Instability of lymphocyte chromosomes in a girl with Rothmund-Thomson syndrome

Rothmund-Thomson syndrome is a rare autosomal recessive syndrome characterised by poikiloderma of the face and extremities, alopecia, short stature, and skeletal defects. We report a patient with the characteristic features of Rothmund-Thomson syndrome who also had lymphocyte chromosome abnormalitie...

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Bibliographic Details
Published in:Journal of medical genetics 1994-07, Vol.31 (7), p.570-572
Main Authors: Orstavik, K H, McFadden, N, Hagelsteen, J, Ormerod, E, van der Hagen, C B
Format: Article
Language:English
Subjects:
Biological and medical sciences
Chromosome Aberrations
Chromosome Banding
Dermatology
Female
Fibroblasts - pathology
Genetic Markers
Humans
In Situ Hybridization
Infant
Lymphocytes - ultrastructure
Male
man
Medical sciences
Pigmentary diseases of the skin
Radiography
Rothmund-Thomson syndrome
Rothmund-Thomson Syndrome - diagnostic imaging
Rothmund-Thomson Syndrome - genetics
Rothmund-Thomson Syndrome - pathology
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Summary:Rothmund-Thomson syndrome is a rare autosomal recessive syndrome characterised by poikiloderma of the face and extremities, alopecia, short stature, and skeletal defects. We report a patient with the characteristic features of Rothmund-Thomson syndrome who also had lymphocyte chromosome abnormalities. She has a small flat face with short palpebral fissures and micrognathia together with severe skeletal abnormalities of the upper extremities with absence of both radii, short dysmorphic ulnae, a rudimentary right thumb, and aplasia of the left thumb. She also has anal atresia with a rectovaginal fistula. From the age of 3 months she developed poikiloderma skin changes on the face and extensor surfaces of the extremities. Mental development seems to be normal. Lymphocyte chromosomes in the neonatal period showed an unidentified marker chromosome in eight of a total of 32 cells. A repeat analysis at the age of 10 months showed three abnormal cells out of 100 analysed: 47,XX,-7,+i(7q),+7p, 46,XX,t(3;18)(p14.2;q22), and 49,XX,+del(3)(p11.2),+mar,+mar. A skin biopsy from an affected area showed poor growth and five of 48 cells analysed had structural abnormalities. The father had one of 48 cells with an additional marker chromosome and two cells with different 7;14 translocations. The abnormal chromosome complements in lymphocytes indicate that there may be in vivo chromosome instability in Rothmund-Thomson syndrome.
ISSN:0022-2593
1468-6244
1468-6244
DOI:10.1136/jmg.31.7.570