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Phenotypic discordance in monozygotic twins with 22q11.2 deletion

✍ Scribed by Yamagishi, Hiroyuki; Ishii, Chihiro; Maeda, Jun; Kojima, Yoshifumi; Matsuoka, Rumiko; Kimura, Misa; Takao, Atsuyoshi; Momma, Kazuo; Matsuo, Nobutake


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
10 KB
Volume
78
Category
Article
ISSN
0148-7299
DOI
10.1002/(sici)1096-8628(19980724)78:4<319::aid-ajmg3>3.0.co;2-g

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✦ Synopsis


We report on male monozygotic twins with 22q11.2 deletion and discordant phenotypes. The twins had twin-to-twin transfusion syndrome. Twin 1, the smaller of the pair, had Tetralogy of Fallot, a characteristic facial appearance, swallowing dysfunction, anal atresia, short stature, and mental retardation, whereas twin 2 had a characteristic facial appearance but no other signs of the 22q11 deletion syndrome. Fluorescence in situ hybridization analysis showed a microdeletion on chromosome 22q11.2 in both twins. Zygosity analysis gave a probability of monozygosity greater than 99.999%. These observations indicate that environmental factors or postzygotic events play a role in the phenotypic variability in the twins. Am.


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