First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)

Objective: Double aneuploidy cases involving autosomal and sex chromosomes are very rare. Therefore, it is difficult to determine the clinical features and prognosis of these cases. In this case, a fetus with 48,XYY,+18 karyotype is presented. Case(s): Cystic hygroma, cleft lip and palate,...

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Main Authors: Hakan Gölbaşı, Merve Saka Güvenç, Ceren Gölbaşı, İbrahim Ömeroğlu, Atalay Ekin
Format: Article
Language:English
Published: Perinatal Medicine Foundation 2022-04-01
Series:Perinatal Journal
Online Access:https://perinataljournal.com/Archive/Article/20220301003
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author Hakan Gölbaşı
Merve Saka Güvenç
Ceren Gölbaşı
İbrahim Ömeroğlu
Atalay Ekin
author_facet Hakan Gölbaşı
Merve Saka Güvenç
Ceren Gölbaşı
İbrahim Ömeroğlu
Atalay Ekin
author_sort Hakan Gölbaşı
collection DOAJ
description Objective: Double aneuploidy cases involving autosomal and sex chromosomes are very rare. Therefore, it is difficult to determine the clinical features and prognosis of these cases. In this case, a fetus with 48,XYY,+18 karyotype is presented. Case(s): Cystic hygroma, cleft lip and palate, and clubbed foot were detected in the prenatal ultrasonographic evaluation of a 31-year-old pregnant woman at 13 weeks of gestation. Chorionic villus sampling revealed double aneuploidy including Klinefelter and Edwards syndromes. The molecular result was consistent with the occurrence of nondisjunction error involving chromosome 18 in maternal meiosis I (mat MI) but the finding of the extra X chromosome could not be fully explained. Post-abortion fetal pathology specimen confirmed prenatal diagnosis. Conclusion: Double aneuploidy cases may rarely present with structural anomalies due to maternal meiosis error, without advanced maternal age, as in this case.
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spelling doaj.art-05d9a822042748bfa75cedd4c4e139ca2023-02-15T16:18:31ZengPerinatal Medicine FoundationPerinatal Journal1305-31242022-04-013017578010.2399/prn.22.0301003First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)Hakan Gölbaşıhttps://orcid.org/0000-0001-8682-5537Merve Saka Güvençhttps://orcid.org/0000-0001-8842-0381Ceren Gölbaşıhttps://orcid.org/0000-0002-1844-1782İbrahim Ömeroğluhttps://orcid.org/0000-0001-9200-0208Atalay Ekinhttps://orcid.org/0000-0002-4712-3927 Objective: Double aneuploidy cases involving autosomal and sex chromosomes are very rare. Therefore, it is difficult to determine the clinical features and prognosis of these cases. In this case, a fetus with 48,XYY,+18 karyotype is presented. Case(s): Cystic hygroma, cleft lip and palate, and clubbed foot were detected in the prenatal ultrasonographic evaluation of a 31-year-old pregnant woman at 13 weeks of gestation. Chorionic villus sampling revealed double aneuploidy including Klinefelter and Edwards syndromes. The molecular result was consistent with the occurrence of nondisjunction error involving chromosome 18 in maternal meiosis I (mat MI) but the finding of the extra X chromosome could not be fully explained. Post-abortion fetal pathology specimen confirmed prenatal diagnosis. Conclusion: Double aneuploidy cases may rarely present with structural anomalies due to maternal meiosis error, without advanced maternal age, as in this case.https://perinataljournal.com/Archive/Article/20220301003
spellingShingle Hakan Gölbaşı
Merve Saka Güvenç
Ceren Gölbaşı
İbrahim Ömeroğlu
Atalay Ekin
First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
Perinatal Journal
title First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
title_full First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
title_fullStr First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
title_full_unstemmed First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
title_short First trimester diagnosis of an unusual case of double aneuploidy with karyotype 48,XXY,+18 (Klinefelter-Edwards syndromes)
title_sort first trimester diagnosis of an unusual case of double aneuploidy with karyotype 48 xxy 18 klinefelter edwards syndromes
url https://perinataljournal.com/Archive/Article/20220301003
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