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The Pallister-Killian syndrome in a child with rare karyotype—a diagnostic problem

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Abstract

The Pallister-Killian syndrome is a clinically recognizable syndrome, usually due to a tissue-specific mosaicism for a 12p isochromosome [i(12p)]. We report a rare case of Pallister-Killian syndrome with 12p mosaicism, tetrasomy/trisomy/disomy in fibroblasts and trisomy/disomy in lymphocytes. Marker chromosomes were investigated with conventional cytogenetic techniques and fluorescent in situ hybridisation (FISH). The karyotype was established as: mos47,XX,+12p/47,XX,+i(12p)/46,XX. The cytogenetic result of the extra mosaic 12p presented in lymphocytes suggested the diagnosis of trisomy 12p, although, in combination with clinical manifestations, the Pallister-Killian syndrome was considered and confirmed by the cytogenetic analysis of fibroblasts.

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Fig. 1

Abbreviations

PKS:

Pallister-Killian syndrome

FISH:

Fluorescent in situ hybridisation

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Correspondence to Robert Smigiel.

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Smigiel, R., Pilch, J., Makowska, I. et al. The Pallister-Killian syndrome in a child with rare karyotype—a diagnostic problem. Eur J Pediatr 167, 1063–1065 (2008). https://doi.org/10.1007/s00431-007-0608-7

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  • DOI: https://doi.org/10.1007/s00431-007-0608-7

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