Trisomy 4p

Trisomy 4p is a rare chromosomal anomaly syndrome, resulting from the partial duplication of the short arm of chromosome 4, with a highly variable phenotype, typically characterized by pre- and postnatal growth delay, psychomotor developmental delay and craniofacial dysmorphism (microcephaly, prominent glabelle, hypertelorism, enlarged ears with abnormal helix and antihelix, bulbous nose with flat or depressed nasal bridge, long philtrum, retrognathia with pointed chin). Additional features include skeletal (rocker bottom feet, arachnodactyly, camptodactyly) and renal malformations, cardiac defects, ocular abnormalities and abnormal genitalia in males.



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Narrow down the case reports



Total: 23 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(66.6%)
10756338
Three-year-old girl with partial trisomy 4p and partial monosomy 8p with resemblance to Brachmann-de Lange syndrome--another locus for Brachmann-de Lange syndrome on 4p?
Mau UA, Backsch C, Schaudt H, Trefz FK, Kaiser P.
Am J Med Genet. 2000;91(3):180-4.
Synophrys Small hand
Child, Preschool Chromosome Banding Chromosomes, Human, Pair 4 Chromosomes, Human, Pair 8 Cornelia De Lange Syndrome Females Homo sapiens Intellectual Disability Monosomy Trisomy
2
(66.3%)
1872531
[4p trisomy secondary to paternal translocation t(4p-;15q+)].
Saad A, Khelif M, Kharrat H, Bouzakoura C.
Ann Pediatr (Paris). 1991;38(5):350-4.
Wide mouth Short philtrum Micrognathia
Child, Preschool Chromosomes, Human, Pair 4 Homo sapiens Male Phenotype Trisomy
3
(60.5%)
8839891
Characterization of a derivative chromosome 17 by fish-technique.
Ramesh KH, Shah HO, Sherman J, Lin JH, Verma RS.
Ann Genet. 1996;39(3):177-80.
Micrognathia Depressed nasal bridge Protruding tongue
Cerebellum Chromosome Aberrations Chromosomes, Human, Pair 17 Chromosomes, Human, Pair 4 Face Fluorescent in Situ Hybridization Homo sapiens Infant, Newborn Male Monosomy Phenotype Trisomy
4
(58.2%)
7671938
Clinical manifestations of trisomy 4p syndrome.
Patel SV, Dagnew H, Parekh AJ, Koenig E, Conte RA, Macera MJ, Verma RS.
Eur J Pediatr. 1995;154(6):425-31.
Retrognathia Pointed chin Arachnodactyly
Chromosomes, Human, Pair 22 Chromosomes, Human, Pair 4 Females Fluorescent in Situ Hybridization Homo sapiens Infant, Newborn Syndrome Trisomy
5
(48.8%)
27192890
PARTIAL TRISOMY 4p AND PARTIAL MONOSOMY 13q: CASE REPORT AND A LITERATURE REVIEW.
Puvabanditsin S, Herrera-Garcia G, Gengel N, Hussein K, February M, Mayne J, Mehta R.
Genet Couns. 2016;27(1):35-41.
Microcephaly Overlapping toe
Chromosome Deletion Chromosomes, Human, Pair 13 Chromosomes, Human, Pair 4 Diseases in Twins Females Fetal Growth Retardation Homo sapiens Infant, Newborn Male Pregnancy Pregnancy Complications, Neoplastic Trisomy
6
(47.6%)
12017235
Mild phenotype due to inverse duplication 4p16.3 - P15.3 including the Wolf-Hirschhorn critical region.
Tschernigg M, Petek E, Wagner K, Kroisel PM.
Genet Couns. 2002;13(1):29-33.
Full cheeks Clinodactyly
IDUA
Child, Preschool Chromosomes, Human, Pair 4 Face Females Fingers Homo sapiens Intellectual Disability Mucopolysaccharidosis I Syndrome Trisomy
7
(45.9%)
22821638
Nail and phalangeal agenesis in a patient with 4pter and 9pter duplication.
Rambaud J, Marey I, Dupont C, Perrin-Sabourin L, Capri Y, Tabet AC, Benzacken B, Verloes A, Aboura A, Gerard M.
Am J Med Genet A. 2012;158A(9):2277-82.
Microcephaly Cleft lip
Chromosomes, Human, Pair 4 Chromosomes, Human, Pair 9 Females Gene Duplication Homo sapiens Infant Magnetic Resonance Imaging
7
(45.9%)
15966060
Prenatal detection of a de novo terminal inverted duplication 4p in a fetus with the Wolf-Hirschhorn syndrome phenotype.
Beaujard MP, Jouannic JM, Bessieres B, Borie C, Martin-Luis I, Fallet-Bianco C, Portnoi MF.
Prenat Diagn. 2005;25(6):451-5.
Microcephaly Cleft lip
|DUP||4|
Adult Amniocentesis Chromosomes, Human, Pair 4 Cytogenetic Analysis Females Fetal Growth Retardation Fluorescent in Situ Hybridization Gene Deletion Gene Duplication Gestational Age Homo sapiens Pregnancy Syndrome Trisomy Ultrasonography, Prenatal
9
(43.1%)
23301226
(3535200)
Two cases of partial trisomy 4p and partial trisomy 14q.
Kim YH, Kim HS, Ryoo NH, Ha JS.
Ann Lab Med. 2013;33(1):69-74.
Round face Short neck Short palpebral fissure
Child Child, Preschool Chromosomes, Human, Pair 14 Chromosomes, Human, Pair 4 Females Homo sapiens Trisomy
10
(40.2%)
21815251
A novel 4p16.3 microduplication distal to WHSC1 and WHSC2 characterized by oligonucleotide array with new phenotypic features.
Cyr AB, Nimmakayalu M, Longmuir SQ, Patil SR, Keppler-Noreuil KM, Shchelochkov OA.
Am J Med Genet A. 2011;155A(9):2224-8.
Macrocephaly Prominent glabella
FGFR3 LETM1 NELFA NSD2 TACC3
Chromosomal Duplication Chromosome Aberrations Chromosomes, Human, Pair 4 Genetic Association Studies Genotype Histone-Lysine N-Methyltransferase Homo sapiens Infant Iris Diseases Macrocephaly Male Oligonucleotide Array Sequence Analysis Phenotype Pigmentation Disorders Repressor Proteins Transcriptional Elongation Factors Wolf-Hirschhorn Syndrome
        

Phenotype(s) retrieved from Orphanet

    Total: 30

HPO ID Term Frequency
HP:0000164 Abnormality of the dentition Very frequent (99-80%)
HP:0000174 Abnormal palate morphology Very frequent (99-80%)
HP:0000252 Microcephaly Very frequent (99-80%)
HP:0000294 Low anterior hairline Very frequent (99-80%)
HP:0000311 Round face Very frequent (99-80%)
HP:0000316 Hypertelorism Very frequent (99-80%)
HP:0000319 Smooth philtrum Very frequent (99-80%)
HP:0000368 Low-set, posteriorly rotated ears Very frequent (99-80%)
HP:0000400 Macrotia Very frequent (99-80%)
HP:0000470 Short neck Very frequent (99-80%)
HP:0000574 Thick eyebrow Very frequent (99-80%)
HP:0000670 Carious teeth Very frequent (99-80%)
HP:0001252 Muscular hypotonia Very frequent (99-80%)
HP:0002916 Abnormality of chromosome segregation Very frequent (99-80%)
HP:0004322 Short stature Very frequent (99-80%)
HP:0005280 Depressed nasal bridge Very frequent (99-80%)
HP:0006610 Wide intermamillary distance Very frequent (99-80%)
HP:0009738 Abnormality of the antihelix Very frequent (99-80%)
HP:0010720 Abnormal hair pattern Very frequent (99-80%)
HP:0100543 Cognitive impairment Very frequent (99-80%)
HP:0000028 Cryptorchidism Frequent (79-30%)
HP:0000486 Strabismus Frequent (79-30%)
HP:0002650 Scoliosis Frequent (79-30%)
HP:0002750 Delayed skeletal maturation Frequent (79-30%)
HP:0100490 Camptodactyly of finger Frequent (79-30%)
HP:0000047 Hypospadias Occasional (29-5%)
HP:0000581 Blepharophimosis Occasional (29-5%)
HP:0001177 Preaxial hand polydactyly Occasional (29-5%)
HP:0002564 obsolete Malformation of the heart and great vessels Occasional (29-5%)
HP:0004059 Radial club hand Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 22

HPO ID Term # of case reports
HP:0001249 Intellectual disability 3
HP:0001250 Seizures 3
HP:0000369 Low-set ears 2
HP:0000470 Short neck 2
HP:0000752 Hyperactivity 2
HP:0002057 Prominent glabella 2
HP:0000098 Tall stature 1
HP:0000126 Hydronephrosis 1
HP:0000256 Macrocephaly 1
HP:0000278 Retrognathia 1
HP:0000307 Pointed chin 1
HP:0000414 Bulbous nose 1
HP:0000528 Anophthalmia 1
HP:0000664 Synophrys 1
HP:0001007 Hirsutism 1
HP:0001336 Myoclonus 1
HP:0001371 Flexion contracture 1
HP:0001609 Hoarse voice 1
HP:0001798 Anonychia 1
HP:0001838 Rocker bottom foot 1
HP:0005280 Depressed nasal bridge 1
HP:0200055 Small hand 1


Causative gene(s) retrieved from Orphanet

    Total: 0

Gene Symbol Gene Name Entrez Gene ID