Intermediate interstitial deletion of chromosome 7q detected by first-trimester Down's syndrome screening.
We report a case of prenatally diagnosed chromosome 7q intermediate interstitial deletion with the aid of first-trimester Down's syndrome (DS) screening. After detection of a significantly diminished maternal serum pregnancy-associated plasma protein A and correspondingly high DS risk, the pregnant woman underwent amniocentesis for fetal chromosomal analysis. Amniocytes revealed a 46,XY,del(7) (q21.2q31.1) karyotype and 21 weeks' sonography revealed fetal growth restriction, elevated nuchal fold thickness and cardiomegaly. After therapeutic induction at 22 weeks of gestation, a 310-gram male fetus was born with multiple gross abnormalities including hypertelorism, wide nasal bridge, low-set ears, cleft palate, prominent cheeks, prominent nuchal skin, simian crease and postaxial polydactyly. We review the associated prenatal screening findings, the sonographic profile and phenotypical features associated with chromosome 7q intermediate interstitial deletion.
Fetal Treatment Center, University of California, San Francisco, CA 94143-0570, USA.
Mei-Leng Joy
ML
Cheong
Ming-Song
MS
Tsai
Raul A
RA
Cortes
Michael R
MR
Harrison
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000235:genetics*; D000028:Abortion, Induced; D000328:Adult; D002872:Chromosome Deletion; D002897:Chromosomes, Human, Pair 7; D004314:Down Syndrome / Q000175:diagnosis / Q000235:genetics; D005260:Female; D005820:Genetic Testing / Q000379:methods*; D006801:Humans; D008297:Male; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011296:Prenatal Diagnosis / Q000379:methods*