Cell line segregation in a 45,X/46,XY mosaic child with asymmetric leg growth.

Abstract:

:Clinical evaluation of a 13 1/2-year-old male revealed a 4.4-cm leg length discrepancy and a small penis with a normal endocrine evaluation. Cytogenetic analysis of peripheral blood lymphocytes and skin fibroblasts derived from the back showed 45,X/46,XY mosaicism with similar percentages of 45,X cells, 36% and 30% respectively. However, two separate skin fibroblast cultures derived from the thigh and calf of the short (right) leg showed significant lack of Y-bearing cells with 100% and 80% 45,X, respectively. In contrast, skin biopsies of the thigh and calf of the normal (left) leg both showed 100% 46,XY. Similar evidence for differences in the percentages of Y-bearing cells in the left versus right leg fibroblast cultures was obtained using densitometric scanning of dot blots following DNA hybridization with a Y-specific probe at the DYZ4 locus. Asymmetric limb growth in cases of X/XY lymphocyte mosaicism warrants further cytogenetic investigation to substantiate possible genotype-phenotype correlations which may help uncover the fundamental growth deficiency in Turner syndrome.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Papenhausen PR,Mueller OT,Bercu B,Salazar J,Tedesco TA

doi

10.1111/j.1399-0004.1991.tb03084.x

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

237-41

issue

3

eissn

0009-9163

issn

1399-0004

journal_volume

40

pub_type

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