A patient presenting a 22q13 deletion associated with an apparently balanced translocation t(16;22): an illustrative case in the investigation of patients with low ARSA activity

A 10-year-old speechless, mentally deficient male, with low arylsulfatase A (ARSA) activity, and presumably, methachromatic leukodystrophy, underwent genetic evaluation. As the clinical picture was not compatible with this diagnosisan ARSA gene and chromosome analysis were performed, showing the presence of a pseudodeficiency ARSA allele and a de novo apparently balanced t(16;22)(p11.2;q13) translocation. A deletion on the long arm of chromosome 22 encompassing the ARSA gene, as shown by FISH and array-CGH, indicated a 22q13 deletion syndrome. This case illustrates the importance of detailed cytogenetic investigation in patients presenting low arylsulfatase A activity and atypical/unspecific clinical features.

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Bibliographic Details
Main Authors: Artigalás,Osvaldo, Paskulin,Giorgio, Riegel,Mariluce, Burin,Maira, Saraiva-Pereira,Maria Luiza, Maluf,Sharbel, Kiss,Andrea, Schwartz,Ida Vanessa D.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Genética 2012
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572012000300007
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