1. Mosaic Small Supernumerary Marker Chromosome Derived from Five Discontinuous Regions of Chromosome 8 in a Patient with Neutropenia and Oral Aphthous Ulcer
- Author
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Şule Altıner, Hatice Ilgın Ruhi, and Nuket Yurur Kutlay
- Subjects
Genetic Markers ,Pathology ,medicine.medical_specialty ,Neutropenia ,Genotype ,Chromosome Disorders ,Chromosomal rearrangement ,Biology ,03 medical and health sciences ,Cytogenetics ,0302 clinical medicine ,Genetics ,medicine ,Humans ,Lymphocytes ,Molecular Biology ,Small supernumerary marker chromosome ,Oral Ulcer ,Genetics (clinical) ,Metaphase ,030304 developmental biology ,Oligonucleotide Array Sequence Analysis ,Chromosome Aberrations ,0303 health sciences ,Chromothripsis ,Mosaicism ,Chromosome ,Karyotype ,Anaphase lag ,Phenotype ,Nondisjunction ,030220 oncology & carcinogenesis ,Child, Preschool ,Karyotyping ,Female ,Stomatitis, Aphthous ,Chromosome 20 ,Chromosomes, Human, Pair 8 - Abstract
Small supernumerary marker chromosomes (sSMCs) are characterized as additional centric chromosome fragments which are too small to be classified by cytogenetic banding alone and smaller than or equal to the size of chromosome 20 of the same metaphase spread. Here, we report a patient who presented with slight neutropenia and oral aphthous ulcers. A mosaic de novo sSMC, which originated from 5 discontinuous regions of chromosome 8, was detected in the patient. Formation of the sSMC(8) can probably be explained by a multi-step process beginning with maternal meiotic nondisjunction, followed by post-zygotic anaphase lag, and resulting in chromothripsis. Chromothripsis is a chromosomal rearrangement which occurs by breakage of one or more chromosomes leading to a fusion of surviving chromosome pieces. This case is a good example for emphasizing the importance of conventional karyotyping from PHA-induced peripheral blood lymphocytes and examining tissues other than bone marrow in patients with inconsistent genotype and phenotype.
- Published
- 2019