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Table 2 Clinical features of patients with trisomy 12 diagnosed postnatally

From: Pigmentary mosaicism as a recurrent clinical manifestation in three new patients with mosaic trisomy 12 diagnosed postnatally: cases report and literature review

 

Richer et al. [3]

Patil et al. [4]

Leschot et al. [11]

Von Koskull et al. [12]

English et al. [13]

*Bischoff et al. [14]

Aughton et al. [9]

A

B

C

Clinical Manifestations

Age at diagnosis

31y

16y

9 m

Neonatal

6y

Neonatal

Neonatal

Neonatal

9 m

Developmental Delay

 + 

Broad forehead

-

 + 

1Eye alterations

-

 + 

 + 

Broad nasal bridge

 + 

 + 

2Dysmorphic ears

 + 

 + 

Short neck

 + 

3Other DFF

 + 

 + 

 + 

 + 

 + 

4Musculoskeletal deformities

 + 

 + 

 + 

 + 

 + 

5Congenital heart defects

 + 

 + 

6Pigmentary mosaicism

Hyper

Genomic Analysis

Tissue analyzed

PB

PB

Skin

AF/UCB/Placenta/Skin/

Urine sediment

AF/Placenta/

Skin

PB/Skin

CVS/

Placenta

Placenta

CVS/AF

Skin

Cytogenetic Analysis: % of trisomy 12

PB: 7

PB: 13.2%

Skin: Normal

AF: 64.2

UCB: Normal

Placenta:

A. 31.2

B. 85

Skin: Normal

Urine Sediment:

A. 100

B. 77

AF: 69

Placenta: 100

Skin: 80

PB: 0.4

Skin: 11

CVS: 71

Placenta: 100

Placenta:

17

CVS:

100

AF: 100

Skin: 42

Molecular Analysis: % of trisomy 12

PO

PO

FISH

PO

PO

FISH PB: 4.2

 

De Lozier- Blanchet

et al. [15]

Boulard et al. [10]

Parasuraman et al. [16]

Al Hertani et al. [17]

Hong et al. [18]

Gasparini et al. [5]

Clinical Manifestations

Age at diagnosis

Neonatal

Neonatal

Neonatal

Neonatal

Neonatal

2y

Developmental Delay

 + 

 + 

Broad forehead

 + 

 + 

1Eye alterations

 + 

 + 

 + 

 + 

 + 

Broad nasal bridge

 + 

2Dysmorphic ears

 + 

-

 + 

-

 + 

-

Short neck

-

 + 

3Other DFF

 + 

 + 

 + 

 + 

 + 

4Musculoskeletal deformities

 + 

 + 

 + 

5Congenital heart defects

 + 

 + 

 + 

 + 

6Pigmentary mosaicism

Hyper

Hyper

Hyper

BL

Genomic Analysis

Tissue analyzed

PB/DS

PB/Skin

AF/UCB

PB/LS/DS

PB

PB/LS/DS

Cytogenetic Analysis: % of trisomy 12

PB: Normal

DS: 15

Multiple

organs (40–100)

PB: Normal

Skin: 80

AF: 25

UCB: 25.7

PB: Normal

LS: Normal DS: 19

PB: Normal

PB: Normal

LS: 28

DS: 28

Molecular Analysis: % of trisomy 12

PO

FISH

FISH PB: 6

SNParray PB: 25

FISH

 

**Hu et al. [6]

Hu et al. [7]

Hainz et al. [8]

Patient 1

Patient 2

Patient 3

1

2

3

4

Clinical Manifestations

Age at diagnosis

Neonatal

Neonatal

Neonatal

Neonatal

Neonatal

Neonatal

8y

Neonatal

4y

Developmental Delay

 + 

 + 

 + 

 + 

 + 

 + 

 + 

Broad forehead

 + 

 + 

 + 

1Eye alterations

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

Broad nasal bridge

 + 

 + 

 + 

 + 

 + 

2Dysmorphic ears

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

Short neck

 + 

 + 

 + 

 + 

3Other DFF

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

4Musculoskeletal deformities

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

5Congenital heart defects

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

6Pigmentary mosaicism

Hyper

BL

Hypo/Hyper

Hyper

BL

Hypo/Hyper

BL

Hyper

BL

Hyper

BL

Genomic Analysis

Tissue analyzed

PB/LS/DS

PB

PB

PB

PB

PB/UUC

PB/LS/DS

PB/LS/DS

PB/LS/DS

Cytogenetic Analysis: % of trisomy 12

PB (PHA):

Normal

PB (PMA): 6

LS: 14

DS: Normal

PB (PHA): Normal

PB (PHA): Normal

PB (PHA): Normal

PB: Normal

UUC: 28

PB: Normal

LS: Normal

DS: 88

PB: Normal

LS: 58

DS: 63

PB: Normal

LS: 18

DS: 34

Molecular Analysis: % of trisomy 12

FISH

SNParray PB: 0.2

CGH PB: 0.4

SNParray PB: 0.2

FISH PBunc: 40

FISH PBcult: 11.2

PBunc: 11.2

FISH PB: 3.5

PO

SNParray

PO

SNParray

PO

CGH

SNParray

  1. 1Eye alterations: Palpebral fissures: downward slant; Hypertelorism; Epicanthal folds/Epicanthus; Ptosis; Nystagmus; Telecanthus; Strabismus; Astigmatism. 2Dysmorphic ears: Low set/Posteriorly rotated. 3Other Dysmorphic Facial Features (DFF): Broad forehead; Short neck; Facial asymmetry; Depressed nasal bridge; Flat philtrum; Micrognathia; Turricephaly; Dolicocephaly; Frontal bossing; Submucous cleft palate; Macrocephaly. 4Musculoskeletal Deformities: Scoliosis; Hand/Feet; Atrophy muscle; Hypotonia. 5Congenital Heart Defects: Septal defect (VSD); Atrial septal defect (ASD); Patent ductus arteriosus (PDA). 6Pigmentary Mosaicism: Hypo: Hypopigmentation; Hyper: Hyperpigmentation; Hypo/Hyper: Hypopigmentation/Hyperpigmentation; BL: Pigmentation pattern following Blaschko lines. *Three different patients; **Four different patients. y years; PB Peripheral Blood; AF Amniotic Fluid; UCB Umbilical Cord Blood; CVS Chorionic Villus Sampling; DS Dark Skin; LS Light Skin; PB (PHA) Peripheral Blood culture with phytohemagglutinin; PB (PMA) Peripheral Blood culture with phorbol myristate acetate; PO Parental Origin; CGH Comparative Genomic Hybridization; PBcult Cultured; PBunc Uncultured; UUC Uncultured Urinary Cells