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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1993 Oct;30(10):825–827. doi: 10.1136/jmg.30.10.825

Velocardiofacial syndrome in a mother and daughter: variability of the clinical phenotype.

S E Holder 1, R M Winter 1, S Kamath 1, P J Scambler 1
PMCID: PMC1016563  PMID: 8230158

Abstract

We report a mother and daughter with features of the velocardiofacial (VCF) syndrome and monosomy for 22q11 identified using molecular techniques. The mother had surgery as a child for a cleft palate and a congenital heart defect, and her facial features were consistent with the diagnosis. The daughter had developmental delay, absent speech, scoliosis, and similar facial features, but no cleft palate or congenital heart defect. These cases illustrate the considerable intrafamilial variability of the phenotype of VCF syndrome. The clinical and molecular diagnosis of this syndrome is discussed. The phenotypic variability of the VCF syndrome means that many cases may be undiagnosed.

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Selected References

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  1. Carey A. H., Kelly D., Halford S., Wadey R., Wilson D., Goodship J., Burn J., Paul T., Sharkey A., Dumanski J. Molecular genetic study of the frequency of monosomy 22q11 in DiGeorge syndrome. Am J Hum Genet. 1992 Nov;51(5):964–970. [PMC free article] [PubMed] [Google Scholar]
  2. Dunham I., Collins J., Wadey R., Scambler P. Possible role for COMT in psychosis associated with velo-cardio-facial syndrome. Lancet. 1992 Nov 28;340(8831):1361–1362. doi: 10.1016/0140-6736(92)92553-r. [DOI] [PubMed] [Google Scholar]
  3. Goldberg R., Motzkin B., Marion R., Scambler P. J., Shprintzen R. J. Velo-cardio-facial syndrome: a review of 120 patients. Am J Med Genet. 1993 Feb 1;45(3):313–319. doi: 10.1002/ajmg.1320450307. [DOI] [PubMed] [Google Scholar]
  4. Hoffman J. I., Rudolph A. M. The natural history of ventricular septal defects in infancy. Am J Cardiol. 1965 Nov;16(5):634–653. doi: 10.1016/0002-9149(65)90047-0. [DOI] [PubMed] [Google Scholar]
  5. Kelly D., Goldberg R., Wilson D., Lindsay E., Carey A., Goodship J., Burn J., Cross I., Shprintzen R. J., Scambler P. J. Confirmation that the velo-cardio-facial syndrome is associated with haplo-insufficiency of genes at chromosome 22q11. Am J Med Genet. 1993 Feb 1;45(3):308–312. doi: 10.1002/ajmg.1320450306. [DOI] [PubMed] [Google Scholar]
  6. Meinecke P., Beemer F. A., Schinzel A., Kushnick T. The velo-cardio-facial (Shprintzen) syndrome. Clinical variability in eight patients. Eur J Pediatr. 1986 Dec;145(6):539–544. doi: 10.1007/BF02429059. [DOI] [PubMed] [Google Scholar]
  7. Scambler P. J., Kelly D., Lindsay E., Williamson R., Goldberg R., Shprintzen R., Wilson D. I., Goodship J. A., Cross I. E., Burn J. Velo-cardio-facial syndrome associated with chromosome 22 deletions encompassing the DiGeorge locus. Lancet. 1992 May 9;339(8802):1138–1139. doi: 10.1016/0140-6736(92)90734-k. [DOI] [PubMed] [Google Scholar]
  8. Shprintzen R. J., Goldberg R. B., Lewin M. L., Sidoti E. J., Berkman M. D., Argamaso R. V., Young D. A new syndrome involving cleft palate, cardiac anomalies, typical facies, and learning disabilities: velo-cardio-facial syndrome. Cleft Palate J. 1978 Jan;15(1):56–62. [PubMed] [Google Scholar]
  9. Shprintzen R. J., Goldberg R., Golding-Kushner K. J., Marion R. W. Late-onset psychosis in the velo-cardio-facial syndrome. Am J Med Genet. 1992 Jan 1;42(1):141–142. doi: 10.1002/ajmg.1320420131. [DOI] [PubMed] [Google Scholar]
  10. Stevens C. A., Carey J. C., Shigeoka A. O. Di George anomaly and velocardiofacial syndrome. Pediatrics. 1990 Apr;85(4):526–530. [PubMed] [Google Scholar]

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