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Wiedemann-Beckwith syndrome in apparently discordant monozygotic twins

✍ Scribed by Olney, Ann Haskins ;Buehler, Bruce A. ;Waziri, Mary ;Optiz, John M. ;Reynolds, James F.


Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
607 KB
Volume
29
Category
Article
ISSN
0148-7299

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✦ Synopsis


We report 3 pairs of monozygotic (MZ) twins, one twin showing typical Wiedemann-Beckwith syndrome (WBS) with minimal or no expression of the condition in the co-twin. These cases are documented, and three previously reported M Z twin pairs are reviewed. Phenotypic concordance for this syndrome in M Z twin pairs has not been reported. Many cases of familial occurrence have been published and different modes of inheritance have been postulated. Based on the twin-twin variability seen in our patients, it seems the most likely mechanism of inheritance is an autosomal dominant mutation with environmental modification of expressivity, or reduced phenotrance.


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