title: Prenatal diagnosis of a fetus with a cryptic translocation 4p;18p and Wolf-Hirschhorn syndrome (WHS).
abstract: Wolf-Hirschhorn Syndrome (WHS) is caused by distal deletion of the short arm of chromosome 4 and is characterized by growth deficiency, mental retardation, a distinctive, 'greek-helmet' facial appearance, microcephaly, ear lobe anomalies, and sacral dimples. We report a family with a balanced chromosomal translocation 4;18(p15.32;p11.21) in the father and an unbalanced translocation resulting in partial monosomy 4 and partial trisomy 18 in one living boy and a prenatally diagnosed male fetus. Both showed abnormalities consistent with WHS and had in addition aplasia of one umbilical artery. Karyotyping of another stillborn fetus revealed a supernumerary derivative chromosome der(18)t(4;18)(p15.32;p11.21) of paternal origin and two normal chromosomes 4. The umbilical cord had three normal vessels. A third stillborn fetus with the same balanced translocation as the father had a single umbilical artery and hygroma colli.
authors.affiliation: Department of Paediatric Pathology, Universitätsklinikum, Mainz, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Kohlschmidt
authors.forename: J
authors.initials: J
authors.lastname: Zielinski
authors.forename: E
authors.initials: E
authors.lastname: Brude
authors.forename: D
authors.initials: D
authors.lastname: Schäfer
authors.forename: J
authors.initials: J
authors.lastname: Olert
authors.forename: C
authors.initials: C
authors.lastname: Hallermann
authors.forename: W
authors.initials: W
authors.lastname: Coerdt
authors.forename: J
authors.initials: J
authors.lastname: Arnemann
mesh_terms: D000015:Abnormalities, Multiple / Q000235:genetics; D002887:Chromosomes, Human, Pair 18; D002894:Chromosomes, Human, Pair 4; D005260:Female; D006130:Growth Disorders / Q000235:genetics; D006801:Humans; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000235:genetics; D007621:Karyotyping; D008297:Male; D009006:Monosomy; D010375:Pedigree; D011247:Pregnancy; D011296:Prenatal Diagnosis; D013577:Syndrome; D014178:Translocation, Genetic; D014314:Trisomy