Publications by authors named "M Ruffie"

Article Synopsis
  • The study highlights the challenges in diagnosing Pallister-Killian syndrome due to its varied clinical signs, making it hard to identify based solely on appearance.
  • The presence of tetrasomy 12p can be subtle, requiring testing of multiple tissue types, as mosaicism levels can vary significantly among samples.
  • Prenatal cytogenetic studies are recommended if the syndrome is suspected in ultrasound to provide accurate information for genetic counseling, given the severe outcomes for affected individuals.
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Six prenatally diagnosed cases of trisomy 9 are reported and 22 previously reported cases are reviewed; the difficulty of genetic counselling for such cases and the variation in the percentage of trisomic cells in different tissues, thus making accurate diagnosis of trisomy 9 difficult, are emphasized. In addition to karyotyping results, ultrasound findings are important in achieving diagnoses. Finally, a course of action when prenatal trisomy 9 is detected is proposed.

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The phenotype of the 4 p-- syndrome may be clinically distinguished from the one of the 5 p-- syndrome by the presence of fusion abnormalities of the median line. In the case reported, these abnormalities concerned a cleft palate, an iris coloboma and a fistula of the sacrum, in addition to an important hypotrophy and a severe mental retardation associated with epilepsy.

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