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Y/21 Translocation With Gonadal and Renal Dysgenesis and Cardiac Rupture FREE

Laura S. Hillman, MD; Gurbax S. Sekhon, PhD; Robert L. Kaufman, MD; Chen-Kung Ho, MD
[+] Author Affiliations

Received for publication Jan 17, 1974; accepted March 25.

Reprint requests to the Department of Pediatrics, St. Louis Children's Hospital, 500 S Kingshighway, St. Louis, MO 63110 (Dr. Hillman).


Am J Dis Child. 1974;128(4):560-563. doi:10.1001/archpedi.1974.02110290130023.
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An infant with clinical features of Potter and Turner syndromes at birth was found to have a translocation of a portion of the long arm of a Y chromosome to a 21 chromosome, and only one X chromosome. The infant had bilateral dysplastic kidneys and hypoplastic lungs and suffered spontaneous rupture of the heart and pneumothoraces. Except for gonads with persistent sex cords and a solitary degenerating follicle, the genital organs were female. The sexual differentiation is compatible with the theory that the short arm of the Y chromosome is mainly responsible for male differentiation but implies that the long arm is not without effect on gonadal development. The occurrence of severe renal abnormalities in an infant with a sex chromosome abnormality may be more than coincidental.

REFERENCES

Potter E:  Bilateral renal agenesis . J Pediatr 29:68-76, 1946;.
Link to Article
Bain AD, Scott JS:  Renal agenesis and severe urinary tract dysplasia: A review of 50 cases with particular reference to the associated anomalies . Br Med J 5176:841-846, 1960;.
Link to Article
Stern L, et al:  Pneumothorax and pneumomediastinum associated with renal malformations in newborn infants . Am J Roentgenol Radium Ther Nucl Med 116:875-891, 1972;.
Link to Article
Rahal F, Young R, Mamunes P:  Gonadal dysgenesis associated with a multicystic kidney . Am J Dis Child 126:505-506, 1973;.
Liebert P:  Gastric duplication and multicystic kidney associated with gonadal dysgenesis . Clin Pediatr 9:60-62, 1970;.
Link to Article
Lemli L, Smith D:  The XO syndrome: A study of the differentiated phenotype in 25 patients . J Pediatr 63:577-588, 1963;.
Link to Article
Smith D: Recognizable Patterns of Human Malformations . Philadelphia, WB Saunders Co, 1970;, pp 5, 12.
Longridge CN:  Rupture of the heart in a stillborn infant . Trans Obstet Soc 49:214, 1907;.
Hunt WE:  Spontaneous rupture of the heart in the newborn infant . Arch Dis Child 27:291-293, 1952;.
Link to Article
McInroy RA, Graham ALM:  Rupture of the foetal heart during labor . Arch Dis Child 28:201-203, 1953;.
Link to Article
Gellis S, Feingold M, contributed by Moyer F:  Picture of the month . Am J Dis Child 118:585-586, 1969;.
Develing AJ, Conte FA, Epstein CJ:  A Y-autosome translocation 46, X, t (Yq−: 7q+) associated with multiple congenital anomalies . J Pediatr 82:495-498, 1973;.
Link to Article
Krmpotic E, et al:  Localization of male determining factor on short arm of Y chromosome: Case report of a baby with 46, X, t (Yp+; 14q+) . Clin Genet 3:381-387, 1972;.
Link to Article
Surana RB, Hunt TM, Conen PE:  Multiple congenital defects associated with 45, XO/46, XYq− mosaicism . Am J Dis Child 126:75-77, 1973;.
Cohen MM, et al:  Human dicentric Y chromosomes: Case report and review of the literature . J Med Genet 10:74-79, 1973;.
Link to Article
Jacobs PA, Ross A:  Structural abnormalities of the Y chromosome in man . Nature 210:352-354, 1966;.
Link to Article
Ferguson-Smith MA, et al:  Isochromosome for long arm of Y chromosome in patient with Turner's syndrome and sex chromosome mosaicism (45, X/46, XYqi) . J Med Genet 6:422-425, 1969;.
Link to Article
Buhler EM, Mueller H, Stalder GR: Further evidence for the localization of the male determining factors on the short arm of the Y-chromosome. Read before the Fourth International Conference on Human Genetics, Paris, 1971, p 36.
Khudr G, Benirschke K:  X-Y translocation . Am J Obstet Gynecol 116:584-585, 1973;.
Book JA, et al:  Isochromosome Y [46, X, i(Yq)] and female phenotype . Clin Genet 4:410-414, 1973;.
Link to Article

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References

Potter E:  Bilateral renal agenesis . J Pediatr 29:68-76, 1946;.
Link to Article
Bain AD, Scott JS:  Renal agenesis and severe urinary tract dysplasia: A review of 50 cases with particular reference to the associated anomalies . Br Med J 5176:841-846, 1960;.
Link to Article
Stern L, et al:  Pneumothorax and pneumomediastinum associated with renal malformations in newborn infants . Am J Roentgenol Radium Ther Nucl Med 116:875-891, 1972;.
Link to Article
Rahal F, Young R, Mamunes P:  Gonadal dysgenesis associated with a multicystic kidney . Am J Dis Child 126:505-506, 1973;.
Liebert P:  Gastric duplication and multicystic kidney associated with gonadal dysgenesis . Clin Pediatr 9:60-62, 1970;.
Link to Article
Lemli L, Smith D:  The XO syndrome: A study of the differentiated phenotype in 25 patients . J Pediatr 63:577-588, 1963;.
Link to Article
Smith D: Recognizable Patterns of Human Malformations . Philadelphia, WB Saunders Co, 1970;, pp 5, 12.
Longridge CN:  Rupture of the heart in a stillborn infant . Trans Obstet Soc 49:214, 1907;.
Hunt WE:  Spontaneous rupture of the heart in the newborn infant . Arch Dis Child 27:291-293, 1952;.
Link to Article
McInroy RA, Graham ALM:  Rupture of the foetal heart during labor . Arch Dis Child 28:201-203, 1953;.
Link to Article
Gellis S, Feingold M, contributed by Moyer F:  Picture of the month . Am J Dis Child 118:585-586, 1969;.
Develing AJ, Conte FA, Epstein CJ:  A Y-autosome translocation 46, X, t (Yq−: 7q+) associated with multiple congenital anomalies . J Pediatr 82:495-498, 1973;.
Link to Article
Krmpotic E, et al:  Localization of male determining factor on short arm of Y chromosome: Case report of a baby with 46, X, t (Yp+; 14q+) . Clin Genet 3:381-387, 1972;.
Link to Article
Surana RB, Hunt TM, Conen PE:  Multiple congenital defects associated with 45, XO/46, XYq− mosaicism . Am J Dis Child 126:75-77, 1973;.
Cohen MM, et al:  Human dicentric Y chromosomes: Case report and review of the literature . J Med Genet 10:74-79, 1973;.
Link to Article
Jacobs PA, Ross A:  Structural abnormalities of the Y chromosome in man . Nature 210:352-354, 1966;.
Link to Article
Ferguson-Smith MA, et al:  Isochromosome for long arm of Y chromosome in patient with Turner's syndrome and sex chromosome mosaicism (45, X/46, XYqi) . J Med Genet 6:422-425, 1969;.
Link to Article
Buhler EM, Mueller H, Stalder GR: Further evidence for the localization of the male determining factors on the short arm of the Y-chromosome. Read before the Fourth International Conference on Human Genetics, Paris, 1971, p 36.
Khudr G, Benirschke K:  X-Y translocation . Am J Obstet Gynecol 116:584-585, 1973;.
Book JA, et al:  Isochromosome Y [46, X, i(Yq)] and female phenotype . Clin Genet 4:410-414, 1973;.
Link to Article

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