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Ring 21 chromosome: the mild end of the phenotypic spectrum
Authors:R. J. M. Gardner    N. A. Monk    J. E. Clarkson   G. J. Allen
Affiliation:Department of Paediatrics and Child Health, University of Otago, and Department of Laboratory Services, Dunedin Hospital, Dunedin, New Zealand
Abstract:The case is reported of a child with the karyotype 46,XY,r(21), who presented with linear growth retardation but who appears, at age 2 years 8 months, to be developing normally mentally. There is a small number of reports of mildly affected cases of r(21), and of some with an apparently completely normal phenotype. We presume a structural and functional cytogenetic heterogeneity underlies the observed phenotypic heterogeneity in the ring 21 spectrum.
Keywords:Ring chromosome    ring 21 syndrome
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