Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature

Turner Syndrome (TS) is a genetic disorder caused by total or partial loss of an X chromosome. The isochromosome X (i(X)) is a known variant of TS, however, double i(X) is a very rare variant, reported very few times in the literature. We report on a rare case of TS with double i(X). This is an 11-y...

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Main Authors: Zerrouki K., Babakhouya A., Tajir M.
Format: Article
Language:English
Published: Sciendo 2023-03-01
Series:Balkan Journal of Medical Genetics
Subjects:
Online Access:https://doi.org/10.2478/bjmg-2022-0011
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author Zerrouki K.
Babakhouya A.
Tajir M.
author_facet Zerrouki K.
Babakhouya A.
Tajir M.
author_sort Zerrouki K.
collection DOAJ
description Turner Syndrome (TS) is a genetic disorder caused by total or partial loss of an X chromosome. The isochromosome X (i(X)) is a known variant of TS, however, double i(X) is a very rare variant, reported very few times in the literature. We report on a rare case of TS with double i(X). This is an 11-year-old female patient , addressed to the medical genetics consultation for short stature and facial features suggestive of TS. We performed a constitutional postnatal karyotype from a peripheral blood sample, with lymphocyte culture, and an R band analysis, performed on 70 metaphases. Metaphases analysis in our patient identified the presence of three cell populations: 45,X[22]/46,X,i(X)(q10)[30]/47,X,i(X)(q10),i(X)(q10) [18]. The first has total chromosome X monosomy, the second with a normal X chromosome and one isochromosome of the long arm of the other X chromosome and the third with a normal X chromosome and two isochromosomes of the long arm of the X chromosome. A control cell culture was performed from a second blood sample of the patient and confirmed the abnormality. This paper will discuss this case in comparison with other rare cases described, as well as the formation of the double isochromosome, based on the literature.
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spelling doaj.art-0bdebe62e54e49079665cdf0b2e2eceb2023-09-03T14:09:51ZengSciendoBalkan Journal of Medical Genetics1311-01602023-03-0125110110410.2478/bjmg-2022-0011Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literatureZerrouki K.0Babakhouya A.1Tajir M.2Faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco.Faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco.Faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco.Turner Syndrome (TS) is a genetic disorder caused by total or partial loss of an X chromosome. The isochromosome X (i(X)) is a known variant of TS, however, double i(X) is a very rare variant, reported very few times in the literature. We report on a rare case of TS with double i(X). This is an 11-year-old female patient , addressed to the medical genetics consultation for short stature and facial features suggestive of TS. We performed a constitutional postnatal karyotype from a peripheral blood sample, with lymphocyte culture, and an R band analysis, performed on 70 metaphases. Metaphases analysis in our patient identified the presence of three cell populations: 45,X[22]/46,X,i(X)(q10)[30]/47,X,i(X)(q10),i(X)(q10) [18]. The first has total chromosome X monosomy, the second with a normal X chromosome and one isochromosome of the long arm of the other X chromosome and the third with a normal X chromosome and two isochromosomes of the long arm of the X chromosome. A control cell culture was performed from a second blood sample of the patient and confirmed the abnormality. This paper will discuss this case in comparison with other rare cases described, as well as the formation of the double isochromosome, based on the literature.https://doi.org/10.2478/bjmg-2022-0011double isochromosomemosaicismturner syndromerare case
spellingShingle Zerrouki K.
Babakhouya A.
Tajir M.
Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
Balkan Journal of Medical Genetics
double isochromosome
mosaicism
turner syndrome
rare case
title Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
title_full Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
title_fullStr Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
title_full_unstemmed Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
title_short Double isochromosome X, A rare cytogenetic variant of turner syndrome: A case report and a review of the literature
title_sort double isochromosome x a rare cytogenetic variant of turner syndrome a case report and a review of the literature
topic double isochromosome
mosaicism
turner syndrome
rare case
url https://doi.org/10.2478/bjmg-2022-0011
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AT babakhouyaa doubleisochromosomexararecytogeneticvariantofturnersyndromeacasereportandareviewoftheliterature
AT tajirm doubleisochromosomexararecytogeneticvariantofturnersyndromeacasereportandareviewoftheliterature