Skip to main content
American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 2008 Sep 5;83(3):425–427. doi: 10.1016/j.ajhg.2008.08.011

Characterization of Apparently Balanced Chromosomal Rearrangements from the Developmental Genome Anatomy Project

Anne W Higgins, Fowzan S Alkuraya, Amy F Bosco, Kerry K Brown, Gail AP Bruns, Diana J Donovan, Robert Eisenman, Yanli Fan, Chantal G Farra, Heather L Ferguson, James F Gusella, David J Harris, Steven R Herrick, Chantal Kelly, Hyung-Goo Kim, Shotaro Kishikawa, Bruce R Korf, Shashikant Kulkarni, Eric Lally, Natalia T Leach, Emma Lemyre, Janine Lewis, Azra H Ligon, Weining Lu, Richard L Maas, Marcy E MacDonald, Steven DP Moore, Roxanna E Peters, Bradley J Quade, Fabiola Quintero-Rivera, Irfan Saadi, Yiping Shen, Jay Shendure, Robin E Williamson, Cynthia C Morton
PMCID: PMC2556432

(American Journal of Human Genetics 82, 712–722; March 2008)

In the version of this paper originally published online March 6, 2008, the karyotypes listed in column 3 (heading: Karyotype) for the following cases contained errors: DGAP006, 012, 090, 100, 112, 123, 127, 128, 137, 157, 159, 166, 169, and 174. The corrected table appears below. The authors regret the errors.

Table 1.

Phenotype and Karyotype of Selected DGAP Cases

Case No. Phenotype Karyotype Publication
DGAP003 Delayed dentition, gingival hyperplasia, hirsutism, large facial bones and mandibles, large ears, a markedly enlarged nose with short columella nasi and saddle deformity, depressed nasal bridge, hypertelorism with bilateral convergent strabismus, epicanthal folds, protruding upper lip, hypertrophic papillae on the posterior of the tongue, bilateral spade-like fingers, skin thickening on the legs, dysmorphic skeletal features 46,XY,t(3;17)(p14.3;q24.3)dn 21, 33
DGAP006 Mental retardation, developmental delay, absent speech, aggressive behavior, frontal bossing, epicanthal folds, left eye ptosis, low-set ears, no binocular fixation searching movements 46,XX,t(1;2)(p32;q13)dn
DGAP009 Mental retardation, eye anomaly, other multiple congenital anomalies 46,XY,t(1;8)(p34;q22)dn
DGAP011 Kallmann syndrome (atrophic testes, azoospermia, cleft lip and palate) 46,XY,t(7;8)(p12.3;p11.2)dn 2
DGAP012 Developmental delay, digitalized thumbs, brachycephaly, microcephaly, small down-turned mouth, mild midfacial hypoplasia, flat mid-face, narrow nasal bridge, very small nose, large ears, bilateral epiblepharon without trichiasis, small hands and feet, absence of emotional expression, hand flapping, early feeding problems 46,XY,t(11;19)(p11.2;p13.3)dn
DGAP015 Bannayan-Riley-Ruvalcaba syndrome, malignant intracranial hCG-secreting tumor causing precocious puberty 46,XY,t(10;13)(q23.3;q33)dn
DGAP016 Hypoplastic testes 46,XY,t(8;10)(p11.2;p13)dn
DGAP018 Bilateral osseocutaneous syndactyly of the 3rd, 4th, and 5th fingers; hypotonia; macrocephaly; forehead and occipital prominence; left inner thigh hemangioma; developmental delay 46,XX,?dup(2)(p14p?21),ins(2;1)(?p13;p21p31),ins(3;2)(q23;p14p?21)dn
DGAP020 Sex reversal, gonadoblastoma, streak gonad, amenorrhea 46,X,t(Y;17)(q11;p13)dn
DGAP025 Developmental delay, scoliosis, syndactyly of toes, learning problems, masculinized face, hirsutism 46,X,t(X;15)(p22;q26)dn
DGAP032 Kallmann syndrome (hypogonadotropic hypogonadism, and anosmia), skeletal anomalies, mental retardation 46,XY,t(7;12)(q21.13;q24)dn
DGAP089 Subarachnoid hemorrhage, ventriculomegaly, underdeveloped corpus callosum, tonic-clonic seizure, severe delays in growth and development, craniofacial disproportion and dysmorphism, right cryptorchidism, hypotonia, chronic intestinal obstruction 46,XY,t(1;2)(p31.3;q22.1),del(2)(q14.3q21)dn 23
DGAP090 Sensorineural hearing loss, Mondini defect, avascular necrosis of the left femoral head, dermal telangiectasias with ulceration, juvenile rheumatoid arthritis 46,XY,t(8;9)(q13;p22),t(9;11)(q33;q13)mat 34
DGAP095 Seizures, developmental delay, infantile hypotonia, obesity, livedo reticularis 46,X,t(X;2)(p11.2;q37)dn 32
DGAP097 Developmental delay, infantile spasms, hypotonia, mental retardation, behavioral problems, facial dysmorphism, myopia, patchy skin hypopigmentation 46,X,t(X;9)(p22.2;p13)dn
DGAP100 Mental retardation, severe psychomotor delay, mild ventriculomegaly, failure to thrive, no speech, no ambulation, cleft palate, impaired hearing, bilateral optic nerve hypoplasia, severe myopia, hypoglycemia, mild pectus excavatum, gray teeth with caries 46,X,t(X;5)(p11.3;q35.2)dn
DGAP101 Severe mental retardation, no speech, mild dysmorphism, clinodactyly, mild hirsutism 46,XY,inv(5)(q13q15)dn
DGAP103 Extreme somatic overgrowth, advanced endochondral bone and dental ages, a cerebellar tumor, multiple lipomas 46,XY,inv(12)(p11.22q14.3)dn 3
DGAP104 Congenital hydrocephalus, abnormal corpus callosum, periventricular calcifications, sacral anomaly, hypoplastic kidneys 46,XX,t(1;20)(p31.3;q13.31)dn 23
DGAP105 Aortic coarctation; bicuspid aortic valve; bilateral cryptorchidism and primary hypospadias; inguinal hernia; widely spaced nipples; short neck; four hair whorls (three posterior and one anterior); down-slanting palpebral fissures; bilateral epicanthal folds; broad nose; smooth philtrum; thin vermilion border; low-set and posteriorly rotated ears with simplified, thickened helices; mild hypertelorism and strabismus; developmental delay 46,XY,t(1;5)(p35.3;q31.3)dn
DGAP106 Developmental delay, self-injurious actions and agitation, growth retardation, strabismus, ptosis, normal MRI 46,XX,t(3;5)(q27;q31.1), t(11;13)(p15.3;q14.1)dn
DGAP107 Visual defects, limb defects, urinary tract abnormalities, learning disabilities, genital anomalies, neurological and behavioral defects 46,XY,t(Y;3)(p11.2;p12.3)dn 20
DGAP112 Microcephaly, advanced bone age and secondary craniosynostosis, developmental delay, flat nasal bridge, epicanthal folds, strabismus, short philtrum, thin upper lip, two café-au-lait spots, 2nd toes overlap 3rd toes bilaterally, small labia majora, extra creases on right hand, wide thumbs and halluces 46,XX,t(3;12)(q11.2;q14.1),del(12)(q14q14)dn
DGAP121 Feeding problems at birth, malformed left ear lobe, epicanthal folds, learning problems, mild hypotonia, mild resolved scoliosis 46,XX,t(5;13)(q15;q32)dn
DGAP122 Epicanthal folds; hypertelorism; frontal and posterior cowlick; coarse hair; area of alopecia; history of patchy, intermittent hair loss; partially attached pinnae; mild micrognathia; mild pectus excavatum; soft systolic murmur with normal echocardiogram; developmental delay; renal insufficiency caused by grade II-III hydronephrosis 46,XY,t(1;9;5)(1pter→1q32::9p22-24::5q15→5qter;9pter→9p24::9p22→9qter;5pter→5q15::1q32→1qter)dn
DGAP123 Autism 46,XX,ins(16;2)(q13;p16.1p16.3)pat.ish ins(16;2)(wcp2+;wcp2+) 36
DGAP127 Failure to thrive; feeding problems; growth retardation; unexplained weight loss; brachycephaly; flat mid-face; pointed chin; broad, prominent forehead; deeply set eyes; small mouth; frequent episodes of abdominal pain; some difficulties with reflux; kidney stones; developing contractures and spasticity of the ankles, knees, elbows and shoulders; severe developmental delay; very poor eye contact/interaction; self-stimulating episodes; episodic discomfort and agitation with no apparent cause; seizures; muscle biopsy demonstrated partial complex III deficiency 46,X,t(X;5)(q26.2;q14.3)dn
DGAP128 Macrocephaly, significant developmental delay, seizures and cerebral atrophy 46,XX,t(1;3)(q32.1;q25.2)dn 35
DGAP137 Mild mental retardation, pigment abnormality, VSD, conductive hearing loss, abnormal thyroid function tests, right eye poor visual acuity (small pit in right optic nerve), bilateral optic nerve colobomas, MRI shows 1.5 cm mass behind right globe (no enhancement), bulbous great toes with convex toenails, ligamentous laxity, easy bruising 46,XX,der(6)t(6;13)(q23.3;q22)inv(6)(p21.3q15),der(13)t(6;13)(q23.3;q22)dn
DGAP139 Developmental delay; hypotonia; dolicocephaly; frontal upsweep; synophrys; long, straight eyelashes; small nares; pronounced philtral creases; small mouth; flat hemangiomas on back of neck; pectus excavatum; joint hyperextensibility; feet have increased secondary creases on both soles; hands have a right Sydney line 46,XY,t(7;13)(p15.3;q14.1)dn
DGAP151 Cleft lip and palate 46,XX,t(2;8)(q33.1;q24.3)dn 19
DGAP157 Global developmental delay, bilateral inguinal hernia, spina bifida occulta, mild dysmorphic features 46,XY,t(3;10)(p12.3-14;q21)dn
DGAP159 Growth retardation, brachydactyly, bilateral syndactyly of 2nd and 3rd toes, micrognathia, low-set ears, hypertelorism and single palmar crease, developmental delay, no oral language, some autistic and ADD behaviors, abnormal brain CT (5 months of age), moderate to severe bilateral conductive hearing loss, hypo and hypersensitive to different tactile stimulation, trouble focusing eyes on close objects 46,XY,t(8;10)(q13;p14)dn
DGAP166 Seizure disorder, developmental delay, microcephaly, bilateral epicanthal folds, nose upturned with a thin upper lip and upturned corners of the mouth, very mild micrognathia 46,XX,inv(2)(p22.1q24.3)dn
DGAP167 Mild developmental delay, vertical talus (rocker-bottom foot deformity), hypotonia 46,XX,inv(18)(q11.2q23)dn
DGAP169 Failure to thrive, feeding problems, growth retardation, bilateral microtia with profound sensorineural deafness, fused incus and malleus, incus with absent short process, bilateral Mondini malformation, abnormal cochlear turn, malformation of the semicircular canals, micrognathia, anteriorly displaced larynx, small right kidney with renal cortical thinning, borderline wide interpedicular distance of C-spine (18 mm C7, 15–16 mm C5), developmental delay, abnormal hair distribution with high forehead, benign precocious thelarche at 9 months that resolved by 15 months 46,XX,inv(5)(q15q33.2),del(5)(q15)dn
DGAP173 Mild developmental delay; major depression; generalized anxiety; sleep apnea; self-injurious behaviors; agitation; tantrums; overgrowth; male-pattern hirsutism; amenorrhea; impaired glucose tolerance; hypercholesterolemia and hypertriglyceridemia; elevated testosterone; deep voice; history of one seizure at 2 yr of age; eczema; acanthosis nigricans; moles and skin tags; bilateral epicanthal folds; small nose; complex malocclusion; short, hyperkeratotic palms; 5th finger brachydactyly and clinodactyly; right elbow extension limitation; hypoplastic toenails; short feet 46,XX,t(2;11)(q11.2;p13)dn
DGAP174 Overgrowth, right-sided hemihypertrophy, small apical VSD and current heart murmur, metopic craniosynostosis and hydrocephalus, Arnold Chiari II malformation, agenesis of the corpus callosum, dysplasia of the left temporal lobe, scoliosis, developmental delay, attention deficit hyperactivity disorder, increased red blood cell size, asthma and seasonal allergies, left inguinal hernia that was surgically repaired, bilateral epicanthal folds, slight occasional esotropia, high-arched palate, left-sided head tilt, unsteady gait and uncoordinated movements with decreased balance 46,XY,t(1;3)(p31.3;q25.1),del(1)(p31.3p32.1)dn 23
DGAP190 Developmental delay, infantile spasms 46,XX,t(X;8)(p22;p21)dn
DGAP200 PDD-NOS, ADHD, conduct disorder with early onset, intermittent explosive disorder, obesity 46,XY,t(1;2)(q31.3;p16.3)dn 36

indicates reported karyotype; FISH analyses suggest additional rearrangements that were not characterized further.


Articles from American Journal of Human Genetics are provided here courtesy of American Society of Human Genetics

RESOURCES