Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines

We report an extremely rare case of Turner syndrome mosaicism in a 30-year-old woman. At least 100 metaphases were observed and analyzed through GTG banding with over 550 band resolutions observed. G-banded chromosome analysis revealed a mosaic female karyotype involving 3 different cell lines. One...

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Main Authors: Mirela Mačkić-Đurović, Meliha Stomornjak-Vukadin, Slavka Ibrulj
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2018-07-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/3809
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author Mirela Mačkić-Đurović
Meliha Stomornjak-Vukadin
Slavka Ibrulj
author_facet Mirela Mačkić-Đurović
Meliha Stomornjak-Vukadin
Slavka Ibrulj
author_sort Mirela Mačkić-Đurović
collection DOAJ
description We report an extremely rare case of Turner syndrome mosaicism in a 30-year-old woman. At least 100 metaphases were observed and analyzed through GTG banding with over 550 band resolutions observed. G-banded chromosome analysis revealed a mosaic female karyotype involving 3 different cell lines. One cell line (90% of the analyzed metaphases) presented monosomy X, while 6% of the cells showed trisomy of chromosome 21 and 4% of the cells exhibited a normal female karyotype. Fluorescence in situ hybridization with a locus-specific probe for trisomy 21 and CEP X for monosomy X substantiated the results obtained from karyotyping. Our patient had 2 natural pregnancies, both of which produced children with Down syndrome. In our patient, as is the case with other women with infertility, the necessary routine is cytogenetic analysis (together with genetic counseling). The same analysis can be helpful in implementing assisted reproductive techniques.
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spelling doaj.art-4c276c2e99ed4d289c1f279e2465d7512022-12-21T20:27:42ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882018-07-01434436439Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell LinesMirela Mačkić-Đurović0Meliha Stomornjak-Vukadin1Slavka Ibrulj2Center for Genetics, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and HerzegovinaLaboratory of Human Genetics, Department of Pathology, Cytology and Human Genetics, University Clinical Center Sarajevo, Sarajevo, Bosnia and HerzegovinaCenter for Genetics, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and HerzegovinaWe report an extremely rare case of Turner syndrome mosaicism in a 30-year-old woman. At least 100 metaphases were observed and analyzed through GTG banding with over 550 band resolutions observed. G-banded chromosome analysis revealed a mosaic female karyotype involving 3 different cell lines. One cell line (90% of the analyzed metaphases) presented monosomy X, while 6% of the cells showed trisomy of chromosome 21 and 4% of the cells exhibited a normal female karyotype. Fluorescence in situ hybridization with a locus-specific probe for trisomy 21 and CEP X for monosomy X substantiated the results obtained from karyotyping. Our patient had 2 natural pregnancies, both of which produced children with Down syndrome. In our patient, as is the case with other women with infertility, the necessary routine is cytogenetic analysis (together with genetic counseling). The same analysis can be helpful in implementing assisted reproductive techniques.http://ijms.sums.ac.ir/index.php/IJMS/article/view/3809Turner syndromeDown syndromeMosaicismIn situ hybridizationFluorescence
spellingShingle Mirela Mačkić-Đurović
Meliha Stomornjak-Vukadin
Slavka Ibrulj
Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
Iranian Journal of Medical Sciences
Turner syndrome
Down syndrome
Mosaicism
In situ hybridization
Fluorescence
title Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
title_full Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
title_fullStr Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
title_full_unstemmed Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
title_short Turner Syndrome: A Unique Mosaic Case with 45,X/47,XX,+21/46,XX Cell Lines
title_sort turner syndrome a unique mosaic case with 45 x 47 xx 21 46 xx cell lines
topic Turner syndrome
Down syndrome
Mosaicism
In situ hybridization
Fluorescence
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/3809
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AT melihastomornjakvukadin turnersyndromeauniquemosaiccasewith45x47xx2146xxcelllines
AT slavkaibrulj turnersyndromeauniquemosaiccasewith45x47xx2146xxcelllines