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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1986 Oct;23(5):474–477. doi: 10.1136/jmg.23.5.474

A terminal deletion of the long arm of chromosome 4 [46,XX,del(4)(q33)] in an infant with phenotypic features of Williams syndrome.

R D Jefferson, J Burn, K L Gaunt, S Hunter, E V Davison
PMCID: PMC1049789  PMID: 3783627

Abstract

A female infant with peripheral pulmonary artery stenosis, growth retardation, and developmental delay was noticed to have facial features consistent with a diagnosis of Williams syndrome. Chromosome analysis revealed a deletion of the terminal portion of the long arm of chromosome 4 (4q33----qter). This is the seventh reported case of this chromosome disorder. It is possible that this chromosome region is specific for the Williams syndrome phenotype but it is more likely that the syndrome is heterogeneous. Chromosome analysis should be performed in all suspected cases with particular attention to the long arm of chromosome 4.

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Selected References

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  1. Back E., Hertel C., Vogel W., Bettecken F., Thiesen M. Deletion of the long arm of chromosome 4 [46,XX,del(4)(q31)] in a patient with congenital anomalies. Ann Genet. 1977 Dec;20(4):294–296. [PubMed] [Google Scholar]
  2. Berger A., Dar H., Reiter A., Tal Y. Chromosome 4q deletion syndrome: a case report. Isr J Med Sci. 1983 Sep;19(9):850–852. [PubMed] [Google Scholar]
  3. Burn J. Williams syndrome. J Med Genet. 1986 Oct;23(5):389–395. doi: 10.1136/jmg.23.5.389. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Chudley A. E., Pabello P. D., Bingham W., Goluboff N. Del(4)(q31) syndrome. Am J Med Genet. 1982 Nov;13(3):341–343. doi: 10.1002/ajmg.1320130321. [DOI] [PubMed] [Google Scholar]
  5. Davis J. M., Clarren S. K., Salk D. J. Brief clinical report: the del(4) (q31) syndrome- a recognizable disorder with atypical Robin malformation sequence. Am J Med Genet. 1981;9(2):113–117. doi: 10.1002/ajmg.1320090205. [DOI] [PubMed] [Google Scholar]
  6. Dutrillaux B., Jonasson J., Laurèn K., Lejeune J., Lindsten J., Petersen G. B., Saldaña-Garcia P. An unbalanced 4q-21q translocation identified by the R but not by the G and Q chromosome banding techniques. Ann Genet. 1973 Mar;16(1):11–16. [PubMed] [Google Scholar]
  7. Ferrier S., Freund M. A propos d'un cas de délétion du bras long du chromosome B4 (B4q-) Arch Genet (Zur) 1974;47(1):16–26. [PubMed] [Google Scholar]
  8. Frias J. L., Nelson R. M., Ray S. L. Deletion of the long arm of chromosome 4: a clinically identifiable syndrome? Birth Defects Orig Artic Ser. 1978;14(6C):355–358. [PubMed] [Google Scholar]
  9. Fryns J. P., Timmermans J., Hoedemaekers J., Emmery L., Van den Berghe H. Pierre-Robin anomalad, moderate mental retardation and distal 4q deletion. Ann Genet. 1981;24(3):187–188. [PubMed] [Google Scholar]
  10. Fryns J. P., van der Hauwaert L. G., Dumoulin M., van den Berghe H. The elfin face syndrome and the short arm of chromosome 15. Ann Genet. 1982;25(3):181–182. [PubMed] [Google Scholar]
  11. Golbus M. S., Conte F. A., Daentl D. L. Deletion from the long arm of chromosome 4 (46,XX,4q-) associated with congenital anomalies. J Med Genet. 1973 Mar;10(1):83–85. doi: 10.1136/jmg.10.1.83. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Kempen C. A patient with congenital anomalies and a deletion of the long arm of the long arm of chromosome 4 [46,XY,del(4)(q31)]. J Med Genet. 1975 Jun;12(2):204–207. doi: 10.1136/jmg.12.2.204. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lipson A., Collis J., Green C. Partial deletion of the long arm of chromosome 4: a clinical syndrome. J Med Genet. 1982 Apr;19(2):155–157. doi: 10.1136/jmg.19.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mikkelsen M., Jacobsen P., Henningsen K. Possible localization of Gc-System on chromosome 4. Loss of long arm 4 material associated with father-child incompatibility within the Gc-System. Hum Hered. 1977;27(2):105–107. doi: 10.1159/000152857. [DOI] [PubMed] [Google Scholar]
  15. Mitchell J. A., Packman S., Loughman W. D., Fineman R. M., Zackai E., Patil S. R., Emanual B., Bartley J. A., Hanson J. W. Deletions of different segments of the long arm of chromosome 4. Am J Med Genet. 1981;8(1):73–89. doi: 10.1002/ajmg.1320080110. [DOI] [PubMed] [Google Scholar]
  16. Ockey C. H., Feldman G. V., Macaulay M. E., Delaney M. J. A large deletion of the long arm of chromosome No. 4 in a child with limb abnormalities. Arch Dis Child. 1967 Aug;42(224):428–434. doi: 10.1136/adc.42.224.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Rethoré M. O., Couturier J., Mselati J. C., Cochois B., Lavaud J., Lejeune J. Monosomie 4q32.1 leads to 4qter survenue de novo chez un nouveau-né multimalformé. Ann Genet. 1979;22(4):214–216. [PubMed] [Google Scholar]
  18. Sandig K. R., Mücke J., Trautmann U. The partial 4q monosomy. Report of a 5-year-old boy with deletion 4q31.3 leads to 4qter. Eur J Pediatr. 1982 May;138(3):254–257. doi: 10.1007/BF00441212. [DOI] [PubMed] [Google Scholar]
  19. Stamberg J., Jabs E. W., Elias E. Terminal deletion(4)(q33) in a male infant. Clin Genet. 1982 Feb;21(2):125–129. doi: 10.1111/j.1399-0004.1982.tb00748.x. [DOI] [PubMed] [Google Scholar]
  20. Tomkins D. J., Hunter A. G., Uchida I. A., Roberts M. H. Two children with deletion of the long arm of chromosome 4 with breakpoint at band q33. Clin Genet. 1982 Dec;22(6):348–355. doi: 10.1111/j.1399-0004.1982.tb01851.x. [DOI] [PubMed] [Google Scholar]
  21. Townes P. L., White M., Di Marzo S. V. 4q- syndrome. Am J Dis Child. 1979 Apr;133(4):383–385. doi: 10.1001/archpedi.1979.02130040037008. [DOI] [PubMed] [Google Scholar]
  22. Tuchman M., Ebrahimi J., Gorlin R. J. Deletion of chromosome 4q33 leads to qter. Is it different from 4q31 leads to qter deletion syndrome? Am J Med Genet. 1983 Feb;14(2):391–393. doi: 10.1002/ajmg.1320140221. [DOI] [PubMed] [Google Scholar]
  23. Young R. S., Palmer C. G., Bender H. A., Weaver D. D., Hodes M. E. Brief cytogenetic case report: a 4.5-year-old girl with deletion 4q syndrome--de novo, 46,XX, del(4) (pter leads to q31:). Am J Med Genet. 1982 May;12(1):103–107. doi: 10.1002/ajmg.1320120114. [DOI] [PubMed] [Google Scholar]
  24. Yu C. W., Chen H., Baucum R. W., Hand A. M. Terminal deletion of the long arm of chromosome 4. Report of a case of 46, XY, del(4)(q31) and review of 4q- syndrome. Ann Genet. 1981;24(3):158–161. [PubMed] [Google Scholar]

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