Fwd: Abnormal X Chromosome

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Suguru Revathi

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Feb 18, 2021, 7:37:38 AM2/18/21
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Dear Sir/Madam,

Please suggest about the Abnormal X Chromosome seen in the Images,it is the case of 16 Years of female with not attained Menarche,No sexual Secondary characters formed & Infantile Uterus, Ovaries are streak.
Kindly help me out in this regard.

Thank you all
Revathi
Cytogeneticist



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Winnie Lam

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Feb 19, 2021, 9:20:11 PM2/19/21
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Hello, is it possible to be an pseudo isochromosome X? 
Karyotype: 46,X,psu idic(X)(q22)?
This is just a guess, because of unclear image. 

Hope can help. 

Winnie


在 2021 年 2月 月 18 日 週四,時間: 20:37,Suguru Revathi
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marinaf...@gmail.com

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Feb 19, 2021, 9:20:39 PM2/19/21
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Sirs,

Through the images (+/- 400 bands), it can be a duplication of the X chromosome itself or an insertion of a chromosome segment of unknown origin.
46, X, dupX) (q13q22) or 46, X, der (X) ins (X;?) (q13 ;?)
I think it is necessary to perform the karyotype of the parents and / or the use of other cytogenetic techniques to identify this segment.

Hope this helps,
Marina Franchini
Biologist - Cytogeneticist
Brazil

Suguru Revathi

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Feb 21, 2021, 5:12:57 AM2/21/21
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Thank you all for great suggestions & still awaiting some more suggestions or comments. Herewith i am attaching some more images, please go through them also.


Regards
S V Revathi
Cytogeneticist


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maria mouriki

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Feb 27, 2021, 4:39:24 AM2/27/21
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Have you run any additional tests on this patient (FISH with X subtelomeres probes or X chromosome paint, ACGH) or the parents (KARYOTYPE)?. In order to give a definite answer you must run some tests other than the karyotype. R u sure that there are no further abnormalities on this girl, like dysmorphism, mental retardation, congenital disorders? R the parents phenotypically normal? 
Maria 



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