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Target Concepts:
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Query: UMLS:C0033377 (
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11,717
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Mosaic
trisomy 22
, ascertained in three unrelated patients, was found to be associated with body asymmetry and signs of the Ullrich-Turner syndrome including short stature,
ptosis
, webbed neck, nevi, cubitus valgus, dysplastic nails, malformed great vessels, and abnormal ovaries. These anomalies in
trisomy 22
mosaicism have not been emphasized heretofore. In each of our patients,
trisomy 22
mosaicism was found only in fibroblasts. In one patient, the trisomy resulted from a paternal first meiotic nondisjunction, and in the 46,XX cells, both chromosomes 22 were of paternal origin.
...
PMID:Trisomy 22 mosaicism syndrome and Ullrich-Turner stigmata. 395 73
Mosaic
trisomy 22
is rare, but can be compatible with prolonged life. Patients with mosaic
trisomy 22
usually present with intrauterine growth retardation, mental retardation, failure to thrive, and craniofacial asymmetry. We report the case of a five-year-old boy who had a birth weight of 3.8 kg and normal developmental milestones. He presented with unilateral ocular manifestations of
ptosis
, double elevator palsy, high myopia, and choroidal coloboma involving the macula. Cytogenetic evaluation showed a low level of
trisomy 22
in peripheral blood lymphocytes (1 in 100) and in cultured fibroblasts from a conjunctival biopsy of the affected eye (1 in 60). Our case demonstrates the value of chromosomal analysis of the tissues involved rather than just karyotyping of the blood lymphocytes to detect mosaicism in patients with localised and unilateral congenital malformations.
...
PMID:Ocular manifestations of mosaic trisomy 22: a case report and review of the literature. 1525 16