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CMT 1A genetic research

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Abstract from Am J Med Genet. 2004 Jan 15;124A(2):173-178.

A girl with duplication 17p10-p12 associated with a dicentric chromosome.

Shaw CJ, Stankiewicz P, Christodoulou J, E, K, Lupski JR.

Department of Molecular and Human Genetics, Baylor College of Medicine,

Houston, Texas.

We report a 7(1/2)-year-old girl with an approximately 9.5 Mb duplication of

proximal 17p. Her clinical

features include moderately severe developmental delay, absence of speech,

talipes, congenital dislocation

of the hips, premature adrenarche, dysmorphic facial features, deep palmar

creases, and signs and

symptoms of peripheral neuropathy consistent with Charcot-Marie-Tooth disease

type 1A (CMT1A).

Chromosome analysis revealed a partially duplicated 17p with two centromeres on

the derivative

chromosome. Fluorescence in situ hybridization (FISH) analysis demonstrated the

tandemly duplicated

segment spans 17p10-p12, including the entire -Magenis syndrome (SMS)

critical region and a

portion of the CMT1A critical region. One breakpoint mapped within the

centromere and the second

breakpoint mapped within the CMT1A critical region, distal to the PMP22 gene.

Microsatellite polymorphism studies showed that the duplicated chromosome is of

maternal origin. We

compare the clinical features of our patient to those of individuals with

partial trisomy of proximal 17p to

further delineate the genotype-phenotype correlation associated with segmental

duplication of this

chromosomal region.

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