, and Ferguson-Smith MA. Essential Medical Genetics. London, Blackwell Scientific Publications 2nd edition, 1997; 178.
  • Milunsky, A. Genetic Disorders and the Fetus: Diagnosis, Prevention, and Treatment. Baltimore, Johns HopkinsUniversity Pres, 3rd edn, 1992; 58–67. 3. Tuncbilek E, Boduroglu K, Alikasifoglu M. Results of the Turkish congenital malformation survey. Turk J Pediatr 1999; 41: 287–97.
  • Mitelman F. ISCN: An International System for Human Cytogenetic Nomenclature. Basel: Karger; 1995. 5. Fryns JP, Kleczkowska A, Dereymaeker A, et al. A genetic-diagnostic survey in an institutionalized p o p u l a t i o n of 173 severely mentally retarded patients. Clin Genet 1986; 30: 315–23.
  • Fryns JP, Volcke PH, Haspeslagh M, et al. A genetic diagnostic survey in an institutionalized population of 262 moderately mentally retarded patients: the Borgerstain experience. J Ment Defic Res 1990; 34: 29-40.
  • Dereymaeker AM, Fryns JP, Haegeman J, et al. A genetic-diagnostic survey in an institutionalized pop- ulation of 158 mentally retarded patients. Clin Genet 1988; 34: 126–34.
  • Gustavson, HK, Hagberg G, and Sars K. Severe mental retardation in Sweedish country. Epidemiology, gestational age, birth weight and associated CNS h a n d i c a p s in children born 1959-70. Acta Pediatr 1977; 43; 343–79.
  • Laxova R, Ridler, MAC and Bower-Bravery, M. An eti- ological survey of the severely retarded Hertfordshire children who were born between January 1,1965 and December 31, 1967. Am. J. Med Genet 1977; 1: 76–86. 10. Coco R, Penchaszadeh VB. Cytogenetic findings in 200 children with mental retardation and multiple congenital anomalies of unknown cause. Am J Med Genet 1982; 12: 155–73.
  • Cora T, Demirel S, Acar A. Chromosomal abnormali- ties in mentally retarded children in Konya region Turkey. Genet Couns 2000; 11: 53–5.
  • Nussbaum, Robert L, Willard, Huntington F. Thompson and Thompson Medical Genetics Elsevier Science Health Science 2004; 59 and 309.
  • Santos CB, Boy RT, Santos JM et al. Chromosomal investigations in patients with mental retardation and/or congenital malformations. Genet Mol Biol 2000; 23: 703–7.
  • Astete C, Youlton R, Castillo S, et al.Clinical and cyto- genetic analysis of 257 cases of Down’s syndrome. Rev. Chil Pediatr 1991; 62: 99–102.
  • Verhoeven WM, Feenstra I, Van Ravenswaay-Arts C et al. Neuropsychiatry and deletions of 18q; case report and diagnostic considerations. Genet Couns 2006; 17: 307–13.
  • Duarte AC, Cunha E, Roth JM et al. Cytogenetics of genetic counseling patients in Pelotas, Rio Grande do Sul, Brazil. Genet Mol Res 2004; 3: 303–8.
  • Iliopoulos D, Vassiliou G, Sekerli E et al. Long sur- vival in a 69,XXX triploid infant in Greece. Genet Mol Res 2005; 4: 755–9.
  • Christ LA, Crowe CA, Micale MA et al. Chromosome breakage hotspots and delineation of the critical region for the 9p-deletion syndrome. Am J Hum Genet 1999; 65: 1387–95.
  • Loevner LA, Shapiro RM, Grossman RI et al. White matter changes associated with deletions of the long arm of the chromosome 18 (18q- syndrome): A dysmyelinating syndrome? Am J Neuroradiol 1996; 17: 1843–8.
  • Sudha T, Jayam S. Pericentric inversion in homologues of chromosome 9. Indian J Pediatr 1992; 59: 759–763.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Basic Medical Sciences
Yazarlar

S. Güneş Bu kişi benim

G. Ökten Bu kişi benim

N. Kara Bu kişi benim

S. Yiğit Bu kişi benim

Ş. Tural, Bu kişi benim

E. Taşkın Bu kişi benim

N. Karakuş Bu kişi benim

Yayımlanma Tarihi 31 Aralık 2009
Gönderilme Tarihi 26 Ekim 2009
Yayımlandığı Sayı Yıl 2005 Cilt: 22 Sayı: 3

Kaynak Göster

APA Güneş, S., Ökten, G., Kara, N., Yiğit, S., vd. (2009). Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler. Journal of Experimental and Clinical Medicine, 22(3), 113-118. https://doi.org/10.5835/jecm.v22i3.63
AMA Güneş S, Ökten G, Kara N, Yiğit S, Tural, Ş, Taşkın E, Karakuş N. Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler. J. Exp. Clin. Med. Aralık 2009;22(3):113-118. doi:10.5835/jecm.v22i3.63
Chicago Güneş, S., G. Ökten, N. Kara, S. Yiğit, Ş. Tural, E. Taşkın, ve N. Karakuş. “Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler”. Journal of Experimental and Clinical Medicine 22, sy. 3 (Aralık 2009): 113-18. https://doi.org/10.5835/jecm.v22i3.63.
EndNote Güneş S, Ökten G, Kara N, Yiğit S, Tural, Ş, Taşkın E, Karakuş N (01 Aralık 2009) Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler. Journal of Experimental and Clinical Medicine 22 3 113–118.
IEEE S. Güneş, “Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler”, J. Exp. Clin. Med., c. 22, sy. 3, ss. 113–118, 2009, doi: 10.5835/jecm.v22i3.63.
ISNAD Güneş, S. vd. “Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler”. Journal of Experimental and Clinical Medicine 22/3 (Aralık 2009), 113-118. https://doi.org/10.5835/jecm.v22i3.63.
JAMA Güneş S, Ökten G, Kara N, Yiğit S, Tural, Ş, Taşkın E, Karakuş N. Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler. J. Exp. Clin. Med. 2009;22:113–118.
MLA Güneş, S. vd. “Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler”. Journal of Experimental and Clinical Medicine, c. 22, sy. 3, 2009, ss. 113-8, doi:10.5835/jecm.v22i3.63.
Vancouver Güneş S, Ökten G, Kara N, Yiğit S, Tural, Ş, Taşkın E, Karakuş N. Konjenital Malformasyonlu Olgularda Kromozomal Anomaliler. J. Exp. Clin. Med. 2009;22(3):113-8.