Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization

The cri-du-chat syndrome is caused by a deletion on the short arm of chromosome number 5. The size of genetic material loss varies from the 5p15.2 region only to the whole arm. Prevalence rates range between 1:15000 and 1:50000 live births. Diagnosis is suspected on infants with a high-pitched (cat-...

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Main Authors: Wilmar Saldarriaga, Laura Collazos-Saa, Julián Ramírez-Cheyne
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2017-07-01
Series:Revista de la Facultad de Medicina
Subjects:
Online Access:https://revistas.unal.edu.co/index.php/revfacmed/article/view/57414
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author Wilmar Saldarriaga
Laura Collazos-Saa
Julián Ramírez-Cheyne
author_facet Wilmar Saldarriaga
Laura Collazos-Saa
Julián Ramírez-Cheyne
author_sort Wilmar Saldarriaga
collection DOAJ
description The cri-du-chat syndrome is caused by a deletion on the short arm of chromosome number 5. The size of genetic material loss varies from the 5p15.2 region only to the whole arm. Prevalence rates range between 1:15000 and 1:50000 live births. Diagnosis is suspected on infants with a high-pitched (cat-like) cry, facial dysmorfism, hypotonia and delayed psychomotor development. In adults, phenotypic findings are less specific. It is confirmed through high-resolution G-banding karyotype, fluorescent in situ hybridization or microarray-based comparative genomic hybridization (a-CGH). The following is the case report of a 21-year-old female patient with severe mental retardation and trichotillomania, who does not control sphincters and does not bathe or eat by herself. Her communication is based only on sounds and dysmorphic facies. The G-band karyotype reported is 46, XX. a-CGH shows 18.583Mb interstitial microdeletion in 5p15.33p14.3, including the cri-du-chat critical region. In children or adults with unexplained mental retardation and normal karyotype results (like this case), an a-CGH should be performed to make an etiological diagnosis, establish the prognosis, order additional medical tests and specific treatments, and offer appropriate genetic counseling.
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spelling doaj.art-b2608a05a1134f9b81e4ae6498470d2b2022-12-22T01:37:43ZengUniversidad Nacional de ColombiaRevista de la Facultad de Medicina0120-00112357-38482017-07-0165352552910.15446/revfacmed.v65n3.5741447050Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridizationWilmar Saldarriaga0Laura Collazos-Saa1Julián Ramírez-Cheyne2Universidad del Valle - Faculty of Health - Department Morphology - MACOS Research Group - Cali - Colombia.Universidad del Valle - Faculty of Health - Medicine and Surgery - Cali - Colombia.Universidad del Valle - Faculty of Health - Medicine and Surgery - Cali - Colombia.The cri-du-chat syndrome is caused by a deletion on the short arm of chromosome number 5. The size of genetic material loss varies from the 5p15.2 region only to the whole arm. Prevalence rates range between 1:15000 and 1:50000 live births. Diagnosis is suspected on infants with a high-pitched (cat-like) cry, facial dysmorfism, hypotonia and delayed psychomotor development. In adults, phenotypic findings are less specific. It is confirmed through high-resolution G-banding karyotype, fluorescent in situ hybridization or microarray-based comparative genomic hybridization (a-CGH). The following is the case report of a 21-year-old female patient with severe mental retardation and trichotillomania, who does not control sphincters and does not bathe or eat by herself. Her communication is based only on sounds and dysmorphic facies. The G-band karyotype reported is 46, XX. a-CGH shows 18.583Mb interstitial microdeletion in 5p15.33p14.3, including the cri-du-chat critical region. In children or adults with unexplained mental retardation and normal karyotype results (like this case), an a-CGH should be performed to make an etiological diagnosis, establish the prognosis, order additional medical tests and specific treatments, and offer appropriate genetic counseling.https://revistas.unal.edu.co/index.php/revfacmed/article/view/57414Cri-du-Chat Syndrome5p Deletion SyndromeComparative Genomic HybridizationMental Retardation
spellingShingle Wilmar Saldarriaga
Laura Collazos-Saa
Julián Ramírez-Cheyne
Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
Revista de la Facultad de Medicina
Cri-du-Chat Syndrome
5p Deletion Syndrome
Comparative Genomic Hybridization
Mental Retardation
title Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
title_full Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
title_fullStr Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
title_full_unstemmed Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
title_short Cri-du-Chat syndrome diagnosed in a 21-year-old woman by means of comparative genomic hybridization
title_sort cri du chat syndrome diagnosed in a 21 year old woman by means of comparative genomic hybridization
topic Cri-du-Chat Syndrome
5p Deletion Syndrome
Comparative Genomic Hybridization
Mental Retardation
url https://revistas.unal.edu.co/index.php/revfacmed/article/view/57414
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