
PHENOTYPIC VARIATIONS IN WOLFHIRSCHHORN
SYNDROME Sukarova-Angelovska E, Kocova M, Sabolich V, Palcevska S, Angelkova N *Corresponding Author: Doz. Elena Sukarova-Angelovska, Pediatric Clinic, Medical Faculty, Vodnjanska 17,
1000 Skopje, Republic of Macedonia. Tel.: +389-70358582. Fax: +389-22439301. E-mail: Esukarova@doctor.com page: 23 download article in pdf format
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Abstract
Wolf-Hirschhorn syndrome (WHS) is a rare
chromosomal disorder caused by terminal deletion
of the short arm of chromosome 4. The clinical picture
includes growth retardation, severe mental retardation,
characteristic “Greek helmet” like face,
seizures and midline defects in the brain, heart, palate
and genitalia. Recently-used molecular techniques
increase the number of diagnosed cases due to the
detection of smaller deletions. The severity of the
clinical presentation is variable depending on the
haploinsufficiency of genes in a deleted region.
We present six children with WHS with variable
clinical appearance. The assessment of several
elements (facial dysmorphism, mental retardation,
additional congenital anomalies) provided classification
into minor, mild or severe forms. Three of
the children had a visible cytogenetic deletion on
chromosome 4p, two had microdeletions detected
with fluorescent in situ hybridization (FISH), and one
child with a less characteristic clinical picture had
a mosaic type of the deletion. Correlation between
the clinical presentation and the length of the deleted
region was confirmed.
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