Full text in pdf format

 

The 18p- syndrome and Iga deficiency

 

 

N.C. Magnelli; A.L. Vargas

Instituto de Genética, Facultad de Ciencias Médicas, Universidad Nacional de Cuyo, Mendoza, Argentina. Send correspondence to N.C.M.

 

 


ABSTRACT

Peripheral blood culture for a girl referred with the main complaint of retarded growth and recurrent infection showed a 46,XX,18p- karyotype. Banding techniques showed neither translocation nor pericentric inversion, the abnormal chromosome being the result of a simple deletion.
Clinical data are in full agreement with the classical 18p- syndrome, but in addition the patient shows megaesophagus, a malformation not previously described.
Immunological studies were performed and a complete absence of IgA was found.
The association of 18p- and immunological abnormality has been observed repeatedly and its significance is discussed.

Keywords: 18p-syndrome; Iga; deficiency.


 

 

REFERENCES

Caspersson, T., Lomakka, G. and Zech, L. (1971). The 24 fluorescence patterns of human metaphase chromosomes distinguishing characters and variability. Hereditas 67: 89-102.

Cohen, M.M., Jr. and Gorlin, R.J. (1969). Genetic considerations in a sibship of cyclopia and clefts The clinical delineation of birth defects. II. Malformation syndromes. Brith Defects V: 113- 118.

Cox, D.W., Markovic, V.D. and Teshima, I.E. (1982). Genes for immunoglobulin heavy chains and for alpha 1-antitrypsin are localized to specific regions of chromosome 14q. Nature 297: 428-430.

de Grouchy, J., Lamy, M., Thieffry, S., Arthuis, M. and Salmon, C. (1963). Dysmorphie complexe avec oligophrénie: délétion des bras courts d'un chromosome 17-18. C.R. Acad. Sci. 256: 1028-1029.

de Grouchy, J., Bonnette, J. and Salmon, C. (1966). Délétion du bras court du chromosome 18. Ann. Génét. 9: 19-26.

de Grouchy, J. (1969). The 18p-, 18q- and 18r syndromes. Birth Defects V: 74-87.

de Grouchy, J. and Turleau, C. (1977). Clinical Atlas of Human Chromosomes. John Wiley and Sons, New York, pp. 164-180.

Dominok, G.W. and Kirchmair, H. (1961). Familial incidence of malformation of the arhinenœ halia group. Z. Kinderheilkd. 85:19-30.

Finley, S.C., Finley, W.H., Noto, T.A., Uchida, I.A. and Roddam, R.F. (1968). IgA absence associated with a ring-18 chromosome. Lancet 1: 1095-1097.

Grebe, H. (1954). Familienbefunde bei letalen Anomalien der Koerperform. Acta Genet. Med Gemellol. 3:93-111.

Hobart, M.J., Rabbitts, T.H. and Goodfellow, P.N. (1981). Immunoglobulin heavy chain genes in humans are located on chromosome 14. Am. J. Hum. Genet. 45: 331-335.

Holmes, L.B., Driscoll, S. and Atkins, L. (1974). Genetic heterogenity of cebocephaly. J. Med. Genet. 11:35-40.

Kirsch, J.R., Morton, C.C., Nakahara, K. and Leder, P. (1982). Human immunoglobulin heavy chain genes map to a region of translocation in malignant B lymphocytes. Science 216: 301303.

Lejeune, J., Berger, R., Rethoré, M.O., Paolini, P. Boisse, J. and Mozziconacci, P. (1966). Sur un cas de délétion partielle du bras court du chromosome 18, résultant d'une translocation familiale 18 C - 17. Ann. Génét. 9:27-31.

McBride, O.W., Hieter, Ph. A. and Hollis, G.F. (1982). Chromosomal location of human kappa and lambda immunoglobulin light chain constant region gene. J. Exp. Med 155: 14801490.

Moorhead, P.S., Nowell, P.C., Mellman, W.J., Battips, D.M. and Hungerford, D.A. (1960). Chromosome preparations of leukocytes cultured from human peripheral blood. Exp. Cell Res. 20:613-616.

Nitowsky, H.M., Sindhvananda, N., Konigsberg, U.R. and Weinberg, T. (1966). Partial 18 monosomy in the cyclops malformation. Pediatrics 37: 260-269.

Ogata, K., Iinuma, K., Kamimura, K., Morinaga, R. and  Kato, J. (1977). A case report of a presumptive +i(18p) associated with serum IgA deficiency. Clin. Genet. 11: 184-188.

Pfizer, P. and Muntefering, H. (1968). Cyclopism as a hereditary malformation. Nature 217: 1071- 1072.

Rethoré, M.O. (1977). Deletions and ring chromosomes. Handbook of Clinical Neurology (Vinken, J.P. and Bruyn, G.W., eds.). Vol. 26-27. Congenital Malformations of the Brain and Skull. North-Holland Publishing Co., Amsterdam.

Richards, B.W. and Hobbs, J.R. (1968). IgA and ring-18 chromosome. Lancet 1:1426-1428. Ruvalcaba, R.H.Ã. and Thuline, H.C. (1969). IgA absence associated with short arm deletion of chromosome no. 18. J. Pediatr. 74: 964-965.

Stewart, J., Go, S., Ellis, E. and Robinson, A. (1968). IgA and partial deletion of chromosome 18. Lancet 2: 779-781.

Summer, A.T., Evans, H.J. and Buckland, R.A. (1971). New technique for distinguishing between human chromosomes. Nature 232:31-32.

Uchida, I.A., McRae, K.N., Wang, H.C. and Ray, M. (1965). Familial short arm deficiency of chromosome 18 concomitant with arhinencephaly and alopecia congenita. Am. J. Hum. Genet. 17:410-419.

Vaz, M.N. and  Monteiro, M.R. (1977). Imunogenética, Chapter 7. Genética Médica (Beçak, W. and Frota-Pessoa, O., eds.). Editorial Sarvier, São Pauio.

Wang, H.C., Melnyck, J., McDonald, L.T., Uchida, I.A., Carr, D.H. and  Goldberg, B. (1962). Ring chromosomes in human beings. Nature 195: 733-734.