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Ring chromosome 22 and autism: Report and review

✍ Scribed by MacLean, Joanna E.; Teshima, Ikuko E.; Szatmari, Peter; Nowaczyk, Ma?gorzata J.M.


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
18 KB
Volume
90
Category
Article
ISSN
0148-7299
DOI
10.1002/(sici)1096-8628(20000228)90:5<382::aid-ajmg7>3.0.co;2-t

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✦ Synopsis


Ring chromosome 22 has been described in over 50 cases. A characteristic phenotype has not been fully delineated; however, long face, thick eyebrows, 2-3 toe syndactyly, mental retardation, adequate somatic growth and the absence of major malformations are noted in many cases. An 11-yearold boy with ring chromosome 22 and 46,XY,r(22)(p11.31-q13.31∼q13.33) karyotype presented with global developmental delay, autistic disorder, and dolichocephaly, apparently low-set and large ears, midface hypoplasia, and 2-3 toe syndactyly. This is the second report of a ring chromosome 22 with autistic disorder. There appears to be an association between abnormalities of chromosome 22, including r(22), and autistic disorder; however, this occurrence may be a result of the association of autistic disorder with mental retardation rather than specifically due to r(22). The physical findings in this case also suggest that ring chromosome 22 causes a subtle but distinct phenotype which has previously been proposed. Am.


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